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目的:了解城市老龄化居民高血压现患率及控制情况,探讨其影响因素。方法:以WHO全球老龄化与成人健康研究(SAGE)家庭及个人问卷调查资料为基础,采用SPSS13.0做统计学分析,相关影响因素用多因素Log istics回归分析。结果:婺城区城市居民高血压患病率为64.07%,不同的年龄、婚姻状况、文化程度患病率不同,在有高血压病史的人群中,有效控制率为28.57%(男)和23.39%(女),不同文化程度间有统计学差异;主要影响因素为年龄和肥胖,肥胖者患高血压的风险是其他人群的2.06倍。结论:高血压是许多慢性非传染性疾病的主要危险因素,是老年人群的常见慢性病,而老年人群普遍文化程度低,缺乏高血压的防治知识和自我保护意识,社区高血压防治的重点应该放在高血压知识宣传和患者管理,同时结合城镇医疗保险,开展以平衡膳食、合理运动为主的健康干预,保持体重;建全高血压患者档案,定期追踪,督促患者规范用药,控制血压,减少中老年人脑卒中等疾病的发生,提高老年人生活质量。
Objective: To understand the current prevalence and control of hypertension in urban residents and to explore the influencing factors. Methods: Based on the questionnaires of family and individuals from WHO Global Aging and Adult Health Study (SAGE), SPSS13.0 was used for statistical analysis. The related factors were analyzed by Logistic regression analysis. Results: The prevalence rate of hypertension in urban residents was 64.07% in Wucheng district. The prevalence rates of different ages, marital status and educational level varied from 28.57% (male) to 23.39% in those with history of hypertension. (Female). There were significant differences among different education levels. The main influencing factors were age and obesity. The risk of obesity was 2.06 times of that of other groups. Conclusion: Hypertension is a major risk factor for many chronic non-communicable diseases and is a common chronic disease in the elderly population. However, the elderly generally have a low level of education and are lack of prevention and treatment knowledge and self-protection awareness of hypertension. Hypertension should be the focus of community hypertension prevention and control In the knowledge of hypertension and patient management, combined with urban medical insurance, to carry out balanced diet, reasonable exercise-based health intervention to maintain weight; build the files of patients with hypertension, regular follow-up, urging patients to regulate medication, blood pressure control, reduce the Stroke of the elderly and other diseases, improve the quality of life of the elderly.