乌拉盖管理区高血压流行现状及影响因素分析

Analysis on the prevalence of hypertension and its influencing factors in Wulagai management area

目的了解乌拉盖管理区高血压患病、治疗与控制及相关危险因素,为内蒙古地区高血压社区防治策略的改进提供依据。方法随机抽样抽取乌拉盖年龄≥10岁的1 103名居民进行问卷调查及体格检查,采用多因素logistic回归分析高血压患病、治疗与控制的影响因素。结果 1 103人中,高血压患病率为44.8%(标化率43.6%),知晓率为59.7%(标化率48.5%),治疗率为48.6%(标化率38.5%),控制率为14.6%(标化率11.7%)。多因素logistic回归分析结果显示,男性(OR=1.67,95%CI:1.25~2.23,P<0.01)、高年龄(35~<55岁:OR=3.08,95%CI:2.10~4.52,P<0.01;≥55岁:OR=5.43,95%CI:3.55~8.30,P<0.01)、中心性肥胖(OR=2.57,95%CI:1.92~3.45,P<0.01)为高血压患病的危险因素,奶制品摄入200~<300 g/d(OR=0.55,95%CI:0.35~0.85,P<0.01)为保护因素;高年龄(35~<55岁:OR=0.13,95%CI:0.05~0.40,P<0.01;≥55岁:OR=0.08,95%CI:0.03~0.25,P<0.01)、中心性肥胖(OR=0.61,95%CI:0.39~0.97,P<0.05)、合并糖尿病(OR=0.37,95%CI:0.17~0.80,P<0.05)、合并血脂异常(OR=0.38,95%CI:0.22~0.65,P<0.01)为高血压治疗的保护因素,经常吸烟(OR=3.10,95%CI:1.80~5.33,P<0.01)为危险因素;经常吸烟(OR=5.35,95%CI:1.88~15.15,P<0.01)为高血压控制的危险因素,合并糖尿病(OR=0.34,95%CI:0.18~0.66,P<0.01)为保护因素。结论内蒙古乌拉盖管理区高血压患病率较高,知晓率、治疗率与控制率仍有待提高。

Objective To understand the prevalence, treatment, control of hypertension and related risk factors in Wulagai management area;to provide a basis for the improvement of community prevention and treatment strategies for hypertension in Inner Mongolia. Methods A total of 1 103 residents in Wulagai aged ≥ 10 years were randomly selected for questionnaire survey and physical examination.Multivariate logistic regression analysis was used to analyze the influencing factors of prevalence, treatment and control of hypertension. Results Among the 1 103 subjects, the prevalence rate of hypertension was 44.8%(standardized rate was 43.6%),awareness rate was 59.7%(standardized rate was 48.5%),treatment rate was 48.6%(standardized rate was 38.5%),and control rate was 14.6%(standardized rate was 11.7%).The multivariate logistic regression analysis showed that male(OR=1.67,95%CI:1.25-2.23,P<0.01) and older age(35-55 years old: OR=3.08,95%CI:2.10-4.52,P<0.01);≥ 55 years old: (OR=5.43,95%CI:3.55-8.30,P<0.01) and central obesity(OR=2.57,95%CI:1.92-3.45,P<0.01) were risk factors for hypertension, while dairy intake(200-300 g/d)(OR=0.55,95%CI:0.35-0.85,P<0.01) was a protective factor.Older age(35-55 years old: OR=0.13,95%CI:0.05-0.40,P<0.01;≥ 55 years old: OR=0.08,95%CI:0.03-0.25,P<0.01),central obesity(OR=0.61,95%CI:0.39-0.97,P<0.05),combined diabetes mellitus(OR=0.37,95%CI:0.17-0.80,P<0.05) and combined dyslipidemia(OR=0.38,95%CI:0.22-0.65,P<0.01) were protective factors while frequent smoking(OR=3.10,95%CI:1.80-5.33,P<0.01) was a risk factor for the treatment of hypertension.Frequent smoking was a risk factor for the control of hypertension(OR=5.35,95%CI:1.88-15.15,P<0.01) and combined diabetes mellitus(OR=0.34,95%CI:0.18-0.66,P<0.01) was a protective factor. Conclusion The prevalence rate of hypertension in Wulagai management area of Inner Mongolia is relatively high;while the awareness rate, treatment rate and control rate still need to be improved.