论文部分内容阅读
目的分析合肥市包河区就业流动人口血压水平、高血压患病率以及常见危险因素,为制定该区高血压防控措施提供科学依据。方法以安徽省合肥市包河区作为2012年中国流动人口慢性病及其危险因素监测点,按6类行业(制造业、批发零售业、住宿餐饮业、社会服务业、建筑业和其他),采取按行业分层多阶段整群抽样方法调查了304名18岁及以上就业流动人口,以面对面问卷调查收集高血压及其危险因素信息,并用SPSS 17.0软件对数据进行用χ2检验、t检验和方差分析。用多因素logistic回归分析影响高血压患病的因素。结果流动人口高血压患病率为31.6%,在单因素分析中,不同性别、年龄、文化程度、婚姻状况、行业、吸烟、BMI、向心性肥胖人群高血压患病率差异均有统计学意义(χ2值分别为12.1、60.1、14.1、22.8、13.7、11.1、35.8和33.7,P<0.05)。多因素logistic回归分析发现,性别、年龄、BMI值是流动人口高血压的影响因素,其中女性是保护因素,女性患高血压的风险是男性的0.520倍(OR=0.520,95%CI:0.289~0.936);随着年龄的增长,患高血压的风险逐渐增加,60~岁组患高血压的风险是18~29岁组的116.541倍(OR=116.541,95%CI:13.460~1 009.067);BMI≥24.0 kg/m2的人群患高血压的风险高于BMI<24.0 kg/m2的人群(OR=4.364,95%CI:2.307~8.253)。流动人口高血压知晓率、治疗率、控制率、社区管理率分别为20.8%、85.0%、23.5%和25.0%。结论男性、中老年、超重肥胖人群是流动人口高血压干预的重点人群,应建立适合流动人口需求的基本公共卫生服务保障体系,加强对流动人口的管理。
Objective To analyze the blood pressure level, the prevalence of hypertension and the common risk factors among employed and floating population in Baohe District, Hefei City, and provide a scientific basis for the prevention and control measures of hypertension in this area. Methods Taking Baohe District of Hefei City, Anhui Province as the monitoring point of chronic diseases and its risk factors for floating population in China in 2012, we took six kinds of industries (manufacturing, wholesale and retail trade, residential catering, social service, construction and others) According to the stratified and multistage cluster sampling method, 304 migrant population aged 18 years and over were surveyed, and the information of hypertension and its risk factors were collected by face-to-face questionnaire. The data were analyzed by SPSS 17.0 using χ2 test, t test and variance analysis. Multivariate logistic regression analysis of factors affecting the prevalence of hypertension. Results The prevalence of hypertension in floating population was 31.6%. In the univariate analysis, there was significant difference in the prevalence of hypertension among different sexes, ages, educational level, marital status, industry, smoking, BMI and concentric obesity (χ2 values were 12.1, 60.1, 14.1, 22.8, 13.7, 11.1, 35.8 and 33.7 respectively, P <0.05). Multivariate logistic regression analysis found that gender, age, and BMI were the influencing factors of hypertension in migrant population. Female was the protective factor and the risk of hypertension in women was 0.520 times of that in men (OR = 0.520, 95% CI: 0.289 ~ 0.936). With the increase of age, the risk of hypertension was gradually increased. The risk of hypertension in 60 ~ age group was 116.541 times higher than that in 18 ~ 29 age group (OR = 116.541,95% CI: 13.460 ~ 1,009.067). People at BMI ≥24.0 kg / m2 had a higher risk of developing hypertension than those with a BMI of <24.0 kg / m2 (OR = 4.364, 95% CI: 2.307-8.253). The awareness rate, treatment rate, control rate and community management rate of floating population were 20.8%, 85.0%, 23.5% and 25.0% respectively. Conclusion Male, middle-aged and overweight and obese people are the key population of hypertension intervention in floating population. A basic public health service guarantee system suitable for the needs of floating population should be established to strengthen the management of floating population.