摘要
目的了解长沙县成人高血压患病的现况、危险因素及危险因素聚集情况,为高血压防治工作提供科学依据。方法采用多阶段整群随机抽样,对3313名所选对象进行问卷调查,测量身高、体重、腰围、血压,检测空腹血糖及血脂。结果现患高血压1178人,粗患病率为36.5%,调整患病率为21.0%;高血压知晓率、治疗率、控制率分别为63.5%、54.7%、22.1%;多因素Logistic回归分析结果显示,年龄、文化程度、高血压家族史、超重或肥胖、糖尿病、高TC症、高TG症、运动量小是高血压的危险因素(P<0.05)。分别聚集超重或肥胖、糖尿病、血脂异常、运动量小4个危险因素中1、2、3、4个,结果发现有上述危险因素的人群患高血压风险是无上述危险因素人群的1.47、2.48、3.46和7.82倍,危险程度随聚集个数增加而升高(P<0.05)。结论长沙县居民高血压患病率处于较高水平,文化程度低、老年人、有高血压家族史者是重点关注人群,控制体重、降低血糖、血脂水平、适量运动是防治高血压的重要措施。
Objective To understand the prevalence,risk factors and clustering of risk factors of hypertension in adults in Changsha county so as to provide a scientific evidence for the prevention and treatment of hypertension.Methods Multi-stage cluster random sampling was used,and 3313 study subjects were selected for the questionnaire survey,whose height,weight,waist circumference,blood pressure,fasting blood glucose and blood lipid were measured.Results In total,1178 participants were suffered from hypertension.The crude prevalence rate of hypertension was 36.5%and the adjusted prevalence rate of hypertension was 21.0%.The rates of awareness,treatment and control of hypertension were 63.5%,54.7%and 22.1%respectively.Multivariate logistic regression analysis showed that age,education attainment,family history of hypertension,overweight or obesity,diabetes,high total cholesterol,high triglyceride,and small amount of exercise were the risk factors of hypertension,which increased the risk of hypertension to 1.47,2.48,3.46 and 7.82 times as high as those without them,respectively;the degree of risk increased with the number of clustering risk factors.Conclusion The prevalence of hypertension in Changsha county is high,and the persons with the low education attainment,the elderly,and persons having the family history of hypertension are the groups who need to be focused on.Controlling body weight,reducing blood sugar and blood lipid level,and properly exercising are important measures to prevent and treat hypertension.
作者
刘丹
张艳
粟晓玲
LIU Dan;ZHANG Yan;SU Xiaoling(Changsha Country Center for Disease Prevention and Control,Changsha,Hunan 410100,China;不详)
出处
《河南预防医学杂志》
2021年第4期271-275,共5页
Henan Journal of Preventive Medicine
关键词
湖南省
高血压
患病率
危险因素
Hunan province
Hypertension
Prevalence
Risk factors
