目的了解山西省右玉县社区居民高血压的患病率及影响因素。方法采用随机整群抽样方法抽取右玉县城≥18岁社区居民3 502人,进行问卷调查、体格检查及生化指标检测。结果该县城居民高血压患病889例,患病率为25.4%,标化患病率为19.3%,男女患病率比较差异无统计学意义;高血压知晓率、治疗率和控制率分别为51.2%、15.5%和8.1%;高血压患病率随年龄增加而增加,60岁后女性患病率明显高于男性;调整年龄和性别后,除吸烟外,超重或肥胖、腹型肥胖、饮酒史、糖代谢异常、高脂血症及高血压家庭史均与高血压存在关系;多因素Logistic回归分析显示,年龄、超重或肥胖、腹型肥胖、饮酒史、糖代谢异常、高脂血症及高血压家庭史均为高血压患病的危险因素。结论右玉县城高血压患病率较高且与多种因素有关,应加强对社区居民的防治,普及预防高血压知识。 Objective To investigate the prevalence and influencing factors of hypertension among community residents in Youyu County of Shanxi Province. Methods A random cluster sampling method was used to collect 3 502 community residents aged 18 or older in Youyu County for questionnaires, physical examinations and biochemical tests. Results The prevalence of hypertension in this county was 889, with a prevalence of 25.4% and a standardized prevalence of 19.3%. There was no significant difference in the prevalence of hypertension between men and women. The rates of awareness, treatment and control of hypertension were 51.2%, 15.5% and 8.1% respectively. The prevalence rate of hypertension increased with age, and the prevalence rate of women after 60 years old was significantly higher than that of men. After adjusting for age and gender, except smoking, overweight or obesity, abdominal obesity, History of alcohol consumption, abnormal glucose metabolism, family history of hyperlipidemia and hypertension were all related to hypertension. Multivariate logistic regression analysis showed that age, overweight or obesity, abdominal obesity, alcohol drinking history, abnormal glucose metabolism, hyperlipidemia Hypertension and family history of hypertension are risk factors. Conclusion The prevalence of hypertension in Youyu County is high and related to many factors. Prevention and treatment of community residents should be strengthened, and the knowledge of prevention and treatment of hypertension should be popularized.