惠州市中青年教师体检发现的高血压发病特点及影响因素

Morbidity characteristics and influencing factors of hypertension in young and middle-aged teachers undergoing physical examination from Huizhou

目的:探讨中青年教师体检发现的高血压发病特点及影响因素。方法:选择惠州市10 581名中青年教师作为研究对象,通过体检、问卷调查收集资料,对中青年教师进行高血压病Logistic单因素、多因素回归分析。结果:10 581名中青年教师中,高血压病3166例,患病率为29.92%。Logistic单因素回归分析显示,男性、年龄45岁以上、体质指数28kg/m^2以上、烟龄20年以上、高血压病家族史是中青年教师高血压病的危险因素(OR=1.568~9.525,P均=0.001);有运动习惯、日饮水量1000ml以上,为中青年教师高血压病的保护因素(OR=0.117、0.172,P均=0.001)。Logistic多因素回归分析显示,男性、年龄45岁以上、烟龄20年以上、高血压病家族史是中青年教师高血压病的独立危险因素(OR=5.728~11.928,P均=0.001);日饮水量1000ml以上为中青年教师高血压病的独立保护因素(OR=8.112,P=0.001)。结论:中青年教师高血压病患病比例颇高,应加强健康教育,定期组织体检,纠正不良生活习惯,积极开展高血压等慢性病防治工作。

Objective:To explore morbidity characteristics and influencing factors of hypertension in young and middle-aged teachers undergoing physical examination.Methods:A total of 10 581 young and middle-aged teachers from Huizhou city were enrolled.Clinical data were collected through physical examination and questionnaire,then Logistic single-factor and multi-factor regression analysis were used to analyze influencing factors of hypertension in these subjects.Results:There were 3 166 patients with hypertension among the 10 581 young and middle-aged teachers,the morbidity was 29.92%.Logistic single-factor regression analysis indicated that male,age >45years old,body mass index(BMI)>28kg/m^2,smoking history >20years and family history of hypertension were the risk factors(OR=1.568~9.525,P=0.001all);presence of exercise habits and daily water intake>1000ml were the protective factors(OR=0.117,0.172,P=0.001both)of hypertension in young and middle-aged teachers.Logistic multi-factor regression analysis indicated that male,age >45years old,smoking history >20years and family history of hypertension were independent risk factors(OR=5.728~11.928,P=0.001all);daily water intake>1000ml was independent protective factor(OR=8.112,P=0.001)of hypertension in young and middleaged teachers.Conclusion:Proportion of hypertension among young and middle-aged teachers is high.Enhancing health education,periodic physical examination,correcting poor health behaviors and aggressive efforts on prevention and treatment of hypertension should be performed.