广西地区35~74岁壮族人群高血压患病情况及影响因素研究

Influencing factors of hypertension in the Zhuang ethnicity between 35-74 years old in Guangxi

目的:分析广西地区35~74岁壮族人群的高血压患病情况及其影响因素,为广西地区该年龄段人群制定高血压防治策略提供依据。方法:利用“广西少数民族自然人群慢性病前瞻性队列研究”基线调查数据,以35~74岁广西壮族人群为研究对象,分析该人群高血压患病情况,并采用c2检验及多因素log-binomial回归模型探讨高血压相关影响因素。结果:共纳入35~74岁广西地区壮族居民10860名,其中高血压患者3991名,高血压粗患病率为36.75%,标准化高血压患病率为31.88%,男性患者的患病率为18.31%(1988/10860),女性患者的患病率为18.44%(2003/10860)。经多因素log-binomial回归分析结果显示,高血压患病与年龄增长(45~54岁,PR=1.87,95%CI:1.68~2.07;55~64岁,PR=2.83,95%CI:2.56~3.14;65~74岁,PR=3.33,95%CI:3.00~3.69)、男性(PR=1.18,95%CI:1.11~1.24)、文化程度高(小学及初中,PR=0.92,95%CI:0.86~0.97;高中以上,PR=0.87,95%CI:0.80~0.95)、吸烟(PR=0.90,95%CI:0.84~0.97)、饮酒(PR=1.09,95%CI:1.02~1.16)、家庭年收入高(PR=0.93,95%CI:0.88~0.99)、高血压家族史(PR=1.23,95%CI:1.17~1.30)、甘油三酯(TG)过高(PR=1.16,95%CI:1.10~1.22)、低密度脂蛋白胆固醇(LDL-C)过高(PR=1.15,95%CI:1.06~1.25)、体重指数(Ibm)过大(PR=1.31,95%CI:1.24~1.38)和腰围过大(PR=1.12,95%CI:1.06~1.18)有关(P<0.05)。结论:广西地区35~74岁壮族居民高血压患病率处于较高水平,年龄增长、文化程度、家庭年收入、吸烟、饮酒、高血压家族史、LDL-C、TG、性别、Ibm和腰围异常是广西壮族35~74岁人群发生高血压的主要影响因素。相关部门应当针对上述影响因素采取有效措施,为广西地区该年龄段人群制定高血压防治策略,降低高血压的发生率。

Objective:Toanalyze the prevalence of hypertension in the Zhuang population aged 35-74 in Guangxi,and explore the factors affecting the prevalence of hypertension in the Zhuang population,so as to provide a basis for the development of hypertension prevention strategies for this age group in Guangxi.Methods:Using the baseline survey data of the"Prospective Cohort Study of Chronic Diseases in Guangxi Ethnic Minority Natural Population",the 35-74-year-old Guangxi Zhuang population was used as the research object to analyze the Prevalence of hypertension in this population,and c2-test and multivariate log-binomial regression were used.The model explores the related factors of hypertension.Results:A total of 10,860 residents of the Zhuang nationality in Guangxi,35-74 years old,were included.Among them were 3,991 patients with hypertension.The crude prevalence rate of hypertension was 36.75%,the prevalence rate of standardized hypertension was 31.88%,and the prevalence rate of male patients was 18.31%(1,988/10,860),the prevalence of female patients was 18.44%(2,003/10,860).The results of multivariate log-binomial regression analysis showed that the prevalence of hypertension and age increase(45-54 years old,PR=1.87,95%CI:1.68-2.07;55-64 years old,PR=2.83,95%CI:2.56-3.14)(65-74 years old,PR=3.33,95%CI:3.00-3.69),male(PR=1.18,95%CI:1.11-1.24),high education level(primary and junior high school,PR=0.92,95%CI:0.86-0.97;high school and above,PR=0.87,95%CI:0.80-0.95),smoking(PR=0.90,95%CI:0.84-0.97),drinking(PR=1.09,95%CI:1.02-1.16),high family income(PR=0.93,95%CI:0.88-0.99),family history of hypertension(PR=1.23,95%CI:1.17-1.30),high triglyceride(PR=1.16,95%CI:1.10-1.22),low-density lipoprotein cholesterol(LDL-C)(PR=1.15,95%CI:1.06-1.25),excessive body mass index(PR=1.31,95%CI:1.24-1.38)is related to excessive waist circumference(PR=1.12,95%CI:1.06-1.18).Conclusion:The prevalence of hypertension among Zhuang ethnicity residents aged 35-74 in Guangxi is at a relatively high level.Age growth,education level,annual family income,smoking,drinking,family history of hypertension,LDL-C,TG,gender,body mass indexand waist circumference abnormal were the main influencing factors of hypertension in Guangxi Zhuang ethnicity aged 35-74.Relevant departments should take effective measures against the above-mentioned influencing factors,formulate hypertension prevention and control strategies for people of this age in Guangxi,and reduce the incidence of hypertension.