河南省城市居民高血压知晓、治疗及控制状况

The status of awareness,treatment and control of hypertension among urban residents,Henan province

目的了解河南省城市居民高血压知晓、治疗及控制现状，为采取相应的干预措施提供依据。方法于2013年采用多阶段随机整群抽样方法，根据经济发展水平抽取18个县区，共对7588人进行问卷调查、体格测量及实验室检测。结果调查7588名，高血压患病率为24．91％，男性患病率为50．84％，女性为54．28％，女性高于男性（P〈0．05）；知晓率为52．54％，治疗率为41．00％，控制率13．76％。Logistic回归分析显示，知晓率影响因素为年龄（OR=2．40，95％CI：2．04～2．81）、收入（OR=1．99，95％CI：1．59～2．50）、中心性肥胖（OR=1．48，95％CI：1．12～1．97）和体质指数分组（OR=1．18，95％CI：1．01～1．38）；治疗率影响因素为年龄（OR=2．73，95％CI：2．30～3．24）、收入（OR=1．86，95％CI：1．48～2．33）、中心性肥胖（OR=1．48，95％CI：1．11～1．99）和体质指数分组（OR=1．18，95％CI：1．01～1．39），控制率影响因素则为年龄（OR=2．19，95％CI：1．72～2．77）、文化程度（OR=1．19，95％CI：1．03～1.38）和收入（OR=1．68，95％CI：1．25～2．25）。结论河南省城市居民高血压知晓率、治疗率和控制率均较低。

Objective To understand the status of hypertension awareness, treatment and control among urban residents in Henan province,so as to provide basis for its prevention and control. Methods A total of 7 588 people were collected by multistage random sampling method from 18 cities for a questionnaire survey, physical examination and laboratory test. Results Of 7 588 surveyed,the hypertension prevalence rate was 24.91% males,50.84% ,females,54.28% ,the prevalence in females was higher than that in males. The awareness, treatment and control rate was 52.54% , 41.00%, and 13.76% respectively. Logistic regression analysis showed age-group （ OR = 2.40, 95% CI 2.04-2.81; OR 2.73, 95% CI 2.30-3.24）,income level （ OR = 1.99, 95% CI 1.59-2.50, OR = 1.86; 95% CI 1.48-2.33）, central obesity （OR =1.48,95% CI 1.12-1.97; OR 1.48,95%CI 1.11-1. 99）andBMfgroup（OR=1.18,95% CI 1.01-1. 38;OR= 1. 18,95% CI 1.01-1.39） were the independent risk factors for hypertension awareness;age （ OR =2.73,95% CI 2.30 3.24）,income（OR =1.86,95% CI ：1.48-2.33）,central obesity （OR =1.48,95% CI ：1. 11-1. 99）,and BMI group （ OR =1. 18,95% CI = 1.01-1.39）were the independent risk factors for the treatment rate;age （ OR = 2.19,95 % CI ： 1.72 2.77） ,educational level （ OR =1.19,95% CI 1.03-1.38） and income level （ OR =1.68,95% CI 1.25 2.25） were the independent risk factors for the control rate. Conclusion The prevalence of hypertension awareness, treatment and control is low among urban residents in Henan province.