引用本文:胡金兰，黎小飞，龙英全，胡长征，钟秋安.广西桂平市城乡男女居民高血压影响因素调查分析[J].中国临床新医学,2014,7(5):413-417.
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广西桂平市城乡男女居民高血压影响因素调查分析
胡金兰，黎小飞，龙英全，胡长征，钟秋安
530021　南宁，广西医科大学公共卫生学院流行病学教研室（胡金兰，黎小飞，钟秋安）；530021　南宁，广西医科大学公共卫生学院2008级预防医学专业本科班（胡长征）；537110　南宁，中华人民共和国贵港出入境检验检疫局综合实验室（龙英全）
摘要:
［摘要］　目的　分析城乡男女居民高血压的影响因素，为在一般人群中制定性别差异化的高血压预防策略提供科学依据。方法　采用整群二阶段抽样方法，共调查1057名成年常住居民，分别按男女性别进行高血压影响因素的单因素及多因素的Logistic回归分析。结果　共检出347例高血压居民，其中男性107例（30.84%），女性240例（69.16%）。Logistic回归分析结果显示，男性高血压的危险因素包括年龄较高（OR=1.045,95%CI:1.011～1.063）、无业或休息（OR=4.596,95%CI:1.657～12.734）、吸烟（OR=1.058,95%CI:1.073～1.524）；女性高血压的危险因素包括年龄较高（OR=1.074,95%CI:1.052～1.091）、绝经（OR=2.022,95%CI:1.082～3.775）、常食用动物内脏（OR=1.043,95%CI:1.009～1.054）、体质指数≥24 kg/m2（OR=2.204,95%CI:1.641～2.973）、糖尿病（OR=2.122,95%CI:1.313～3.442）。结论　城乡男女高血压影响因素存在差异性，在预防人群高血压时，需要根据性别差异制定高血压的预防策略和措施。
关键词:  高血压  性别  影响因素  城乡人群
DOI：10.3969/j.issn.1674-3806.2014.05.09
分类号:R 544.1
基金项目:国家自然科学基金资助项目（编号：81360422）
Gender differences in risk factors of hypertension in town population, Guiping, Guangxi
HU Jin-lan, LI Xiao-fei, LONG Ying-quan, et al.
Department of Epidemiology, School of Public Health, Guangxi Medical University, Nanning 530021, China
Abstract:
［Abstract］　Objective　To explore the gender differences in risk factors of hypertension in town residents for making gender-differentiated strategies of hypertension prevention in general population.Methods　One thousand and fifty-seven adult residents were enrolled by two stage stratified cluster sampling, and the univariate and multivariate logistic regression were used sequentially to estimate the risk factors of hypertension. All analyses stratified by sex were performed.Results　Three hundred and forty-seven participants with hypertension were detected, 107 men and 240 women, the proportions of male and female were 30.84% and 69.16%, respectively. Multivariate logistic regression analysis showed that older age(OR=1.045, 95%CI:1.011～1.063), lack of physical activity(OR=4.596,95%CI:1.657～12.734), and smoking(OR=1.058,95%CI:1.073～1.524) were associated with hypertension of men. For women, older age(OR=1.074,95%CI:1.052～1.091), menopause(OR=2.022,95%CI:1.082～3.775), eating organ meats(OR=1.043,95%CI:1.009～1.054), BMI≥24 kg/m2(OR=2.204,95%CI:1.641～2.973), and diabetes(OR=2.122,95%CI:1.313～3.442) were associated with hypertension.Conclusion　Gender differences in risk factors of hypertension were significant in town population, and this suggests that gender-differentiated strategies are needed while preventing hypertension in general population.
Key words:  Hypertension  Gender  Risk factors  Town population