广西城市中老年人群高血压危险因素调查

Investigation on risk factors of hypertension in cities of Guangxi Zhuang Autonomous Region

目的通过综合分析广西城市中老年人群中高血压患者的危险因素,探讨高血压防治的策略及干预措施,为制定广西地区高血压防制规划提供科学依据。方法运用多阶段分层随机抽样法,对广西城市人群7 881人进行高血压问卷调查和体格检查。结果广西城市中老年人群高血压标化患病率为19.38%,高血压的患病率随年龄增长而明显增加;经Logistic回归分析,职业、家族史、体质指数(BMI)、腰臀比值、血脂、血糖等8个影响因素与高血压的发生密切相关,其中腰臀比值是影响高血压发生最强的危险因素(OR=11.287)。结论在制定广西高血压防治策略时,应对这些影响因素加以分析利用,采取全人群策略和高危人群策略相结合的方式,开展社区高血压综合防治。

Objective To analyze the risk factors of middle and old age patients of hypertension in cities of Guangxi, and to seek controlling strategy and intervene measurement of hypertension and proving scientific data for government. Methods Through multistage and stratified sampling, 7 881 residents from cities of Guangxi were chosen and surveyed by questionnaire and physical check of hypertension. Results The standardized prevalence rate of hypertension for middle and old agegroup in cities of Guangxi was 19.38 %, and its prevalence rate was obviously up by age; Though Logistic regression, eight factors of occupation, family history, body mass index（BMI）, waist-hip ratio, blood fat and blood sugar were close to hypertension occuring, especially waist-hip ratio was the closest of all（ OR = 11. 287）. Conclusion The above risk factors should be considered when drawing the plan of hypertension control and prevention, choosing the strategy which would come to both all people and high risk group, and carrying out all-over control and prevention of hypertension in community.