福建省部分地区居民的高血压病流行现状及其影响因素研究

The Epidemic Status of Hypertension in Selected Communities of Fujian Province

目的评价福建省慢性病综合防控示范区长乐市、福清市和南安市居民的高血压病现状,分析影响高血压病患病的环境因素,并提出防治对策。方法 2014年4-9月,笔者科室对福建省长乐市、福清市和南安市的部分居民进行现场问卷调查,并对高血压病的主要影响因素进行综合评价。结果福建省长乐市、福清市和南安市的部分居民高血压病总患病率为20.9%,且男女性患病率差别有统计学意义。居民高血压病患病率随年龄的增长而逐渐增高,≥60岁组的患病率最高。多因素Logistic回归分析结果显示,经性别、年龄、文化程度和婚姻状况调整后,居民患高血压病的环境危险因素为经常饮酒、体质量指数偏高和向心性肥胖。结论福建省长乐市、福清市和南安市的部分居民高血压病是由多种因素共同作用的结果,需要加大健康生活方式的宣传力度。

Objective To evaluate the status of hypertension in community residents,and analyze the impact of environmental factors on prevalence of hypertension,and to propose countermeasures against hypertension. Methods Field epidemiology methods were adopted,physical examinations and laboratory studies were performed,between April and September,2014. The relevant data collected were then analyzed. Results The total prevalence of hypertension was 20.9%,and the difference between male and female was statistically significant. The prevalence of hypertension in population assorted by age was higher in the older population,with the highest prevalence in the group of age≥60. Multivariate logistic regression analysis showed that,after the adjustment of sex,age,education level,and marital status,the environmental risk factors of hypertension were high drinking frequency,high BMI and central obesity.Conclusion High blood pressure of residents is ascribed to many factors in the communities that we studied. We need to intensify the promotion of healthy lifestyle in community,and gradually increase the public awareness of hypertension and blood pressure control.