安宁市老年人高血压检出率及其影响因素

Detection Rate and Determinants of Hypertension among Seniors in Anning City

目的了解安宁市老年人高血压的流行现状,并分析其影响因素。方法用多阶段比例分层随机抽样法于2019年9月至2020年1月,抽取安宁市≥60岁老年人9709人,用问卷、体格及实验室检测的方法进行调查研究。结果共调查了老年人9709例,年龄60~100岁,高血压检出率为28.82%(95%CI:27.92%~29.72%),低于全国≥60岁老年人高血压患病率(49%,P<0.05)。女性人群高血压检出率高于男性人群,但正常高值和单纯性收缩期高血压(ISH)的检出率均低于男性;不同地区高血压检出率,差异有统计学意义(P<0.05)。Logistic回归分析表明,糖尿病(OR=1.338)、超重(OR=1.481)、肥胖(OR=2.032)、甘油三酯异常(OR=1.177)、总胆固醇异常(OR=1.361)的老年人患高血压的可能性较高(P<0.05)。结论安宁市老年人高血压检出率低于全国水平,糖尿病、超重、肥胖、甘油三酯异常、总胆固醇异常为主要危险因素。

Objective To investigate the prevalence and determinants of hypertension in seniors in Anning city.Methods From September 2019 to January 2020,9709 people over 60 years old in Anning city were selected by multi-stage proportional stratified random sampling method.Questionnaires,physical and laboratory tests were used.Results A total of 9709 people aged 60-100 years(72.07±6.17)were investigated.The detection rate of hypertension was 28.82%(95%CI:27.92%~29.72%),which was lower than the hypertension prevalence in people over 60 in China(49%,P<0.05).The detection rate of hypertension in female was higher than that in male,but the detection rate of high normal and simple systolic hypertension(ISH)was lower than that in male population.The detection rate of hypertension varies in different areas(P<0.05).Logistic regression results showed that the senior with diabetes(OR=1.338),overweight(OR=1.481),obesity(OR=2.032),abnormal triglyceride(OR=1.177),abnormal total cholesterol(OR=1.361)were more likely to develop hypertension(P<0.05).Conclusion The detection rate of hypertension in seniors in Anning city is lower than the national level.Diabetes,overweight,obesity,abnormal triglyceride and abnormal total cholesterol are the main risk factors.