论文部分内容阅读
目的为了解南京市雨花台区社区居民高血压患病率及相关危险因素的现况,为雨花台区制定高血压社区综合防控工作提供依据。方法于2010年采用分层系统抽样的方法对全区15周岁以上常住居民开展了调查,问卷内容主要为吸烟、饮酒和饮食等与慢性病相关的生活方式,并进行体格检查及相关测量。率的比较采用2检验,采用多因素非条件logistic回归分析对高血压影响因素进行分析。结果共调查了11 724人,平均年龄47.31岁,其中男性5 434人,女性6 290人,高血压患病率为18.35%(2 151/11 724),按南京市2000年人口构成标化患病率为16.56%。高脂血症者、非高脂血症者高血压患病率分别为72.28%(146/202)、17.40%(2 005/11 522),体重超重/肥胖、偏轻/正常的人群高血压患病率分别为25.14%(1 236/4 916)、13.44%(915/6 808);吸烟者、非吸烟者的高血压患病率分别为23.85%(353/1 480)、17.55%(1 798/10 244),饮酒者、非饮酒者的高血压患病率分别为27.61%(286/1 036)、17.45%(1 865/10 688),差异均有统计学意义(均P<0.01)。多因素logistic回归发现,年龄75岁及以上、文化程度大专及以上、高脂血症、饮酒和超重/肥胖等因素可能是高血压患病的影响因素(OR=46.631、0.698、7.683、1.705、1.834)。结论雨花台区居民的高血压患病率较高,高龄、超重/肥胖、血脂异常等危险因素与高血压关系密切,必须对人群进行健康教育,以减少高血压对居民健康的危害。
Objective To understand the prevalence of hypertension among community residents in Yuhuatai District of Nanjing City and the status of related risk factors, and provide the basis for the comprehensive prevention and control of hypertension community in Yuhuatai District. Methods In 2010, the stratified systematic sampling method was used to survey the residents over the age of 15 in the whole region. The questionnaire mainly focused on the lifestyle related to chronic diseases such as smoking, drinking and eating, and conducted physical examination and related measurements. Rate comparison using 2 test, using multivariate non-conditional logistic regression analysis of factors affecting hypertension. Results A total of 11 724 persons were surveyed, with an average age of 47.31 years, of whom 5,434 were males and 6,290 were females with a prevalence of hypertension of 18.35% (2 151/11 724). According to the 2000 population scale of Nanjing The prevalence was 16.56%. Hyperlipidemia, non-hyperlipidemia, hypertension prevalence rates were 72.28% (146/202), 17.40% (2005/11 522), overweight / obesity, partial light / normal population hypertension The prevalence rates of hypertension in smokers and non-smokers were 25.14% (1336/4 916) and 13.44% (915/6 808), respectively. The prevalence rates of hypertension were 23.85% (353/1 480) and 17.55% 1 798/10 244). The prevalence rates of hypertension among drinkers and non-drinkers were 27.61% (286/1 036) and 17.45% (1865/10688), respectively, with significant differences (all P < 0.01). Multivariate logistic regression found that age 75 years and older, college education and above, hyperlipidemia, alcohol consumption and overweight / obesity and other factors may be the influencing factors of hypertension (OR = 46.631,0.698,7.683,1.705, 1.834). Conclusion The prevalence of hypertension in Yuhuatai district residents is high. The risk factors such as age, overweight / obesity and dyslipidemia are closely related to hypertension. People must be educated healthily so as to reduce the harm of hypertension to residents’ health.