盐城地区居民高血压及危险因素调查

Investigation on essential hypertension and its risk factors in Yancheng region

目的 了解盐城地区居民高血压流行现状及其主要危险因素 ,为制定相应干预措施提供科学依据。方法 对居住在该地区 5年以上 (含 5年 )、35岁以上的居民 ,采用多阶段整群随机抽样的方法 ,进行一般情况、既往病史、家族史、相关危险因素、身高体重以及血压的调查。结果 高血压的患病率为 2 1 64 % ,标化率为 2 1 1 5 % ,男性高于女性 ,并且随年龄的增高而增长 ,城市高于农村。居民高血压知晓率、治疗率和控制率分别为 32 36 % ,1 8 2 5 % ,7 31 % ,城市高于农村。经Logistic多元回归分析 ,表明盐城地区居民罹患高血压的主要危险因素为超重、家族史、生活紧张、职业性体力活动过少、年龄、吸烟及饮酒等 ,而足够蔬菜水果的摄入、性别、睡眠质量好、经常性体育锻炼等为保护性因素。结论 盐城地区居民高血压患病率虽略低于 1 991年全国抽样调查的结果 。

Objective To assess the prevalence and the main risk factors of hypertension in Yancheng region and provide scientific evidence for developing valid methods.Methods General status,disease history and custom,family history,related risk factors,height,weight and blood pressure were investigated among the residents over 35 years and living here for at least 5 years.Results The prevalence was 21.64 percent,standardized rate was 21.15 percent,man of which was higher than female.It rose with age and was higher in town than in county.The results of using conditional logistic regression indicated that the main risk factors were overweight,family history,mental stress,less exercise during the work time,age,cigarette smoking and alcohol use,and its protective factors were enough vegetable consumption,sex,good sleeping,usual physicla exercise.Conclusion The prevalence was slightly lower than the result of the country-wide smapling in 1991,but it remained to be the most serious public hygiene problem.