关于福建漳州归国侨民高血压及相关危险因素的调查研究(英文)

Investigation on hypertension and related risk factors among returning nationals in Zhangzhou city of Fujian

目的:研究回国定居的归侨及后代高血压流行特征,分析其相关危险因素。方法:随机抽取1278名侨民为调查对象(侨民组),以当地居民1267人作为对照组,采用问卷调查和体检方式进行调查,用多因素Logistic回归分析相关危险因素。结果:侨民高血压患病率为19.25%(标化率为16.23%),高于本地居民患病率的13.10%(标化率为11.04%)(χ2=17.72,P<0.01)。侨民高血压患病率30岁开始显著上升,且呈随年龄增加而上升趋势,且30岁组的高血压患病率显著高于当地居民。对侨民高血压患病的危险因素分析表明,进入多因素模式的变量有:性别、年龄、饮酒、高脂饮食、血脂异常、体重指数、遗传因素、体育锻炼8个研究因素;其OR值分别为1.76、2.37、3.62、2.98、1.86、3.15、3.12、2.74。结论:侨民高血压患病率显著高于当地居民水平,且高血压患病年龄有显著提前现象;其患病相关危险因素为年龄、饮酒、高脂饮食、血脂异常、体重指数、遗传因素、体育锻炼等。

Objective：To study epidemiological characteristics of hypertension in returning nationals and their offspring,and analyze its relative risk factors.Methods：A total of 1 278 returning nationals were randomly selected as nationals group,and 1 267 local residents were regard as local residents group.All subjects received questionnaire and physical examination.Multifactor logistic regression analysis was used to analyze relative risk factors.Results： Incidence rate of hypertension was 19.25%in nationals group（standardized rate was 16.23%）,which was significantly higher than13.10%of local residents group（standardized rate was 11.04%）（χ2=17.72,P＆lt;0.01）.As age increased,incidence rate of hypertension showed an increasing trend,which started to significantly rise in 30~ years group.Multi-factor Logistic regression analysis indicated that factors entered equation were gender,age,alcohol drinking,high-fat diet,dyslipidemia,body mass index,genetic factor and exercises,and their OR values were 1.76,2.37,3.62,2.98,1.86,3.15,3.12 and2.74 respectively.Conclusion：Incidence rate of hypertension in returning nationals is significantly higher than that of local residents.Incidence rate of hypertension of returning nationals showed an increasing trend.Their risk factors were age,alcohol drinking,high-fat diet,dyslipidemia,body mass index,genetic factor and exercises etc.