高密市部分15～55岁青壮年高血压病流行现状

Epidemiological status of Hypertension among young adults aged 15-55 years in Gaomi City

目的了解高密市部分15～55岁青壮年高血压病流行现状,为今后高血压的防治工作提供科学依据。方法应用偶遇抽样的方法对高密市15～55岁的青壮年进行问卷调查和体格测量。结果共调查450人,高血压患者58人,高血压的粗患病率为12.89%,其中男性为11.81%,女性为14.08%,差异无统计学意义(P>0.05),但男女的患病率随年龄的增加均呈上升趋势(P<0.05);已婚的患病率为15.05%,未婚的为2.63%,已婚患病率高于未婚(χ2=8.791,P<0.05);有高血压家族史的占47.06%,无家族史的占11.55%,有高血压家族史者患病率高于无家族史者(χ2=18.373,P<0.01);饮酒者为17.71%,不饮酒者为9.82%,饮酒者患病率高于不饮酒者(χ2=5.939,P<0.05);高血压患病率随着体重指数(BMI)的增加呈上升趋势(P<0.05);小学及以下文化程度者患病率最高,为27.27%;随着文化程度的增高,高血压的患病率呈下降趋势(P<0.05)。结论高密市青壮年高血压的患病率总体处于较高水平,与体质指数、饮酒、高血压家族史等多种危险因素有关,必须进一步加强高血压综合防治力度。

[ Objective] To explore the epidemiological status of hypertension among young adults aged 15-55 years in Gaomi City, and provide evidences for its control in future. [ Methods ] With accidental sampling method, questionnaire survey and physical ex- amination were conducted among young adults of aged 15-55 years in Gaomi City. [ Results ] A total of 450 subjects were surveyed, 58 were hypertension and the crude prevalence rate of hypertension was 12.89%, 11.81% of male and 14.08% of female, without significant difference{ P 〉 0.05 ）. The female and male prevalence increased with age. The prevalence of hypertension among the married was 15.05%, 2.63% among unmarried, with significant difference （ ~2 = 8. 791, P 〈0.05 ）. 47.06% had family history of hypertension, 11.55% had no family history, with significant difference （ ~2 = 18. 373, P 〈 0. O1 ） ; the prevalence of drinker was 17.71%, 9.82% of nondrinkers, with significant difference（ X2 = 5. 939, P 〈 O. 05）. The prevalence of hypertension was in- creased with increasing of BMI. People with primary school or lower education level had the peak prevalence （27.27%）. The prevalence of hypertension was decreased with the higher educational levels（ P 〈 0.05）. [ Conclusion] The prevalence of hyperten- sion is high among young adults in Gaomi City. It relates with many risk factors such as BMI, drinking,family history of hyperten- sion etc. The comprehensive prevention and control for hypertension should be further strengthened.