2009年泰安市城市社区中老年人高血压患病情况及其影响因素调查

Survey on the Prevalence of Hypertension and Influencing Factors among the Middle-aged and Elderly Populations in Urban Communities,Tai'an City,2009

[目的]了解泰安市城市社区中老年居民高血压患病情况及影响因素,为高危人群确定干预措施提供科学依据。[方法]2009年6月,在泰安市泰山区岱庙办事处岱西社区和财源办事处后七社区,抽取部分居民楼,对全部35岁及其以上常住人口进行调查。[结果]调查1 942人,查出高血压患者625例,患病率为32.18%,标化率为24.06%。高血压患病率,男性为35.43%,女性为29.44%（P〈0.01）;35-45岁为16.67%,46-55岁为29.12%,56-65岁为43.48%,66-75岁为51.99%,76岁以上为55.86%。多因素非条件Logisti回归分析结果,男性、年龄大、饮酒频率高、体重指数大、有家族高血压史、自测血压频率低、血脂异常是高血压的危险因素,OR值分别为1.613、1.336、1.343、1.961、2.351、2.644、2.317;文化程度高、经常食用奶类食品、现实满意度高是高血压的保护因素,OR值分别为0.707、0.661、0.637。[结论]泰安市城市社区中老年居民高血压患病率较高,男性、年龄大、饮酒频率高、体重指数大、有家族高血压史、自测血压频率不高、血脂异常是高血压的危险因素。

[Objective] To understand the prevalence of hypertension and its risk factors among the middle-aged and elderly residents in urban communities of Tai＇an city,so as to provide scientific basis for making effective interventions measures in high-risk groups.[Methods]In June 2009,a survey was conducted among all resident populations aged 35 and above in some sampled residential buildings in Daixi community,Dai Temple sub-district,Houqi community,Caiyuan sub-district,Taishan District,Tai＇an City.[Results]625 cases were reported with hypertension in 1 942,the prevalence rate of hypertension was 32.18%,and the standardized prevalence rate was 23.06%.the prevalence rate of hypertension for males and females were 35.43% and 29.44%（P0.01）;the rate in 35-45,46-55,56-65,66-75,and 76 age group was 16.67%,29.12%,43.48%,51.99%,and 55.86%.Multiple factor logistic regression analysis method showed that male,elder age,frequent drinking,higher BMI,family history of hypertension,low frequency of self blood pressure and blood fat level abnormal were risk factors of hypertension,OR values were 1.613,1.336,1.343,1.961,2.351,2.644,and 2.317.Higher educational level,eating frequently of dairy foods,high satisfaction with reality were protective factors of hypertension,OR values were 0.707,0.661,and 0.637.[Conclusion]The prevalence of hypertension is high among the middle-aged and Elderly residents in urban communities of Tai＇an city,male,elder age,frequent drinking,higher BMI,family history of hypertension,low frequency of self blood pressure and blood fat level abnormal are risk factors for hypertension.