天津市东丽区万新街社区老年人高血压患病情况及影响因素研究

Research on the Prevalence and Correlates of Hypertension among Elder Residents in Wanxin Street Community of Dongli District in Tianjin

目的探讨天津市社区60岁以上老年人群高血压患病情况及其危险因素,为制定高血压防治措施提供依据。方法抽取天津市东丽区万新街5 270名60岁以上常住居民进行问卷调查和体格检查,采用logistic回归分析高血压的危险因素。结果被调查的5 270人中,高血压患病率为69.1%,男性和女性高血压患病率分别为70.7%和68.0%;单因素logistic回归分析显示:男性、腹型肥胖、超重、肥胖、腰高比高、IFG、2型糖尿病、脑卒中、心电图异常、血清甘油三酯含量过高、吸烟和饮酒者高血压患病率明显增加;多因素logistic回归分析显示,男性(OR=1.172,95%CI=1.036~1.325)、腹型肥胖(OR=1.355,95%CI=1.171~1.568)、IFG(OR=1.422,95%CI=1.202~1.683)、2型糖尿病(OR=1.766,95%CI=1.529~2.039)、脑卒中(OR=4.774,95%CI=3.329~6.847)、心电图异常(OR=1.339,95%CI=1.177~1.523)、血清高甘油三酯(OR=1.382,95%CI=1.208~1.581)和吸烟(OR=1.351,95%CI=1.178~1.551)与老年人高血压高危险性存在正相关。结论天津市东丽区万新街老年人群高血压患病率较高,应积极治疗原发疾病,倡导健康的生活方式,改变不良的生活习惯,保持健康体重,以降低高血压患病率。

OBJECYIVE To explore the prevalence and correlates of hypertension among the elder residents in community of Dong- li District in Tianjin, and to provide the relative control measures for hypertension. METHODS A multi-phasic stratified cluster sampling method was adapted and 5 270 elder residents（〉60 years old）from the Community Health Center of Wanxin Street in Dongli District of Tianjin in 2014 were investigated. The questionnaire and physical examination datas were used to analyze the risk factors of hypertension by the method of logistic regression. RESULTS Among 5 270 participants, the prevalence of hyperten- tion were 69.1%, 70.7% in men and 68.0% in women respectively. The results of univariate logistic regression showed that males, abdominal obesity, overweight, obesity, bigger WHtR, IFG, type 2 diabetes,stroke, electrocardiographic abnormality, high TC, smoke and alcohol drinking were associated with higher risk for hypertension. For multiple logistic regression analysis： males（OR= 1.172, 95%CI=1.036- 1.325）, abdominal obesity（OR=1.355, 95%CI=1.171 ~ 1.568）, IFG（OR=1.422, 95%CI=1.202 ~ 1.683）, type 2 diabetes（OR=l.766, 95%CI=1.529-2.039）, stroke（OR=4.774, 95%CI=3.329- 6.847）, electrocardiographic abnormality （OR=1.339, 95%CI=1.177~ 1.523）, high TC（OR=1.382, 95%CI=1.208-1.581）and smoke（OR=1.351, 95%CI=1.178~ 1.551） were associated with higher risk for hypertension. CONCLUSION The hypertension prevalence of elder residents of Community Health Center of Wanxin Street in Dongli District of Tianjin was high, so treatment for primary diseases was a must, and it was necessary to pay more attention to keep a healthy life, change unhealthy habits, and sustain a healthy weight to lower hypertension prevalence.