重庆市永川区居民高血压患病率及影响因素分析

Analysis on hypertension prevalence and its influencing factors among residents in Yongchuan district of Chongqing municipality

目的了解永川区居民高血压患病率及影响因素,为开展高血压防治工作提供建议。方法采用分层整群随机抽样的方法抽取3个镇与1个街道的18岁以上的常住居民,进行问卷调查、体格检查与抽血检测空腹血糖和餐后2h血糖,采用SPSS17.0统计分析高血压患病率,采用卡方检验与多因素Logistic回归分析高血压的影响因素。结果共计调查1202人,调查发现居民对高血压防治知识认知水平低于30.00%,21.46%的居民每天吸烟,31.78%的居民平时进行体育锻炼,超质量与肥胖的比例分别为24.63%与6.07%,高血压患病率为23.88%。多因素Logistic回归分析结果提示：年龄（OR=1.95,95%CI：1.74-2.17）、高血压危险因素认知水平（OR=2.11,95%CI：1.18-3.79）、平均每天每人油摄入量（OR=0.80,95%CI：0.64-0.99）、体质量（OR=1.97,95%CI：1.58-2.46）与血糖（OR=0.63,95%CI：0.50-0.78）是高血压患病率的独立影响因素。结论永川区居民高血压患病率高,居民高血压防治知识匮乏,吸烟、饮酒、膳食不合理、身体活动不足等高危因素普遍存在,应切实加强高血压的综合防治工作。

Objective To understand the hypertension prevalence and its influencing factors in Yongchuan district of Chongqing to provide the suggestion for the prevention and control of hypertension .Methods The permanent residents aged above 18 years old were sampled from 3 towns and 1 street by adopting the stratified clustered random sampling method and performed the questionnaire survey ,physical examination and detection of fasting glucose and postprandial 2‐h glucose .The data were analyzed to calculate the hypertension prevalence by the SPSS16 .0 software .The influencing factors of hypertension were analyzed by chi‐square and the multivariate Logistic regression analysis .Results A total of 1 202 persons were investigated .The survey found that the cognition level on hypertension in the residents was below 30 .00% .21 .46% of residents smoked every day .31 .78% of them did exercise .The proportions of overweight and obesity were 24 .63% and 6 .07% respectively ,the hypertension prevalence rate was 23 .88% .The multivariate Logistic regression analysis results indicated that the independent influencing factors of hypertension prevalence included age （OR=1 .95 ,95% CI：1 .74-2 .17） ,cognition level on hypertension（OR=2 .11 ,95% CI：1 .18-3 .79） ,oil in‐take per person per day（OR=0 .80 ,95% CI：0 .64-0 .99） ,body weight（OR=1 .97 ,95% CI：1 .58-2 .46） and blood glucose（OR=0 .63 ,95% CI：0 .50 -0 .78） .Conclusion The hypertension prevalence among the residents in Yungchuan district is high .The knowledge about the prevention and treatment of hypertension is deficient .The high risk factors of smoking ,drinking ,irrational diet and insufficient body movement are common .The comprehensive prevention and treatment work of hypertension should be practi‐cally strengthened .