浙江省部分高校教职工高血压患病情况及相关影响因素分析

The prevalence of hypertension and its associated risk factors in university staffs of Zhejiang province

目的了解浙江省部分高校教职工高血压分布特征及相关影响因素。方法采用多阶段随机抽样方法抽取浙江省2地4所高校在职教职工2116人,对其一般情况进行了问卷调查,并进行了相关实验室检查和体格检查。分析不同特征教职工的高血压流行特点、相关影响因素以及相关知信行情况。结果高校教职工高血压患病率达17.2%,正常高值血压发生率达40.0%。高校教职工高血压知晓率达到58.4%,高血压治疗率以及控制率分别为38.8%和17.6%。〈55岁女性高血压患病率及正常高值血压发生率低于男性（均P〈0.05）。多因素非条件Logistic回归分析结果显示,男性[OR值（95%CI）2.44（1.66-3.02）]、≥55岁[7.09（5.61-8.98）]、心脑血管病家族史[3.31（2.44-4.48）]、吸烟[1.48（1.06-2.05）]、超重[2.55（2.01-3.23）]及肥胖[4.00（2.62-6.10）]、高血糖[1.58（1.17-2.12）]以及高总胆固醇[1.28（1.12-1.46）]为高血压的主要影响因素（均P〈0.05）。结论浙江省高校教职工高血压患病率及正常高值血压发生率分别为17.2%和40.0%,肥胖、超重及吸烟等为影响血压的主要因素。

Objective To investigate the prevalence of hypertension and its associated risk factors among university staffs of Zh@ang province. Methods A total of 2116 workers were enrolled by a multi-stage random sampling method. The baseline characteristics were recorded by questionnaires, and laboratory and physical examinations were performed for all study workers. Epidemic characteristics, the associated risk factors of hypertension and in- formation on knowledge, attitude and practice were analyzed. Results The prevalence of hypertension and the inci- dence of pr-hypertension were 17.2% and 40.0% , respectively. The awareness, treatment and control rates of hypertension were 58.4 %, 38.8 % and 17.6 -, respectively. In workers aged less than 55 years, the prevalences of hypertension and prehypertension were lower in women than in men. Multiple Logistic regression analyses showed that male gender （0R=2.44; 95% CI 1.66 3.02）, age higher than 55 years （7.09;5.61-8.98）, family historyo{ cardiovascular diseases {3.31; 2.44-4.48）, smoking {1.48; 1.06-2.05）, overweight （2.55; 2.01- 3.23）, obesity （4.00; 2.62-6. 10）, high blood glucose （1.58; 1. 17-2. 12） and high total cholesterol （1.28; 1.12-1.46） were significantly associated with the increased risk of hypertension （all P〈i0.05）. Conclusion The prevalences of hypertension and prehypertension are 17.2% and 40.0%. Overweight, obesity and smoking are im- portant associated risk factors of hypertension.