安徽省成年高血压人群血压控制现状及影响因素分析

Investigation on blood pressure control and related factors among adults with hypertension in Anhui province

目的了解安徽省成年高血压人群血压控制现状及影响因素。方法在安徽省疾病监测地区按多阶段分层整群随机抽样的方法,对18岁及以上居民15 821人进行调查体检,抽出信息完整、既往确诊高血压的全部病例共1 866例,分析血压控制现状及相关影响因素。结果高血压人群的血压控制率为24.4%,男性和女性人群的血压控制率分别为24.5%和24.3%,人群血压控制率随年龄增大有下降趋势。高中以上文化程度人群血压控制率40.6%,小学以下文化程度人群血压控制率为19.6%(χ2=22.225,P<0.001)。Logistic回归分析提示,血压未控制的相关影响因素是:老年、文化程度较低、未服药治疗、BMI≥24.0 kg/m2。结论安徽省成年高血压人群血压控制率低,血压控制与年龄、文化程度、BMI、服药治疗相关。

Objective Objective the study was aimed at investigating the blood pressure control and related factors among adults with hypertension in Anhui province. Methods We conducted questionnaire surveys and physical examinations among 15,821 residents over 18 years old at the surveillance regions in Anhui province using the multi- stage stratified cluster random sampling method. Among them,1866 subjects with medical history of hypertension and complete information were included in the study and analyzed for their blood pressure control and related factors. Results the percentage of subjects with blood pressure under control was 24. 4% overall,and 24. 5% and 24. 3% for male and female subjects,respectively. This rate was found to decrease with age. Among subjects who went to college or received higher education,the rate was 40. 6%,while for subjects who didn＇t go to primary school,the rate was 19. 6%（ χ2= 22. 225,P 0. 001）. Logistic regression analysis indicated that factors associated with uncontrolled blood pressure were old age,less education,failure of taking medicine and BMI ≥ 24. 0 kg / ㎡. Conclusion the percentage of subjects with blood pressure under control was low among adults in Anhui province. The blood pressure control was associated with factors such as age,education levels,BMI and compliance of taking medicine. Our study suggests that healthy life style,weight control and standard treatment are important factors for better control of blood pressure among adults with hypertension.