成都地区城乡居民高血压患病情况调查及危险因素分析

Prevalence and Risk Factors of Hypertension in Urban and Rural Residents in Chengdu: A Cross-Sectional Survey

目的调查成都市城区和农村居民高血压的患病情况及其危险因素。方法2010年2～10月采取整群抽样方法选取成都市城区和农村4个社区35～70岁的2011人进行高血压的发病情况调查，并采用SPSS18．0软件进行统计分析。结果成都市35～70岁高血压人口标化患病率为31．30％，其中城市患病率为39．03％，明显高于农村的24．90％，差异有统计学意义（P〈0．05）。多因素分析结果显示，年龄、腰围、心率、空腹血糖及文化程度是男性患高血压的主要危险因素，而年龄、腰围、心率、空腹血糖、甘油三脂、尿酸是女性患高血压的主要危险因素。结论成都市城区居民高血压患病率高于农村地区。应加强对腰围增粗、血糖异常和心率增快居民进行高血压防治和干预。

Objective To investigate the prevalence and risk factors of hypertension in urban and rural residents in Chengdu. Methods A cluster random sampling survey was carried out from February to October in 2010. A total of 2 011 residents aged 35-70 years in four communities of Chengdu （two communities in urban area, two in rural area） were investigated for the incidence of hypertension. Analysis was performed using SPSS 18.0 software. Results The standardized prevalence of hypertension was 31.30% among residents aged 35-70 years, which was much higher in urban than that in rural： 39.03% vs. 24.90% （P〈0.05）. The results of multivariate logistic regression analysis showed that, age, waist, heart rate, fasting blood glucose and education level were the major risk factors of hypertension for male; while age, waist, heart rate, fasting blood glucose, triglyceride and uric acid were the major risk factors for female. Conclusion The prevalence of hypertension in urban is higher than that in rural in Chengdu. Prevention and intervention should be performed more for whom have increased waist circumfluence, abnormal levels of fasting glucose, and increased heart rate.