摘要
目的:了解河南省居民高血压相关危险因素,为制定高血压防治策略提供科学依据。方法:采用多阶段抽样方法,在全省30个县区共抽取15~74岁城乡居民18772人,由经过培训的专业人员对其进行血压测量、体格检查和问卷调查。结果:有父母高血压、冠心病、脑卒中家族史者患高血压的危险度高于无家族史者。吸烟、饮酒人群患高血压的危险度高于不吸烟、不饮酒人群。食盐、食用油摄入过量者患高血压的危险度较高。超重、肥胖和糖尿病患者患高血压的风险明显高于体重、血糖正常人群。多因素logistic回归分析显示,调整了年龄、性别等因素后,高血压家族史、饮酒、中心性肥胖、超重及肥胖和糖尿病是高血压患病的独立危险因素[OR(95%CI)=2.030(1.485~2.774)、1.157(1.060~1.365)、1.426(1.185~1.715)、1.935(1.725~2.170)、1.711(1.390~2.107)]。结论:大力开展健康教育,并对超重、肥胖和糖尿病患者进行重点干预,对预防高血压的发生有重要意义。
Aim:To identify the prevalence and risk factors of hypertension in residents of Henan , and provide evi-dences and suggestions to prevent and control hypertension in future .Methods:A total of 18 772 residents aged 15 to 74 years were selected with a multi-stage sampling technique in 30 counties.A cross-sectional study with blood pressure meas-urement, physical examination and questionnaire interview were carried out for every participant by trained professionals . Results:The population with family history of hypertension , coronary heart disease , and stroke had higher risk for hyper-tension than those without .The population who smoked , drinked had higher risk than those who did not .The population with excess salt intake and oil intake had higher risk for hypertension .The population with over-weight,obesity and diabetes mellitus had more higher risk for hypertension .After adjusted for age , gender and other factors , logistic regression analysis showed that family history of hypertension , drinking, central obesity,over-weight and obesity, diabetes mellitus were signif-icantly associated with hypertension[OR(95%CI)=2.030(1.485-2.774),1.157(1.060-1.365),1.426(1.185-1.715),1.935(1.725-2.170),1.711(1.390-2.107)].Conclusion:To carry out health education energetically and give intervention to the population with over-weight and obesity and diabetes mellitus are of great value in the prevention of hypertension .
出处
《郑州大学学报(医学版)》
CAS
北大核心
2014年第1期89-92,共4页
Journal of Zhengzhou University(Medical Sciences)
基金
河南省卫生厅支持的重大疾病调查项目2013年
关键词
高血压
危险因素
河南省
hypertension
risk factor
Henan Province