摘要
目的了解重庆城市和农村居民高血压相关流行现状，探讨城市和农村居民高血压患病率及其危险因素的差异，为更好地防治高血压、改善患者预后提供科学依据。方法采用分层多阶段随机抽样方法抽取2012-2015年重庆市8个区县15岁及以上常住人口15280人进行问卷调查和体格检查。结果城市居民高血压前期总检出率（40.2%）和高血压总患病率（17.6%）均低于农村（分别为46.8%和23.6%）。年龄、高血压家族史、体质量指数、腰围、身体脂肪率为城乡居民高血压的危险因素；饮酒为城市居民的危险因素，睡眠时间为其保护因素；吸烟和食盐摄入量则为农村居民的危险因素，文化程度为其保护因素。睡眠时间在7-〈10 h时，高血压患病率明显降低。结论重庆城市居民高血压患病率、高血压前期检出率均低于农村，应针对城乡差异采取相应的高血压防治措施。
Objective To understand the related prevalence situation of hypertension and to investigate the differences in prevalence rate and its risk factors between urban and rural populations in Chongqing to provide the scientific basis for better pre-venting and treating hypertension and improving the patient′s prognosis. Methods The stratified multistage random sampling method was adopted to conduct the questionnaire survey and physical examination on 15 280 permanent residents aged 15 years old or more extracted from 8 districts or countries of Chongqing City during 2012-2015. Results The total detection rate of pre-hypertension and hypertension in urban residents were 40.2%and 17.6%respectively ,which were lower than 46.8%and 23.6%in rural residents. The age,family history of hypertension,body mass index（BMI）,waist circumference（WC） and body fat percent （FAT%） were the risk factors of hypertension in urban and rural residents;drinking was the risk factor and the sleep duration was the protective factor in urban residents;whereas smoking and edible salt intake amount were the risk factors in rural residents and the cultural degree was the protective factor. When the sleep duration was 7-〈10 h ,the prevalence rate of hypertension was sig-nificantly decreased. Conclusion The detection rates of prehypertension and hypertension in urban residents of Chongqing City are lower than those in rural residents. Therefore the corresponding prevention and treatment measures of hypertension should be adopted by aiming at the urban and rural difference.
出处
《现代医药卫生》
2016年第13期1957-1960,共4页
Journal of Modern Medicine & Health
基金
"十二五"国家科技支撑计划项目(2011BAI11B01)
关键词
高血压/流行病学
患病率
危险因素
市区人口
农村人口
抽样研究
高血压前期
重庆
Hypertension/epidemiology
Prevalence
Risk factors
Urban population
Rural population
Sam-pling studies
Prehypertension
Chongqing
