南昌市西湖区居民高血压相关因素的非条件Logistic回归分析

Non-conditional Logistic Regression Analysis on Risk Factors for Hypertension among Residents in Xihu District of Nanchang

目的了解江西省南昌市西湖区社区居民高血压患病情况,探讨高血压危险因素,为高血压社区综合防治提供科学依据。方法采用多阶段抽样方法,抽取2011年江西省南昌市西湖区辖区范围内18岁以上常驻社区居民2 631人,进行高血压问卷调查和体格检查,采用多因素非条件Logistic回归分析探讨高血压危险因素。结果西湖区社区居民前5位慢性病患病率分别为:高血压(18.93%)、糖尿病(5.78%)、冠心病(1.48%)、高血脂(0.46%)、骨质结构和密度疾患(0.38%)。高血压患病率:男性为24.35%,女性为13.94%,男性高于女性(P<0.05)。非条件Logistic回归分析结果发现:年龄大、性别为男性、文化程度低、有高血压家族史、体质指数大、三餐不规律、被动吸烟、人日均总盐量多、每天睡眠时间少、婚姻状况为非单身、性格内向为高血压的危险因素。结论高血压患病率为西湖区居民慢性病首位,宜列为社区慢性病综合防控的重点,纳入全科医生慢性病管理范畴;将有上述危险因素者列为高危人群,加强对其血压监测,同时,开展体质量控制、限盐饮食、三餐规律进食、保证睡眠时间、创建无烟环境等高血压综合防制措施,控制高血压及其并发症的发生。

Objective To explore the prevalence and risk factors of hypertension among community residents in Xihu district of Nanchang city of Jiangxi province,and to provide a scientific basis for the integrated prevention and control of hypertension in community. Methods A total of 2 631 residents aged 18 years or older in Xihu district of Nanchang city were selected using multi-stage sampling method.The prevalence of hypertension was investigated with hypertensive questionnaire and physical examination.The risk factors for hypertension were investigated by multi-factor non-conditional Logistic regression analysis. Results The top five prevalence of chronic diseases in Xihu district were：hypertension（18.93%）,diabetes（5.78%）,coronary heart disease（1.48%）,hyperlipemia（0.46%）,bone structure and density disorders（0.38%）.The prevalence of hypertension in males was significantly higher than that in females（24.35% vs 13.94%,P0.05）.Non-conditional Logistic regression analysis showed that elder,male gender,low level of education,family history of hypertension,high body mass index,irregular meals,passive smoking,high daily salt intake,less sleep,non-single marital status and introversion were the risk factors for hypertension. Conclusion The hypertension is the most frequent chronic diseases among residents in Xihu district.It should be brought into the community chronic disease prevention and control program,and be included in the areas of chronic disease management in general practitioners.In addition,the monitoring of blood pressure should be strengthened and comprehensive prevention and treatment programs（body weight control,dietary salt restriction,regular meals,adequate sleep,smoke-free environment,etc） should be performed to control the incidence of hypertension and complications in high-risk groups.