自然人群中高血压危险因素研究

Study on the risk factors of hypertension among people

目的 :调查研究扬州市自然人群中高血压患病情况及危险因素。方法 :采用流行病学调查方法 ,对调查变量进行单因素和多因素 L ogistic回归分析。结果 :15～ 74岁人群高血压患病率为 19.78%(男性 2 2 .92 % ,女性 17.6 9% ) ,标化患病率为 16 .15 % (男性 18.70 % ,女性 14.6 5 % )。单因素分析显示与高血压患病显著相关的危险因素有 :性别、年龄、职业、文化程度、饮酒、吸烟、吃肉类型、蛋摄入量、婚姻状况、绝经、睡眠质量、友邻谈心、血糖值、体重指数、腰 /臀围比、家族史 (高血压病、糠尿病、脑血管病、肥胖 )。多因素 L ogistic回归分析显示 ,影响高血压患病的独立危险因素有 :性别、年龄、职业、文化程度、饮酒、鸡蛋摄入量、婚姻状况、高血压病家族史、脑血管病家族史、体重指数、腰 /臀比、血糖值。结论 :高血压病是多因素综合作用所致 ,高血压病重点防治人群是 35岁以上、有高血压病和脑血管病家族史、超重肥胖、离婚丧偶、吸烟、高脂高胆固醇摄入。

Objective:To study the risk factors and the status of hypertension among people in Yangzhou area.Methods:By applying the softwares of Epi Info,SPSS and SAS, the Mono factor and Multi factor Logistic regression analysis were made.Results:Morbidity of hypertension in people aged from 15～74 years is 19.78%(of which the males are 22.92% and the females are 17.69%)The standardized morbidity is 16.15%(of which the males are 18.70% and the females are 14.65%)The results of Mono factor Logistic regression analysis show that these risk factors interrelated with hypertension,it includes sex,age,occupation,the level of education,drinking and smoking,the eating style,the status of marriage, menopause,the quality of sleep,the heart to heart talking with friends and neighbors,the value of BG,the BMI,the WHR,the family history of hypertension,diabetes,the cerebrovascular diseases and obesity.The results of multi factor Logistic regression analysis show that these independent risk factors also effect hypertension,it include sex,age,occupation and level of education,drinking,the eating style,the family history of hypertension and cerebrovascular diseases,the BMI,the WHR,the value of BG.Conclusion: Hypertension is caused by many kinds of factors.The prevention measures must be taken to indicate the high risk group such as people whose age is above 35,and people who has the family history of hypertension and cerebrovascular diseases;people who are overweight and obesity;People who was divpiced and lost spouse;and people who is smoking,hypercholesterel and high GB.