南昌市青云谱区社区居民高血压患病现状及影响因素分析

Prevalence and Risk Factors for Hypertension among Community Residents in Qingyunpu District of Nanchang

目的了解青云谱区居民高血压患病现状及其相关危险因素，为制定防控措施提供基础数据。方法采用分层整群抽样法，在青云谱区所辖的7个街道办事处中随机抽取3个，共对2650例18岁以上社区居民进行问卷调查和体检。运用x2检验和Logistic回归进行统计分析。结果青云谱区居民高血压患病率为25.52%，标化后患病率为19.57%。单因素分析显示不同年龄、婚姻状况、职业、文化水平、月人均收人、BMI、腹型肥胖、主动吸烟、紧张、口味、高血压家族史、睡眠时间、每天蔬菜摄人量的居民高血压患病率比较差异均有统计学意义（P<〇.05)。多因素Logistic回归分析显示年龄（QR=1.859)、月人均收人（QR=0.841)、超重（QR=1.620)或肥胖（QR=2.857)、腹型肥胖（QR=1.728)、紧张（QR=1.613)、高血压家族史（QR=1.999)为青云谱区高血压患病的影响因素。结论青云谱区居民高血压患病率较高，应针对上述危险因素中的可控因素制定干预、防控措施。

Objective To investigate the prevalence of hypertension among community residents in Qingyunpu district and the related risk factors,and to provide the basic data for the development of prevention and control measures. Methods Using the stratified cluster sampling, 3 of the 7 subdistrict offices were randomly selected in Qingyunpu district. A total of 2650 community residents aged 18 years or older received questionnaire survey and physical examination. Data were analyzed using chi-square test and logistic regression analysis. Results The prevalence and standardized prevalence of hypertension were 25. 52% and 19. 57% among Qingyunpu district residents,respectively. Univariate analysis showed that the age, marital status, occupation, educational level, average monthly income, body mass index, abdominal obesity, active smoking, mental stress, salt intake, family history, sleep time and vegetable intake were significantly correlated with the prevalence of hypertension(P<C〇. 05). Multivariate logistic regression analysis showed that the age(0^ = 1. 859) , average monthly in c om e (O R = 0. 841) , overweight (QR = 1. 620) or 〇-besity(0^ = 2. 857) , abdominal obesity(O^ = 1. 728) , mental stress(O^ = 1. 613) , and family historyof hypertension(O^ = 1. 999) were the independent factors for hypertension in Qingyunpu district residents. Conclusion The prevalence of hypertension is higher in Qingyunpu district residents.Therefore, prevention and control measures should be developed aiming at the controllable factors for hypertension.