河北省某医学院学生高血压前期检出情况分析

Analysis of prehypertension among students in a medical college in Hebei Province

目的了解河北省某医学院学生高血压前期检出情况,分析其影响因素,为制定防治策略提供科学依据。方法采取整群抽样方法抽取河北省某医学院1040名学生,对其进行血压、身高、体重等指标的测量,同时进行了高血压前期相关因素的问卷调查。结果该校学生高血压前期检出率33.40%,其中男生为48.34%,高于女生的22.99%,差异有统计学意义(χ^2=66.523,P<0.05)。Logistic回归分析发现男性(OR=3.361,95%CI:2.497~4.523)、自我健康评价较好(OR=1.367,95%CI:1.048~1.785)、超重/肥胖(OR=1.907,95%CI:1.531~2.375)与高血压前期有显著正关联,具备慢性病防治素养(OR=0.487,95%CI:0.316~0.751)与高血压前期有显著负关联。结论该校学生高血压前期检出率较高,男性、自我健康评价较好、超重/肥胖为高血压前期的危险因素,具备慢性病防治素养为高血压前期的保护因素。

Objective To understand the detection rate of prehypertension and its influencing factors among students in a medical college in Hebei Province, and to provide scientific suggestions for developing effective prevention and control strategies against prehypertension. Methods A cluster random sampling method was used to select 1040 college students from a medical college in Hebei Province. Blood pressure, height, weight were measured, and the related factors of prehypertension were investigated. Results The detection rate of prehypertension among students in this college was 33. 40%. The detection rate among male (48.34%) was higher than that among female (22. 99%), and there was a significant difference (X^2 = 66. 523 , P < 0. 05 ). Logistic regression analysis showed that there was a significant positive correlation between being male and prehypertension ( OR = 3. 361 , 95% CI: 2. 497 -4. 523), and there was a similar relationship between self-evaluation health and prehypertension ( OR = 1. 367 , 95% CI: 1.048 - 1. 785 ), and overweight/obesity (OR = 1. 907 , 95% CI: 1.531 - 2. 375 ) in the same way. However, there was a significant negative correlation between health literacy of chronic diseases prevention and control and prehypertension ( OR = 0. 487 , 95% CI: 0. 316 - 0. 751 ). Conclusion In this college, the detection rate of prehypertension among students is relatively high. Being male, self-evaluation health and overweight/obesity are the risk factors for prehypertension, and health literacy of chronic diseases prevention and control is the protective factor.