金华市婺城区城市老龄化居民高血压患病率调查

Hypertension prevalence of urban aging residents in Wucheng district,Jinhua city

目的:了解城市老龄化居民高血压现患率及控制情况,探讨其影响因素。方法:以WHO全球老龄化与成人健康研究(SAGE)家庭及个人问卷调查资料为基础,采用SPSS13.0做统计学分析,相关影响因素用多因素Log istics回归分析。结果:婺城区城市居民高血压患病率为64.07%,不同的年龄、婚姻状况、文化程度患病率不同,在有高血压病史的人群中,有效控制率为28.57%(男)和23.39%(女),不同文化程度间有统计学差异;主要影响因素为年龄和肥胖,肥胖者患高血压的风险是其他人群的2.06倍。结论:高血压是许多慢性非传染性疾病的主要危险因素,是老年人群的常见慢性病,而老年人群普遍文化程度低,缺乏高血压的防治知识和自我保护意识,社区高血压防治的重点应该放在高血压知识宣传和患者管理,同时结合城镇医疗保险,开展以平衡膳食、合理运动为主的健康干预,保持体重;建全高血压患者档案,定期追踪,督促患者规范用药,控制血压,减少中老年人脑卒中等疾病的发生,提高老年人生活质量。

Objective To understand the rate of hypertension and control now,and to discuss its influencing factors.Methods Data of questionnaire based on the WHO global aging and adult health study(SAGE) were statistically analyzed with SPSS13.0 and the influencing factors were analyzed with Logistics regression analysis.Results Rate of hypertension in Wucheng district was 64.07%,with difference in age,marital status,and educational background.The effective control rate of population with hypertension history was 28.57% for males and 23.39% for females,with difference in educational background.The main influencing factors were age and obesity,and the risk of developing high blood pressure among obese people was 2.06 times as much as that among the rest of the population.Conclusion Hypertension,as a main risk factor for many chronic non-communicable diseases,is a common chronic disease among the aged.Due to the low educational background of the aged and their lack of knowledge of hypertension control and prevention,the focus of hypertension control and prevention in communities should be publicity of hypertension knowledge and management of patients.Meanwhile,health intervention of balanced diet and reasonable exercises should be promoted based on medical insurance scheme and what's more,files should be set up for patients to conduct regular follow-up and to monitor standard medication so that patients'blood pressure can be controlled and stroke among the aged can be effectively reduced.