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目的了解渭南市居民高血压患病率、知晓率、治疗率和控制率情况,为高血压防治工作提供依据。方法于2015年7—10月采用分层整群抽样方法,抽取陕西省渭南市临渭区、大荔县和富平县≥18岁居民6 450人开展问卷调查及血压测量。结果共发放问卷6 450份,回收有效问卷5 703份,回收有效率为88.41%。5 703名调查对象中,患高血压2 493例,患病率为43.71%,标化患病率为29.95%;患病率随年龄增加呈升高趋势(P<0.01);农村高于城市(P<0.01);高血压患病的知晓率、治疗率、控制率、知晓者治疗率和治疗者控制率分别为69.31%、47.69%、35.90%、64.00%和75.11%。多因素Logistic回归分析显示,60岁~组知晓率、治疗率和知晓者治疗率均高于18~<60岁组(OR=1.92、1.86和1.12,95%CI:1.51~2.42、1.39~2.50和1.02~1.24),60岁~组治疗者控制率低于18~<60岁组(OR=0.74,95%CI:0.67~0.82);农村居民知晓率和治疗者控制率均低于城市居民(OR=0.72和0.75,95%CI:0.65~0.79和0.68~0.83)。结论渭南市居民高血压患病率较高,且存在年龄和城乡差异。知晓率低而患病率高的农村居民应加强高血压防治健康教育。
Objective To understand the prevalence of hypertension, awareness rate, treatment rate and control rate of residents in Weinan City, and to provide basis for prevention and treatment of hypertension. Methods From July to October 2015, a stratified cluster sampling method was used to collect the questionnaires and blood pressure of 6 450 people aged 18 or older in Linwei district, Dali county and Fuping county in Shaanxi province. Results A total of 6 450 questionnaires were distributed, 5 703 valid questionnaires were collected, and the effective rate of recovery was 88.41%. Among 5 703 surveyed subjects, there were 2 493 cases of hypertension, the prevalence was 43.71% and the standardized prevalence was 29.95%. The prevalence increased with age (P <0.01) (P0.01). The awareness rate, treatment rate, control rate, knowledge-based treatment rate and treatment control rate of hypertension were 69.31%, 47.69%, 35.90%, 64.00% and 75.11% respectively. Multivariate logistic regression analysis showed that the awareness rate, treatment rate and knowledge-based treatment rate of 60-year-old patients were higher than those of 18-year-old patients <60 (OR = 1.92,1.86 and 1.12,95% CI: 1.51-2.42,1.39-2.50 And 1.02-1.24). The control rate of 60-year-old patients was lower than that of 18-year-old patients <60 years (OR = 0.74, 95% CI: 0.67-0.82) (OR = 0.72 and 0.75, 95% CI: 0.65-0.79 and 0.68-0.83). Conclusion The prevalence of hypertension in Weinan residents is high, and there are differences in age and urban-rural differences. Rural residents with low awareness and high prevalence should strengthen their health education on hypertension prevention and control.