重庆市成年居民高血压前期患病及影响因素

Prevalence and risk factors of prehypertension among adults in Chongqing city

目的调查重庆市高血压前期患病率及相关因素,为高血压的早期预防提供科学依据。方法采取问卷调查方法 ,选择重庆市沙坪坝区>18岁常住居民59264人,计算人群中高血压前期患病率,应用Logistic回归模型进行危险因素分析。结果高血压前期患病率为64.72%;35～44岁高血压前期患病率最高,为71.11%;其次为25～34岁为70.52%;与正常血压组比较,高血压前期组的平均年龄、吸烟率、饮酒率、体质指数(BMI)、腰围(WC)及腰臀比(WHR)等增高;多因素Logistic回归分析表明,与高血压前期相关的因素有年龄、吸烟、WHR、WC和BMI;无论男女,肥胖是其重要高危险因素。结论重庆市居民高血压前期患病率较高,应尽早针对相关危险因素采取预防控制措施,对居民进行防治知识的宣传教育。

Objective To investigate the prevalence and risk factors of prehypertension among community adults in Chongqing,so as to provide the scientific basis for prevention and control of hypertension.Methods A questionnaire survey was conducted among 59 264 residents more than 18 years old selected from a district of Chongqing city.The prevalence was calculated and the relevant risk factors were analyzed with logistic regression.Results The prevalence of prehypertension in the adults was 64.72% with higher prevalences in the adults of 35-44 years old（71.11%） and 25-34（70.52% ）.Compared to the adults with normal blood pressure,the average age,the rate of smoking,the rate of alcohol drinking,body mass index（ BMI）,waist circumference（ WC） and waist-hip ratio（WHR） were higher in the pre-hypertension group.The results of univariate and multivariate logistic regression suggested that age,smoking,WHR,WC and BMI were potential risk factors of prehypertension.For both men and women,obesity was an important high-risk factors.Conclusion The prevalence of prehypertension in the adults of Chongqing is high.The government and professional institutes should pay attention to health education and promotion on hypertention.