以社区诊断为基础的东营市东营区高血压患病情况及相关影响因素分析

Analysis of the prevalence and relevant influencing factors of hypertension based on community diagnosis in Dongying District of Dongying City

目的了解东营市东营区高血压患病现状及其相关影响因素,为本地高血压社区防控工作提供参考依据。方法采用多阶段分层随机抽样方法,于2023年9至10月在东营市东营区抽取2076名18~79岁居民,开展社区诊断调查,了解居民高血压患病情况及相关影响因素。对调查数据进行描述性分析,单因素分析采用χ^(2)检验,多因素分析使用非条件Logistic回归分析,使用SPSS 25.0软件,检验水准α=0.05。结果共回收合格问卷1965份,其中高血压患病率为33.49%(658/1965),单因素分析中,不同性别、居住地、年龄、居民文化程度、家庭平均月收入、婚姻状况、家族遗传史和BMI的高血压患病率差异均有统计学意义(P均<0.05)。多因素分析显示,性别、年龄、居民文化程度、家庭平均月收入、家族遗传史、BMI、饮酒和睡眠不足8 h是东营市东营区居民高血压的影响因素(P均<0.05)。结论东营市东营区高血压患病率总体仍处于较高水平,随着东营市东营区老年人口的负担逐渐加重,及高血压患病呈现出低龄化趋势,今后应积极推行国家基本公共卫生服务,倡导全民健康生活方式,构建高血压防控三级预防策略,降低高血压发病率。

Objective To learn about the current conditions of hypertension in Dongying District of Dongying City and its related influencing factors,and to provide a reference basis for local community prevention and control of hypertension.Methods By using the multi-stage stratified random sampling method,about 2076 residents at the age of 18-79 were sampled in Dongying District of Dongying City,and a community diagnosis survey was made from September to October in 2023 to understand the prevalence of hypertension and related influencing factors among residents.The descriptive analysis was performed on the survey data,Chi-square test was used for univariate analysis and unconditiona logistic regression analysis was used for multivariate analysis,the test level wasα=0.05.Results A total of 1965 qualified questionnaires were collected.Among them.SPSS 25.0 was used and the incidence rate of hypertension was 33.49%(658/1965).Among influence factors in the single-factor analysis,the differences in gender,place of residence,age,education level,average monthly family income,marital status,familial-hereditary disease history and BMI were considerded statistically significant for the incidence rate of hypertension.The multiple-factor analysis indicated that gender,age,education level,average monthly family income,familial-hereditary disease history,BMI,alcohol drinking,and sleep for less than 8 hours were the influencing factors of hypertension in Dongying District.Conclusions The prevalence of hypertension in Dongying District of Dongying City is still at a high level.With the gradual increase of the aging population in Dongying District and the lowering ages of patients with hypertension,we should actively promote basic public health services of the state,advocate a healthy lifestyle for all the people,develop a three-level prevention strategy for prevention and control of hypertension,so that to decrease the incidence rate of hypertension in the future.