论文部分内容阅读
目的 :探讨海港职工高血压患病现况及其影响因素。方法 :采用国际标准化的心血管病流行病学调查方法 ,调查 10 2 5 6名 18～ 5 4岁青岛港职工 ,男 7795人 ,女 2 461人。结果 :高血压患病率男性 2 6.5 3 % ,女性 10 .3 8% ,均高于 1991年山东省的患病率。男性确诊高血压知晓率、治疗率及控制率分别为 41.2 %、2 2 %及 14 .2 % ;女性分别为61.5 %、47%及 3 0 .0 %。男性吸烟率、饮酒率分别为 65 .9%和 5 8.3 %。体重指数 (BMI)均值男女分别为 2 4.4kg/m2和 2 3 .6kg/m2 ,45～ 5 4岁组男女BMI均值分别为 2 5 .0kg/m2 和 2 5 .3kg/m2 。经多元回归分析示年龄、BMI、腰臀围比值 (WHR)、心率 (HR)、饮酒、高血压家族史与血压均呈显著正相关 ,吸烟与血压呈负相关。BMI对血压影响因素最大。BMI每升高 1个标准差 (男性 3 .2 5kg/m2 ,女性 3 .3 4kg/m2 ) ,收缩压升高男性为 3 .3 8/ 2 .84mmHg、女性 4.2 5 / 3 .0mmHg。舒张压升高男性为 2 .84mmHg ,女性为 3 .0 0mmHg。 结论 :青岛港职工高血压患病率高于山东省平均患者率 ,高血压知晓率、治疗率及控制率男性显著性低于女性。BMI是影响血压的重要因素
Objective: To explore the prevalence of hypertension in harbor workers and its influencing factors. Methods: The international standardized cardiovascular disease epidemiological survey method was used to investigate 10256 workers and staff of Qingdao Port from 18 to 54, including 7,695 men and 2,161 women. Results: The prevalence of hypertension was 2.65% in males and 10.38% in females, all higher than the prevalence in Shandong Province in 1991. The rates of diagnosis, treatment and control of male hypertension were 41.2%, 22% and 14.2% respectively; women were 61.5%, 47% and 30.0% respectively. Male smoking and drinking rates were 65.9% and 53.3% respectively. The mean body mass index (BMI) for men and women was 2 4.4 kg / m2 and 23.6 kg / m2, respectively. The mean BMI for men and women 45 to 54 years old was 25.0 kg / m2 and 25.3 kg / m2, respectively. Multiple regression analysis showed that age, BMI, WHR, HR, alcohol consumption, family history of hypertension and blood pressure showed a significant positive correlation, smoking and blood pressure was negatively correlated. BMI has the greatest impact on blood pressure. The BMI was increased by 1 standard deviation (3.52 kg for men and 3.4 kg for women), and systolic blood pressure was increased by 3.38 / 2.884 mmHg for men and 4.2 5 / 3.0 mmHg for women. Diastolic blood pressure was elevated in men at 2.84 mmHg and in women at 3.00 mmHg. Conclusion: The prevalence of hypertension in Qingdao Port workers is higher than that in Shandong Province. The awareness of hypertension, treatment rate and control rate in male are lower than those in female. BMI is an important factor affecting blood pressure