上海市静安区社区居民高血压患病及其危险因素的Logistic回归分析

Logistic Regression on the Risk Factors and Prevalence of Hypertension Among Residents in Jing’an District,Shanghai

目的了解上海市静安区居民高血压的患病特点,探讨其危险因素,为高血压社区综合防治提供依据。方法2007年10—12月,静安区疾病预防控制中心对辖区社区居民进行慢性病患病危险因素抽样调查。结果调查的960人中,高血压患病率为25.63%。不同年龄、文化程度与婚姻状况组间患病率差别有统计学意义(P<0.01)。经多因素非条件Logistic回归分析,高血压危险因素为心血管疾病家庭史、年龄、饮酒、睡眠质量、体质指数。结论静安区居民高血压患病率较高,有心血管疾病家族史、年龄大、饮酒、睡眠质量差、体重指数大者患高血压的危险性高。

OBJECTIVE To explore the epidemiological characteristics and risk factors of hypertension of the residents in Jing＇an District, Shanghai. METHOD Multistage cluster sampling was adopted from October to November in 2007. 960 residents, aged between 15 and 69 years old and had lived in Jing＇an more than six mouths, were investigated with questionnaire and physical examination. RESULTS The morbidity rate of hypertension（MRH） was 25.63%. There were significant differences in different anges, education level and mar- riage status. Risk factors relative to hypertension included hypertension family history, age, drinking history, sleep quality and higher BMI. CONCLUSIONS Hypertension has been one of the most important non-communicable chronic diseases in urban area. It was demonstrated that there is an urgent need to carry out comprehensive prevention and control for hypertension.