惠州市惠阳区公务员高血压流行病学特征和影响因素分析

Characteristic of Epidemiology and Related Impacts of Hypertension in Local Area Civil Servants, Huiyang, Huizhou City

目的了解本地区公务员高血压的流行病学特征和主要相关因素,方法利用2004年本地区年龄阶段在20～60岁的1386名公务员体检资料,获取血压值和相关数据,描述性分析高血压流行病学特征,以Logistic回归分析方法筛选高血压影响因素。结果在体检的1386名公务员中,高血压患者296人,患病率为21.4%,年龄阶段在20～39岁者96人,患病率为6.9%;血压在正常高值者557人,占40.2%,年龄阶段在20～39岁者436人,占31.5%。Logistic回归分析结果显示,高血压主要影响因素为体重指数、腰围、年龄、饮酒、职业和婚姻状况,OR值分别为2.74、2.18、2.16、1.80、1.65、1.32。结论本地区特定人群(公务员)的患病率明显加快,患病年龄阶段出现低龄化趋势;青壮年血压值大多数处于正常高值,随着患病趋势的继续维持,若干年后青壮年高血压患病率将进一步升高;控制高血压的重点应向一级预防倾斜。

Objective To better understand characteristic of epidemiology and related impacts of hypertension in local area civil servants. Method To obtain blood pressure value physical examination records for local 1386 civil servants who aged from 20- 60 in 2004 were used in this study, and used different method to objectively describe the characteristic of epidemiology in hypertension and used logistic regression analysis to analysis impacts of hypertension. Results Among 1386 civil servant who took physical examination in 2004, there were 296 people who have been diagnosed hypertension. Those patients made up 21.4% of total civil servant in this study. In this group, 96 patients （6.9%） from age 20 to age 39. other 557 people 抯 blood pressure were reaching highest level of normal blood pressure, which made up 40.2% of total. In this group of people with reaching highest level of normal blood pressure, 436 of them （31.5%） at age 20 to age 39. According to the results from logistic regression analysis, the causes of hypertension in local civil servant are body mass index （BMI）, wrist, age, alcohol use, occupation, and marriage status. OR rate for these influence are： 2.74, 2.18, 2.16, i. 80, 1.65, and 1.32. Conclusion The specific group of people who suffer from hypertension in our area is increasing, hut the age is decreasing; Younger adults in this group have normal blood pressure, hut it reaches the highest level, many years later, there will he an increasing number of younger adults suffering from hypertension. The most important factor to control hypertension is prevention, based on population strategy and target strategy.