2013年忠县18岁及以上居民高血压、糖尿病的影响因素调查

Survey on the Influencing Factors of Hypertension and Diabetes Mellitus Among Residents over 18 Years Old,Zhongxian County,2013

目的了解忠县居民高血压、糖尿病患病情况及其主要危险因素,为制订干预措施提供依据。方法 2013年4月利用分层多阶段随机抽样方法抽取忠县辖区内18岁及以上居民1 389人,进行现场调查和体格检查,对核心指标进行描述性统计分析,将χ2检验选定的有统计学意义的指标纳入多因素Logistic回归,分析判定忠县居民高血压、糖尿病的影响因素。结果调查1 389人,检出高血压患者372例,粗患病率26.78%,年龄标化患病率26.70%;糖尿病患者111例,粗患病率7.99%,年龄标化患病率7.60%。单因素分析发现:年龄、文化程度、婚姻状况、体重指数(BMI)等级、是否腹部肥胖、是否为糖尿病和是否有高血压家族史等是我县18岁及以上居民患高血压的影响因素;年龄、文化程度、婚姻状况、体重指数(BMI)等级、是否腹部肥胖、是否为高血压和是否有糖尿病家族史等是我县18岁及以上居民患糖尿病的影响因素。多因素Logistic回归分析显示:年龄大、体质指数(BMI)超标、糖尿病患者和高血压家族史是高血压患病的危险因素;年龄大、体质指数(BMI)超标和高血压患者是糖尿病的危险因素。结论忠县居民高血压、糖尿病患病率处于较高水平。

Objective To understand the prevalence and the main risk factors of hypertension and diabetes among residents of Zhongxian county,so as to provide the basis for making intervention measures. Methods In April,2013,the stratified multi-stage random sampling method was used to select 1 389 residents aged 18 years and above,on-site survey and physical examination were conducted,descriptive statistical analysis was made on core indicators,the 2test was selected with statistical significance index into the multi factor Logistic regression analysis to judge influencing factors of hypertension and diabetes mellitus among residents in Zhongxian county. Results Of 1 389 surveyed,a total of 372 hypertension cases were detected,the crude prevalence rate was 26.78%;111diabetes cases were detected,the crude prevalence rate was 7.99%,the age standardized prevalence rate was 7.60%.Single factor analysis showed that age,education level,marriage status,body mass index（BMI）level,whether abdominal obesity,whether with hypertension,whether diabetes,and whether with family history of hypertension were the influencing factors of hypertension among residents aged 18 years and above;age,education level,marriage status,body mass index（BMI）level,whether abdominal obesity,whether hypertension,and whether with family history of diabetes were the influencing factors of diabetes among residents aged 18 years and above.Multivariate logistic regression analysis showed that older age,body mass index（BMI）exceeding the standard,diabetes patients and hypertension family history were risk factors for hypertension;age,body mass index（BMI）exceeding the standard,and hypertension patients were risk factors for diabetes. Conclusion Among residents in Zhongxian county,the prevalence rate of hypertension and diabetes at a high level.