安徽省农村老年人高血压患病影响因素分析

Prevalence and influencing factors of hypertension in elderly rural residents of Anhui province

目的探讨安徽省农村地区老年人高血压患病现状及影响因素,为制定老年人保健措施提供依据。方法采用自编问卷和现场体格检查方法,对安徽省部分农村地区751名60岁～的老年人进行高血压患病现状及患病危险因素调查,并进行多因素Logistic回归分析。结果在751名农村老年人中,高血压患病率为54.1%。单因素分析结果显示:高血压患病率的影响因素有年龄(χ2=12.968,P=0.011)、爱吃甜食(χ2=4.349,P=0.039)、爱吃咸食(χ2=6.398,P=0.013)、食用蔬菜量(χ2=15.223,P=0.004)、体质指数(BMI)(χ2=26.106,P=0.000)、腹型肥胖(χ2=14.591,P=0.000)。多因素分析结果显示,高血压危险系数与BMI、年龄、咸食食用量、腹型肥胖程度呈正比,与蔬菜食用量呈反比。结论安徽省农村老年人高血压现状不容乐观,应加强高血压患病相关因素的健康教育,促进农村老年人养成良好的生活习惯,预防和控制高血压的发生。

Objective To explore the prevalence of hypertension and its related factors in eldery residents in rural area of Anhui province and to provide policy implications for aging health. Methods Health examination and self-designed questionnaire survey were conducted in 751 rural residents aged 60 or above. Multivariate logistic regression analysis was performed. Results The prevalence of hypertension in rural elderly residents was 54.1%. Age,lifestyles such as high sugar-intake, high salt-intake, low vegetable-intake, BMI, ventro-obesity were influencing factors of hypertention among the residents （X2 = 12.968,4.349,6.398,15. 223,26. 106,14. 591 ）. Multivariable analysis showed that the prevalence of hypertension was strongly associated with BMI, age, the amount of vegetable intake daily, preserved foods, ventro-obesity. Conclusion The prevalence of hypertension in elderly residents of rural area is relatively high and associated with a lot of factors. The health education on healthy behavior and living habit would be helpful for hypertention control in the residents.