青岛市城阳区高血压患病现况及影响因素

Prevalence and influencing factors of hypertension in Chengyang district of Qingdao

目的了解青岛市城阳区成年人高血压患病现况及相关影响因素,为制定高血压社区健康管理策略提供科学依据。方法采用多阶段按比例分层随机抽样方法,对青岛市城阳区40个村(居委会)18岁以上的6 832名居民进行问卷调查和体格检查,进行χ^2检验和多因素非条件Logistic回归分析。结果高血压患病率为14.2%。单因素分析显示,性别、年龄、文化程度、职业、婚姻状况、吸烟、饮酒、体育锻炼、食盐多少和体重指数(BMI)是影响高血压发病的影响因素(P<0.05);多因素分析显示,年龄、婚姻状况、体育锻炼、BMI和食盐多少是影响高血压患病的独立因素,其中,食盐过多是高血压患病的危险因素,其他因素为高血压的保护因素。结论青岛市城阳区高血压的预防和控制工作取得了初步的成功。政府和社会应继续采取有效措施,加强社区综合防治高血压。

Objective To explore the prevalence of hypertension in adults in Chengyang district of Qingdao city and its related influencing factors, and to provide scientific basis for formulating community hypertension health management strategy.Methods A total of 6 832 residents over 18 years old from 40 villages(neighborhood committees) in Chengyang district of Qingdao city were selected as the subjects of investigation and physical examination, and single factor X2 test and multifactor unconditional logistic regression were performed.Results The prevalence of hypertension was 14.2%. The univariate analysis showed that sex, age, education, occupation, marital status, smoking, drinking, physical exercise, salt and BMI were the influencing factors of hypertension(P<0.05). The results showed that age, marital status, physical exercise, BMI value and salt status were all independent factors affecting the prevalence of hypertension. Salt was the most important risk factor for hypertension, and other factors were protective factors for hypertension.Conclusions The prevention and control of hypertension in Chengyang district of Qingdao city has achieved initial results. The government and community should continue to take effective measures to strengthen the comprehensive prevention and control hypertension in the community.