内蒙古部分地区农村居民高血压患病情况及相关因素的Logistic回归分析

Logistic regression analysis for the prevalence of hypertension and its related factors in rural residents in partial area of Inner Mongolia

目的分析内蒙古部分地区农村居民高血压患病情况及相关因素,为制定农村居民高血压综合防治策略提供科学依据。方法依据中国居民营养与健康状况监测项目工作方案,采用多阶段分层随机抽样方法对通辽市库伦旗、赤峰市敖汉旗和巴彦淖尔市磴口县3个旗县农村户籍2 865人进行问卷调查、体格测量和实验室检测,并应用Logistic回归模型分析高血压患病的相关因素。结果共调查2 865人,平均年龄(48.16±13.71)岁,高血压患病率为26.91%,回归分析显示:年龄(OR=1.78)、文化程度(OR=0.61)、超重或肥胖(OR=2.13)、血脂(OR=1.20)和高血压家族史(OR=2.63)与高血压患病密切相关,年龄越大、文化程度越低、收入水平越低和体重越重,高血压患病率越高。结论内蒙古部分地区农村居民高血压患病率较高,高于2012年全国农村高血压患病率;应重点针对老年人群、肥胖或超重者、低文化程度和低收入人群开展健康教育,倡导健康生活方式,从而有效防控高血压。

Objective To analyze the prevalence of hypertension and its related factors in rural residents in partial area of Inner Mongolia in order to provide scientific basis in enacting strategy of comprehensive prevention and treatment of hypertension in rural residents. Methods According to the program of nutrition and health status monitoring project of Chinese residents,a multistage stratified random sampling method was used to carry out a questionnaire survey at 2865 rural households in Kulun District（ Tongliao）,Aohan District（ Chifeng） and Dengkou District（ Bayannaoer） including questionnaire,physical measurement and laboratory testing,moreover,Logistic regression model was used to analyze the related factors with pathogenesis of hypertension. Results A total of 2865 people were surveyed,with an average age being 48. 16 ±13. 71 years and incidence rate of hypertension being 26. 91%. The Logistic regression analysis showed that age（ OR =1. 78）,educational level（ OR = 0. 61）,overweight or obesity（ OR = 2. 13）,blood lipids（ OR = 1. 20） and family history of hypertension（ OR = 2. 63） were closely correlated with the prevalence of hypertension. The higher people ＇age and body weight are,the higher the prevalence of hypertension becomes,moreover,the lower educational level and income level are,the higher the prevalence of hypertension becomes. Conclusion There exists higher prevalence of hypertension in partial rural residents in Inner Mongolia,which is higher than that of national rural prevalence of hypertension in 2012. Therefor it shoul be paid much attention to strengthening health education about hypertension for the population of the elderly,obesity or overweight,low education level and low income,and to advocate health lifestyle so as to effectively prevent and control high blood pressure.