广东省城市居民高血压患病现状及危险因素分析

Prevalence and risk factors of hypertention among urban adult residents in Guangdong province

目的了解广东省城市居民高血压患病现状及其危险因素,为高血压综合防治提供科学依据。方法采用多阶段分层随机抽样方法对在广东省广州、深圳、珠海、佛山和肇庆市抽取的4 800名≥6岁居民进行问卷调查、体格检查和实验室检测。结果广东省城市居民高血压粗患病率为14.3%,标化患病率为11.7%;多因素非条件logistic分析结果显示,年龄≥50岁、腰围≥80cm、超重、肥胖、糖尿病、高胆固醇血症和高血压家族史是高血压患病的危险因素。结论广东省城市居民高血压患病率较2002年有所上升,控制体质指数、降低血清胆固醇是预防高血压的重要措施。

Objective To explore the prevalence and risk factors of hypertention among urban adult residents in Guangdong province and to provide information for prevention and control of hypertention. Methods A multi-stage randomized cluster sampling method was used to select the participants. Data on socio-economic status and health status were collected with a face-to-face questionnaire surrey,physical examination,and laboratory tests. Results Among the 4 800 residents aged≥ 6 years selected from urban areas of 5 cities,the crude prevalence rate of hypertention was 12. 3%（11. 1% for the males and 14. 0% for the females,respectively）. The results of logistic regression analysis showed that major risk factors of hypertention were at the age of ≥50 years,with the waistline of ≥80cm,overw eight,obesity,diabetes,high serum cholesterol,and family history of hypentension. Conclusion The prevalence of hypertention show es an increasing trend compared to that in 2002 and controlling body mass index and decreasing serum cholesterol are important measures for hypertension prevention among urban residents of Guangdong province.