摘要
目的了解泸州市江阳区40岁及以上体检人群的高血压患病情况,探讨其影响因素,为该地区高血压防控政策制定提供参考依据。方法以泸州市江阳区2021年参加健康体检40岁及以上的人群为研究对象,采用现况研究的方法,单因素分析采用χ2检验与χ2趋势检验,多因素分析采用Logistic回归分析高血压的患病情况及影响因素。结果本次研究对象共107295名,高血压患者44933例,患病率41.9%;不同性别、年龄、婚姻状况、文化程度、吸烟、饮酒、高血压家族史、BMI的人群高血压患病率差异均有统计学意义(P<0.05)。多因素结果显示:男性(OR=1.121,95%CI:1.070~1.174)、高龄(与40~岁相比:OR50~=2.639,95%CI:2.476~2.812;OR60~=4.416,95%CI:4.151~4.699;OR70~=7.410,95%CI:6.951~7.899;OR80~=11.067,95%CI:10.250~11.950)、非在婚(OR=1.163,95%CI:1.124~1.204)、超重和肥胖(OR超重=1.794,95%CI:1.742~1.848;OR肥胖=3.362,95%CI:3.230~3.501)、高血压家族史(OR=3.877,95%CI:3.762~3.966)可能是高血压的危险因素;高学历(与小学及以下相比:OR初中=0.876,95%CI:0.848~0.905;OR高中/中专=0.868,95%CI:0.826~0.913;OR大专及以上=0.912,95%CI:0.839~0.991)可能是高血压的保护因素。结论泸州市江阳区40岁及以上的体检人群高血压患病率高于全国水平,泸州市江阳区的高血压防控工作仍有改进空间,应针对性别、年龄、婚姻状况、文化程度、饮酒、BMI等高危因素采取相应的措施进行高血压的预防和控制。
Objective To understand the prevalence of hypertension among people aged 40 and over in Jiangyang District of Lu-zhou City,and to explore its influencing factors preliminarily,so as to provide a reference for the prevention and control of hypertension in Jiangyang District of Luzhou City.Methods The population over the age of 40 who participated in the health check-up in Jiangyang District of Luzhou City in 2021 was used as the research object.The method of the current situation study was adopted,and the univari-ate analysis was carried out by chi-square test,and the multivariate analysis was carried out by logistic regression to analyze the preva-lence and influencing factors of hypertension.Results There were 107,295 subjects in this study,including 44,933 hypertensive pa-tients,with a prevalence rate of 41.9%.There were statistically significant differences in the prevalence of hypertension among popula-tions with different genders,ages,marital statuses,educational levels,smoking habits,alcohol consumption habits,family histories of hy-pertension,and BMI(P<0.05).Multivariate results showed that:male(OR=1.121,95%CI:1.070~1.174),advanced age(compared with 40~years old:OR50~=2.639,95%CI:2.476~2.812;OR60~=4.416,95%CI:4.151~4.699;OR70~=7.410,95%CI:6.951~7.899;OR80~=11.067,95%CI:10.250~11.950),not married(OR=1.163,95%CI:1.124~1.204),overweight and obesity(ORoverweight=1.794,95%CI:1.742~1.848;ORobesity=3.362,95%CI:3.230~3.501),family history of hypertension(OR=3.877,95%CI:3.762~3.966)might be risk factors for hypertension;higher educational level(compared with primary school and below:ORjuniorhighschool=0.876,95%CI:0.848~0.905;ORhighschool/secondaryschool=0.868,95%CI:0.826~0.913;ORcollegeandabove=0.912,95%CI:0.839~0.991)might be a protective factor for hypertension.Conclusion The prevalence of hypertension among people aged 40 and over in Jiangyang District of Luzhou City was higher than the national level.There is still room for improvement in the prevention and control of hypertension in Ji-angyang District of Luzh
作者
郑晓铃
陈英东
晏杰
汤艳
ZHENG Xiaoling;CHEN Yingdong;YAN Jie;TANG Yan(Jiangyang District Center for Disease Control and Prevention,Luzhou 646000,China;School of Public Health,Southwest Medical University,Luzhou 646000,China)
出处
《西南医科大学学报》
2024年第1期62-67,共6页
Journal of Southwest Medical University
基金
泸州市江阳区疾病预防控制中心-西南医科大学联合项目(2021291)。
关键词
高血压
中老年人
多因素
危险因素
Hypertension
Middle-aged and elderly
Multivariate
Risk factors
