摘要
目的调查辽宁省阜新县农村地区男性高血压的发生率及其危险因素。方法从2004～2006年在辽宁阜新农村地区分层整群两级抽样方法抽取≥35岁的人群中选取非高血压13170人,于2008年收集随访观察数据进行分析,最终选取具有代表性的样本12274人进行流行病学调查,应答率为93.2%。由经过培训且合格的医师对研究对象进行血压测量及资料收集。高血压是指收缩压≥140mmHg,和/或舒张压≥90mmHg,或当前应用抗高血压药物治疗,符合WHO对高血压的定义。结果对其随访平均28个月,3639(29.65%)名男性发生了高血压。男性中,高血压的独立危险因素有年龄、蒙古族、饮酒人群、高收入者、高血压前期、超重和肥胖人群、每天盐摄入量以及高血压家族史等。高血压的知晓率、治疗率及控制率分别是29.9%、19.5%和1.5%。结论本次调查说明辽宁省阜新县农村地区男性高血压的发生率较高,且与多种危险因素有关。大多数新发的高血压没得到积极地控制,应积极开展健康宣传,健康教育工作,采用健康的生活方式,以预防高血压的发生。
Aim To determine the incidence of hypertension and its risk factors among rural men in the countryside of Fuxin,Liaoning province.Methods A population-based sample of 13 170 men of rural Chinese adults aged ≥35 years and free from hypertension at baseline were followed from 2004 to 2006.In 2008,investigators who had collected contact information on their participants at baseline invited their participants to return to the clinic for follow-up.12 274 individuals attended the follow-up clinic examination.The response rate was 93.2%.Trained and qualified physicians conducted blood pressure measurement on the survey and data collection.Incident hypertension was defined as systolic pressure≥140 mmHg,diastolic pressure ≥90 mmHg,or current use of antihypertensive medication,according to the WHO definition of hypertension.Results Over a mean of 28 months of follow-up,3 639（29.65%）of men developed hypertension.Among men,independent predictors of incident hypertension were baseline age,Mongolian ethnicity,use of alcohol,high income,prehypertension,overweight and obesity,baseline salt intake,and family history of hypertension.The awareness,treatment and control rates for newly developed hypertension were 29.9%,19.5% and 1.5% respectively.Conclusion These data indicate that the incidence of hypertension is high among these rural Chinese adults and it is associated with many risk factors.Most newly developed hypertension cases are not treated.We should actively carry out health promotion,health education,healthy lifestyles,in order to prevent high blood pressure.
出处
《中国动脉硬化杂志》
CAS
CSCD
北大核心
2010年第1期78-81,共4页
Chinese Journal of Arteriosclerosis
基金
辽宁省科技攻关重点项目(2003225003)
关键词
发生率
预测率
高血压
男性
Incidence
Predictors
Hypertension
Men
