锡林浩特市成人居民高血压患病情况及危险因素调查分析

Investigation of the prevalence of hypertension and its risk factors in the adult population of Xilinhot City

目的了解锡林浩特市18岁以上居民高血压的患病情况及危险因素,为防治高血压提供科学依据。方法采用现况调查的方法,多阶段按比例随机抽样法抽取锡林浩特市18岁以上居民2411人进行面对面的问卷调查和体格检查。结果在2411人中,测量血压异常率为32.7%(789/2411),高血压患病率为23.7%(572/2411),其中,男性患病率为21.5%,女性患病率为25.3%,男女患病率差异有统计学意义(χ2=4.799,P<0.05);高血压患病率随年龄的增长逐渐上升(χ2=373.107,P<0.01);高血压患病率随体重指数(BMI)的增加呈升高趋势,不同BMI人群高血压的患病率差异有高度统计学意义(χ2=123.362,P<0.01)。经多因素分析显示,研究人群高血压患病率与年龄(OR=1.086)、家族史(OR=3.930)、腰围(OR=1.597)、BMI(OR=1.653)、吸烟(OR=1.212)、饮酒(OR=1.204)因素相关(P<0.01),都为危险因素。结论锡林浩特市高血压流行形势不容忽视,应继续加强社区高血压防治工作,对有家族史、超重肥胖的人群进行重点干预。

Objective To survey the prevalence of hypertension and its risk factors of residents above 18 years old in Xilinhot City,in order to provide scientific basis for the prevention of hypertension.Methods Inventory survey method was used.2411 residents of Xilinhot City aged over 18 were selected by multi-stage random sampling method for faceto-face questionnaire and physical examination.Results In 2411 people,the prevalence of blood pressure disorders and hypertension were 32.7% （789/2411） and 23.7% （572/2411）,in which the prevalence of men was 21.5% and female was 25.3%,the difference was statistically significant （x2=4.799,P 〈 0.05）.The prevalence of hypertension increased with age （x2=373.107,P 〈 0.01） and BMI,the differences of hypertension prevalence among residents with different BMI had statistically significant （x2=123.362,P 〈 0.01）.The multi-factor analysis showed that age （OR =1.086）,family history （OR =3.930）,waist circumference （OR =1.597）,BMI （OR =1.653）,smoking （OR =1.212）,alcohol （OR =1.204） were related with the prevalence of hypertension （P 〈 0.01）,all of them were risk factors.Conclusion The epidemic situation of hypertension can not be ignored in Xilinhot City,that should be continue to strengthen the prevention and control of hypertension in community work,meanwhile overweight or obese people or people with family history should be focused on.