泸州市江阳区社区居民高血压流行现状及危险因素分析

Analysis of the Prevalence and Risk Factors of Hypertension in Community Residents from Jiangyang District of Luzhou City

目的探索泸州市江阳区社区居民高血压的流行情况及其相关危险因素,为进一步开展工作提供依据。方法采用随机整群抽样的方法,抽取泸州市江阳区10个乡镇、8个街道年龄≥18岁的城镇常住居民作问卷调查、体格检查、血生化指标检测。结果共调查3513人,患高血压974人(占27.73%)。单因素分析显示:不同年龄、文化程度、糖尿病患病情况、高血压家族史、吸烟、长期大量饮酒、植物油食用情况、水果食用情况、腌制品食用情况、工作方式、BMI、血TC含量、血TG含量组高血压患病率差异有统计学意义(P<0.05)。Logistic回归分析显示,年龄、文化程度、家族史、吸烟、长期大量饮酒、食用油类型、食用腌制品、工作类型、超重/肥胖、高TG血症是本地区高血压病的危险因素(P<0.05)。结论泸州市江阳区城镇居民成人高血压患病率较高,年龄大、文化程度低、有高血压家族史、吸烟、长期大量饮酒、以动物油为主要食用油、常食用腌制品、工作方式以静坐为主、肥胖、高TG血症者应作为重点防治的人群。

Objective To investigate the prevalence and risk factors of hypertension in community residents from Jiangyang District of Luzhou City and to provide the basis for further work.Methods Theurban residents from 10 townships and 8 streets in Jiangyang District of Luzhou City,who were 18 years of age or older were selected for questionnaire survey,physical examination,and blood biochemical indexes byusing random cluster sampling method. Results A total of 3513 people were investigated,including 974 cases of hypertension（ 27. 73%）. Univariate analysis showed that the incidence rate of hypertension in groups of different age,education level,diabetes,family history of hypertension,smoking,long-term heavy drinking,edible vegetable oil,edible fruits,salted food,work style,BMI,TC in blood,and the blood content of TG,was different（ P〈0. 05）.Logistic regression analysis showed that age,educational level,family history,smoking,long-term heavy drinking,types of edible oil,edible pickled products,type of work,overweight/obesity,high TG in blood were risk factors for hypertension in this region（ P〈0. 05）. Conclusion The incidence rate of hypertension in urban residents from Jiangyang District of Luzhou City is higher. And people with old age,low educational level,family history of hypertension,smoking,long-term heavy drinking,animal oil as the main edible oil,often eating pickled products,mainly sedentary working style,obesity,high TG in blood should be the focus crowd of prevention and control of hypertension.