引用本文:黄智武,陈 奕,徐家志,李继志,杨振宇.广西合浦县农村居民高血压患病率调查[J].中国临床新医学,2015,8(9):823-827.
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广西合浦县农村居民高血压患病率调查
黄智武,陈 奕,徐家志,李继志,杨振宇
536100 广西,合浦县人民医院神经内科(黄智武,徐家志),放射科(陈 奕),风湿免疫科(李继志),普外科(杨振宇)
摘要:
[摘要] 目的 了解广西合浦县农村居民高血压患病率及其相关危险因素,为农村开展高血压等慢性病的防控工作提供依据。方法 采用分阶段整群随机抽样的方法,随机抽取合浦县6个乡镇中18个自然村屯内的所有20岁以上常住居民作为研究对象,进行面对面的问卷调查和体格检查。结果 合浦县农村居民高血压患病率为16.05%,其中男性患病率为16.26%,女性患病率为15.83%,差异无统计学意义(P>0.05)。男女高血压患病率均随年龄的增长而明显上升(P<0.01)。不同乡镇农村居民的高血压患病率也存在明显差异(P<0.01)。Logistic回归分析结果显示,该人群患高血压的危险因素为年龄(OR=1.054,95%CI=1.049~1.059)、职业因素(OR=1.702~9.491,95%CI=1.280~14.928)、超重或肥胖(OR=3.230,95%CI=2.308~4.521)、有高血压家族史(OR=3.790,95%CI=2.554~5.623)、以荤食为主的饮食习惯(OR=2.646,95%CI=1.762~3.974)、吸烟(OR=2.539,95%CI=2.183~2.952)、饮酒(OR=1.549,95%CI=1.273~1.885)。高中以上文化程度为高血压的保护因素(OR=0.669,95%CI=0.486~0.921)。结论 合浦县农村居民高血压患病率属较高水平,超重或肥胖、吸烟、饮酒、荤食为主的饮食习惯等可控的高血压危险因素普遍存在,应加强农村居民高血压等慢性病健康宣传教育,倡导健康的生活方式,以降低高血压的患病率。
关键词:  高血压  危险因素  Logistic回归分析
DOI:10.3969/j.issn.1674-3806.2015.09.07
分类号:R 544.1
基金项目:广西北海市科学研究与技术开发计划项目(编号:北科合200901065)
Survey on the prevalence of hypertension in rural residents in Hepu county Guangxi
HUANG Zhi-wu, CHEN Yi, XU Jia-zhi, et al.
Department of Neurology, the People′s Hospital of Hepu County, Guangxi 536100, China
Abstract:
[Abstract] Objective To study the prevalence and related risk factors of hypertension among rural population in Guangxi Hepu County and to provide a basis to carry out the hypertension and other chronic disease prevention and control work in rural areas.Methods  A face-to-face questionnaire survey and physical examination were performed in all the residents aged over 20 years using multi-stage random cluster sampling method in 18 villages from 6 towns in Hepu County.Results The hypertension prevalence rate of rural residents of Hepu county was 16.05%, of which 16.26% was men, and 15.83% was women(P>0.05). The prevalence rate of hypertension increased with aging(P<0.01). The prevalence rates of hypertension in residents of different villages and towns were different(P<0.01). Logistic regression analysis showed that the hypertension risk factors were age(OR=1.054,95%CI=1.049~1.059), occupation (OR=1.702~9.491, 95%CI= 1.280~14.928), overweight or obese(OR=3.230, 95%CI=2.308~4.521), family history of hypertension(OR=3.790,95%CI=2.554~5.623), meat diet (OR=2.646, 95%CI=1.762~3.974), smoking(OR=2.539, 95%CI= 2.183~2.952), drinking (OR=1.549, 95%CI=1.273~1.885). Senior high school education or above is a protective factor of hypertension(OR=0.669, 95%CI=0.486~0.921).Conclusion Hypertension prevalence rate of rural residents in Hepu County is on a high level, whose risk factors are overweight and obesity, smoking, drinking alcohol, meat diet. Prevention of chronic diseases, health education and healthy lifestyles should be strengthened to reduce the incidence of hypertension.
Key words:  Hypertension  Risk factor  Logistic regression analysis