摘要
目的 了解四川省通江县35~75岁常住居民高血压患病情况及其影响因素,为制订并落实高血压防控策略提供决策依据。方法 采用多阶段分层随机整群抽样法,于2018-09/2019-03抽取通江县35~75岁常住居民为调查对象,收集人口学、行为学和相关疾病史及其服药情况资料,测量血压、身高、体重和腰围,检测空腹血脂和血糖。结果 2018—2019年,通江县35~75岁居民高血压患病率、标化患病率分别为50.22%(3 008/5 990)和39.59%。多因素Logistic回归分析结果显示,女性(OR=1.155,95%CI:1.016~1.312)、年龄45~59岁(OR=2.051,95%CI:1.633~2.575)、60~75岁(OR=5.287,95%CI:4.186~6.677)、未婚/分居/离异/丧偶(OR=1.416,95%CI:1.151~1.743)、农民(OR=1.319,95%CI:1.152~1.510)、超重(OR=1.380,95%CI:1.200~1.587)、肥胖(OR=2.614,95%CI:2.102~3.251)、中心性肥胖(OR=1.450,95%CI:1.256~1.674)、血脂异常(OR=1.235,95%CI:1.097~1.391)、糖尿病前期(OR=1.252,95%CI:1.087~1.442)、糖尿病(OR=2.032,95%CI:1.674~2.467)是高血压患病的危险因素;饮酒(OR=0.859,95%CI:0.747~0.988)、体重过低(OR=0.675,95%CI:0.469~0.971)是高血压患病的保护因素。结论 通江县35~75岁居民高血压处于较高患病水平,应当针对女性、中老年、未婚/分居/离异/丧偶、农民、超重、肥胖、中心性肥胖、血脂异常、糖尿病前期、糖尿病等重点高危人群,采取健康教育及生活方式干预等防控措施。
Objective To investigate the prevalence of hypertension and its influencing factors among residents aged 35-75 in Tongjiang County of Sichuan Province,and to provide the basis of decision for the formulation and implementation of prevention and control strategies of hypertension.Methods A multi-stage stratified random cluster sampling method was used to select residents aged35-75 from September 2018 to March 2019.Demographic,behavioral and related disease history and medication data were collected.Blood pressure,height,weight and waist circumference were measured,and fasting lipid and blood glucose were measured.Results From 2018 to 2019,the prevalence and standardized prevalence of hypertension among residents aged 35-75 in Tongjiang County were 50.22%(3 008/5 990) and 39.59%.Multivariate logistic regression analysis showed that female(OR=1.155,95%CI:1.016-1.312),45~59 years(OR=2.051,95%CI:1.633-2.575),60-75 years(OR=5.287,95% CI:4.186-6.677),unmarried/separated/divorced/widowed(OR=1.416,95%CI:1.151-1.743),farmers(OR=1.319,95%CI:1.152-1.510),overweight(OR=1.380,95%CI:1.200-1.587),obesity(OR=2.614,95% CI:2.102-3.251),central obesity(OR=1.450,95% CI:1.256-1.674),dyslipidemia(OR=1.235,95% CI:1.097-1.391),prediabetes(OR=1.252,95%CI:1.087-1.442),diabetes mellitus(OR=2.032,95% CI:1.674-2.467) were the risk factors for hypertension.Drinking(OR=0.859,95% CI:0.747-0.988) and low weight(OR=0.675,95% CI:0.469-0.971) were the protective factors for hypertension.Conclusions The prevalence of hypertension among residents aged 35~75 in Tongjiang County is relatively high.Prevention and control measures such as health education and lifestyle intervention should be taken in time for women,middle-aged and elderly,unmarried/separated/divorced/widowed,farmers,overweight,obesity,central obesity,dyslipidemia,prediabetes,diabetes and other key high-risk groups.
作者
赵廷明
李鑫
向静
张劲
ZHAO Ting-ming;LI Xin;XIANG Jing;ZHANG Jin(Tongjiang Center for Disease Control and Prevention,Tongjiang 636700,Sichuan Province,China)
出处
《寄生虫病与感染性疾病》
CAS
2022年第3期146-153,共8页
Parasitoses and Infectious Diseases
基金
中央财政转移支付地方卫生计生服务项目·心血管病高危人群早期筛查与综合干预项目。
关键词
35~75岁
常住居民
高血压
患病率
影响因素
aged 35-75
permanent resident
hypertension
prevalence
influencing factors
