高校教师原发性高血压危险因素分析

Risk factors of essential hypertension among college teachers

目的 调查武汉高校教师原发性高血压危险因素，为针对高校教师群体实施高血压干预措施提供科学依据。方法 在进行原发性高血压现况调查基础上，运用1∶2配比病例对照研究方法进行高血压危险因素logistic回归分析。结果 共调查1 378人，原发性高血压患病率12.34%，标化患病率24.38%。高血压相关单因素logistic回归分析表明，职称、体质指数、吸烟、饮酒、摄盐量、饮食口味咸、甜、辛辣、高脂肪、睡眠时间、运动、对自身健康关注程度为高血压影响因素（OR值为0.705-14.101，P〈0.05）。高血压相关多因素logistic回归分析表明，体质指数、饮酒、饮食口味甜、躯体症状、高脂肪5项因素进入回归模型（OR值为2.479-36.690）。结论 应针对高血压危险因素，有效地开展高校教师高血压综合防治工作。

Objective To investigate the risk factors of essential hypertension among college teachers in Wuhan city and to provide reference for hypertension prevention among college teachers.Methods A 1：2 matched nested case-control study was conducted and logistic regression was used in data analyses.Results Among 1 378 teachers selected,12.34% were identified as essential hypertension,with a standardized prevalence rate of 24.38%.The results of univariate logistic regression showed that professional title,body mass index（BMI）,smoking,alcohol drinking,salt intake,salty diet,sweaty diet,pungent diet,high-fat diet,sleep time,sport,and self-concerning of health were significantly different between cases and controls（P〈0.05 for all）.The results of multivariate logistic regression showed that BMI,alcohol drinking,sweaty diet,body symptom,and high-fat diet were sighificant risk factors,with the odds ratios of 2.479-36.690.Conclusion Comprehensive prevention and control on hypertension should be carried out with specific measures for the risk factors among the college teachers.