摘要
目的了解宁夏地区职业人群高血压的流行现状及相关危险因素,为防治高血压提供科学依据。方法运用整群抽样的方法,选择2009年3～10月至宁夏医科大学总医院进行健康检查的宁夏银川、银南、银北地区政府机关及国有集体所有制企事业单位的职工作为调查对象,进行问卷调查、体格检查及实验室检测。结果共调查3321人,资料齐全者3191人,资料完整率占96%。宁夏地区职业人群高血压总体患病率为35.19%,标化患病率为26.68%,其中男性高血压粗患病率为45.88%,标化患病率为32.04%;女性高血压粗患病率为19.53%,标化患病率为19.36%,男性患病率明显高于女性(χ2=110.754,P<0.01);总体、男性和女性高血压患病率均随年龄及体质指数的增高而升高(χ2分别为78.643、87.447和90.938,均P<0.01);多因素Logistic回归分析显示,年龄、性别、肥胖、腰围、LDL-C、血糖、UA、WBC、ALT为高血压的危险因素,高HDL-C为高血压的保护因素。结论宁夏地区职业人群高血压患病率均较高,接近或高于国内大城市患病水平;高血压是多重危险因素共同作用的结果;中老年人群特别是男性及伴有肥胖者是高血压及相关疾病的高发人群,因此伴有肥胖的中老年人群是本地区干预和防控的重点人群。
Objective To investigate the prevalence of hypertension and associated factors among occupational populations of Ningxia. Methods With cluster sampling method, workers taking routine health check -up were selected from department of government, enterprises of Ningxia. Questionnaire survey, physical examination, and laboratory test were conducted in participants. Hypertension was defined according to definition of the China Adult hypertension Prevention Guide. The difference in the prevalence rates of hyperlipidemia and every abnormal metabolism and multivariate logistic regression of risk factors related to hypertension were analyzed. Results Among 3321 of this survey, totally 3191 subjects had complete data. The total prevalence rates of hypertension was 35.19% and the age - adjusted prevalence rates of hypertension was 26.68% ; the crude prevalence rates of hypertension was 45.88% in males and its age -adjusted prevalence rates of hyper- tension was 32.04% ; the crude prevalence rates of hypertension was 19.53% in females and its age - adjus- ted prevalence rates of hypertension was 19.36%. The prevalence rate of the male was significantly higher than that of female （ X2 = 110.754, P 〈 0.01 ）. The total, male and female rate of hypertension increased with the rise of age and BMI （ χ2 = 78. 643,87. 447 and 90. 938, P 〈 0.01 ）. The analysis of multivariate logistic regression showed that the risk factors of hypertension were age, gender, obesity, LDL - C, FPG, UA, WBC and ALT and the protective factor was high HDL. Conclusion There was significantly high prevalence rate of hypertension and every abnormal metabolism among Ningxia occupational populations. Hypertension was the common results of a variety of risk factors. Middle - age and old people, especially the male, are high incidence population in the local, so middle - age and old people who are suffering from obesity should be the target population for intervention, prevention and control.
出处
《宁夏医科大学学报》
2012年第10期1020-1024,共5页
Journal of Ningxia Medical University
基金
宁夏自然科学基金(NZ0879)
关键词
高血压
危险因素
患病率
相关性
：hypertension
prevalence
risk factors
correlation
