重庆市大足区30~79岁居民高血压患病情况及影响因素分析

Prevalence of hypertension and its influencing factors among residents aged 30-79 in Dazu District of Chongqing Municipality

目的分析重庆市大足区30~79岁居民高血压患病情况及其影响因素,为指导高血压综合防治提供依据。方法以四川盆地大气重污染区域自然人群队列研究为基础,于2018年底在重庆市大足区5个镇街通过分层抽样选择986名30~79岁常住汉族居民进行问卷调查、身体检查和实验室检测,采用SPSS 25.0进行数据统计分析,不同人群患病率和影响因素采用χ^(2)检验、多因素非条件逐步后退法二分类Logistic回归分析。结果共调查986人,平均年龄(51.67±12.22)岁。高血压患病率38.95%(384/986),标化患病率29.39%。多因素非条件逐步后退法二分类Logistic回归分析结果显示,50~59岁(OR=5.70,95%CI:2.29~14.19)、60~69岁(OR=5.81,95%CI:1.98~17.06)、70~79岁(OR=17.20,95%CI:4.90~60.37)、超重(OR=2.68,95%CI:1.50~4.76)、肥胖(OR=7.84,95%CI:3.70~16.62)、中心性肥胖(OR=2.18,95%CI:1.23~3.85)、高血压家族史(OR=3.06,95%CI:1.75~5.35)、血脂异常(OR=1.88,95%CI:1.11~3.20)是调查对象患高血压的危险因素(P<0.05)。结论重庆市大足区高血压患病率较高,应针对重点人群的危险因素开展干预,加强与高血脂、高血糖“三高”共管,提高防治效果。

Objective To analyze the prevalence of hypertension and its influencing factors in residents aged 30-79 years in Dazu District of Chongqing municipality,and to provide evidence for its comprehensive prevention and treatment.Methods The cohort study of the natural population in the area of heavy atmospheric pollution in the Sichuan Basin was selected as study participants.Overall,986 permanent Chinese Han residents aged 30-79 years were selected by stratified sampling in 5 towns and streets of Dazu District at the end of 2018 for questionnaire survey,body measurement,and laboratory tests.SPSS 25.0 was used for statistical analysis of data.χ^(2) test and multivariate unconditional stepwise regression binary logistic regression analysis were employed for the prevalence and influencing factors of different populations.Results A total of 986 people were investigated,with an average age of(51.67±12.22)years.The prevalence of hypertension was 38.95%(384/986),with a standardized prevalence of 29.39%.The results of multivariate unconditional stepwise backward binary logistic regression analysis showed that 50-59 years of age(OR=5.70,95%CI:2.29-14.19),60-69 years of age(OR=5.81,95%CI:1.98-17.06),70-79 years of age(OR=17.20,95%CI:4.90-60.37),overweight(OR=2.68,95%CI:1.50-4.76),obesity(OR=7.84,95%CI:3.70-16.62),central obesity(OR=2.18,95%CI:1.23-3.85),family history of hypertension(OR=3.06,95%CI:1.75-5.35),and dyslipidemia(OR=1.88,95%CI:1.11-3.20)were risk factors of hypertension in the respondents.Conclusion The prevalence of hypertension remains high in the Dazu district of Chongqing municipality.Intervention should be conducted according to the risk factors of the key population,and co-management with hyperlipidemia and hyperglycemia should be promoted to potentiate the prevention and control effect.