摘要
目的了解重庆市沙坪坝区居民高血压患病现状及影响因素,为开展高血压预防控制工作提供依据。方法采用多阶段分层随机抽样方法,在沙坪坝区6个镇街抽取1800名居民作为研究对象。对研究对象进行问卷调查、体格检查,同时采集研究对象血液测定空腹血糖、餐后2 h血糖、血脂水平。采用SPSS 19.0进行统计分析。结果研究对象高血压粗患病率为24.44%,标化患病率为20.82%。不同性别、年龄、文化程度、体质指数(BMI)及有害饮酒史、吸烟史、中心性肥胖情况、高血压家族史、中高强度娱乐活动和锻炼情况、红肉摄入情况、高甘油三酯血症患病情况、高胆固醇血症患病情况、低高密度脂蛋白胆固醇血症患病情况、高低密度脂蛋白胆固醇血症患病情况、血糖情况不同的研究对象高血压患病率的差异均有统计学意义(均P<0.05)。多因素Logistic回归分析结果显示:年龄(OR=1.86,95%CI:1.70~2.04)、BMI(OR=1.97,95%CI:1.59~2.45)、中心性肥胖(OR=1.41,95%CI:1.01~1.97)、性别(OR=1.54,95%CI:1.17~2.03)、有害饮酒(OR=1.76,95%CI:1.11~2.78)、血糖(OR=1.53,95%CI:1.29~1.82)、高血压家族史(OR=2.35,95%CI:1.80~3.06)、高低密度脂蛋白胆固醇血症(OR=2.24,95%CI:1.13~4.45)是研究对象高血压患病的独立影响因素(均P<0.05)。结论沙坪坝区居民高血压患病率较高,影响因素较多,应针对各类人群开展综合防控。
Objective To understand the current situation of hypertension prevalence and influencing factors among residents in Shapingba District,Chongqing,and to provide suggestions for the prevention and control of hypertension.Methods Using a multistage stratified random sampling method,1800 residents in 6 towns and streets of Shapingba District were selected as the study subjects.Questionnaires and physical examinations were conducted,and blood was collected to determine fasting glucose,2-h postprandial glucose,and lipid levels.SPSS 19.0 was used for statistical analysis.Results The crude prevalence of hypertension in the study subjects was 24.44%,and the standardized prevalence was 20.82%.Subjects of different gender,age,education,body mass index(BMI),history of harmful alcohol consumption,smoking history,central obesity status,family history of hypertension,moderate-to-high intensity recreational activities and exercise,red meat intake,prevalence of hypertriglyceridemia,prevalence of hypercholesterolemia,prevalence of low HDL-cholesterolemia,prevalence of high LDL-cholesterolemia and blood glucose showed statistically significant differences in the prevalence of hypertension(all P<0.05).Multifactorial logistic regression analysis showed that age(OR=1.86,95%CI:1.70-2.04),BMI(OR=1.97,95%CI:1.59-2.45),central obesity(OR=1.41,95%CI:1.01-1.97),gender(OR=1.54,95%CI:1.17-2.03),harmful alcohol consumption(OR=1.76,95%CI:1.11-2.78),blood glucose(OR=1.53,95%CI:1.29-1.82),family history of hypertension(OR=2.35,95%CI:1.80-3.06),and high LDL cholesterolemia(OR=2.24,95%CI:1.13-4.45)were independent influencing factors for the prevalence of hypertension in the study population(all P<0.05).Conclusion The prevalence of hypertension among residents of Shapingba District is high,and there are many influencing factors,so comprehensive prevention and control should be carried out for all types of populations.
作者
黎涛
黎瞳
Li Tao;Li Tong(Center for Disease Control and Prevention,Shapingba District,Chongqing 400038,China)
出处
《保健医学研究与实践》
2021年第6期23-28,共6页
Health Medicine Research and Practice
基金
重庆市卫健委中转项目(渝卫办发[2019]97号)。
关键词
高血压
患病率
危险因素
Hypertension
Prevalence
Risk factors
