山西省右玉县社区居民高血压流行病学调查

Prevalence of hypertension in community residents in Youyu county of Shanxi province

目的了解山西省右玉县社区居民高血压的患病率及影响因素。方法采用随机整群抽样方法抽取右玉县城≥18岁社区居民3 502人,进行问卷调查、体格检查及生化指标检测。结果该县城居民高血压患病889例,患病率为25.4%,标化患病率为19.3%,男女患病率比较差异无统计学意义;高血压知晓率、治疗率和控制率分别为51.2%、15.5%和8.1%;高血压患病率随年龄增加而增加,60岁后女性患病率明显高于男性;调整年龄和性别后,除吸烟外,超重或肥胖、腹型肥胖、饮酒史、糖代谢异常、高脂血症及高血压家庭史均与高血压存在关系;多因素Logistic回归分析显示,年龄、超重或肥胖、腹型肥胖、饮酒史、糖代谢异常、高脂血症及高血压家庭史均为高血压患病的危险因素。结论右玉县城高血压患病率较高且与多种因素有关,应加强对社区居民的防治,普及预防高血压知识。

Objective To know the prevalence of hypertension and it＇s influential factors in residents of Youyu county,Shanxi province.Methods Totally 3 502 residents aged≥18 years were selected with random cluster sampling and investigated with questionnaire interview,physical examination and biochemical test.Results There were 889 hypertension cases with the prevalence and adjusted rate of hypertension of 25.4% and 19.3%,respectively.There was a difference in the prevalence rate of hypertension between male and female.The rate of awareness,treatment,and control of hypertension was 51.2%,15.5%,and 8.1%,respectively.The hypertension prevalence increased along with the increment of age,which was higher in the female than in male for the residents over 60 years old.After adjusted for age and gender,overweight or obesity,abdomen obesity,alcohol drinking,glucose metabolism abnormality,hyperlipidemia,and family history of hypertension were all related to hypertension.The results of multivariate unconditional logistic regression analyses showed that age,overweight or obesity,abdomen obesity,alcohol drinking,glucose metabolism aboormality,hyperlipidemia,and family history of hypertension were risk factors of hypertension.Conclusion The prevalence rate of hypertension in the residents of Youyu county is high and relates with many factors.The comprehensive prevention and control for hypertension should be conducted.