摘要
目的了解海岛地区人群高血压的危险因素,为海岛地区高血压的防治提供科学依据。方法采用整群随机抽样法对大连市长海县大长山岛镇的海岛居民进行问卷调查和相关体格检查。对检出病例按1∶1选择同性别、年龄±5岁、居住地相同或相近的对照进行匹配,并进行危险因素分析。结果单因素Logistic回归分析结果表明,体质指数、体重、腰围、臀围、家族史、糖尿病、血糖、甘油三酯、胆固醇、高密度脂蛋白、低密度脂蛋白、尿酸与海岛居民高血压的发生有关。多因素Logistic回归分析结果表明体质指数（OR=1.144,95%CI=1.062~1.233）、甘油三酯异常（OR=2.253,95%CI=1.087~4.671）及兄弟姐妹患高血压（OR=3.167,95%CI=1.766~5.677）是海岛居民高血压发生的主要危险因素。结论肥胖、家族史、甘油三酯升高是海岛居民高血压的主要危险因素,应采取针对性的措施进行干预。
Objective To investigate the risk factors of hypertension in island population in Dalian.Methods Participants were randomly selected by stratified random sampling technique from islands of Changhai County in Dalian,Liaoning Province.Hypertension cases were chosen for a case-control study.Controls were paired to cases with same sex,younger or older than 5 years and lived in the same or near area according to the principle of 1∶1 matched case-control study.Results The results from univariate analysis showed that the occurrence of hypertension was significantly related to the body mass index（BMI）,weight,waist circumference,hip circumference,family history,diabetes,glucose,serum triglycerides level,cholesterol,high density lipoprotein cholesterol,low density lipoprotein cholesterol and uric acid.Multiple Logistic regression analysis indicated that BMI,higher serum triglycerides level and family history of hypertension were related to hypertension occurrence.The corresponding OR with 95% CI were 1.144（1.062~1.233）,2.253（1.087~4.671）,3.167（1.766~5.677）,respectively.Conclusions Over weight,higher serum triglycerides level and family history were main risk factors for hypertension in island population,corresponding measures should be applied for intervention.
出处
《中华疾病控制杂志》
CAS
2011年第12期1014-1016,共3页
Chinese Journal of Disease Control & Prevention
基金
大连市科技计划项目(2009E12SF149)
