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临海市社区成年居民高血压患病及影响因素分析

Prevalence and influencing factors of hypertension among adults in Linhai city

  • 摘要: 目的了解浙江省临海市社区成年居民高血压流行病学特征及其影响因素,为有效制定高血压预防控制策略提供依据。方法采用分层整群随机抽样方法,抽取临海市4镇(街道)≥18岁常住居民1 082人,对其进行问卷调查和体格检查,运用logistic回归模型分析高血压影响因素。结果临海市≥18岁居民高血压实际调查患病率为30.87%,标化率为20.38%;高血压患病率随年龄增长而升高,≥50岁居民患病率上升幅度明显,其中80岁~组患高血压风险(OR=35.573,95%CI=9.892~127.922);空腹血糖≥6.1mmol/L(OR=2.072,95%CI=1.201~3.575)、超重(OR=2.252,95%CI=1.477~3.433)、肥胖(OR=3.231,95%CI=1.687~6.187)、中心性肥胖(OR=1.659,95%CI=1.099~2.504)、高血压家族史(OR=2.134,95%CI=1.474~3.089)与高血压有统计学关联。结论临海市高血压患病率较高,年龄、空腹血糖升高、超重或肥胖、中心性肥胖、高血压家族史是居民高血压患病的主要影响因素。

     

    Abstract: Objective To explore the epidemiological characteristics and influencing factors of hypertension among adults in Linhai city,Zhejiang province,and to provide scientific basis for making strategies on prevention and control of hypertension. Methods A questionnaire survey and physical examination were conducted among 1 082 adult residents selected with stratified cluster random sampling from 4 towns in Linhai city. The influencing factors were explored with logistic regression analysis. Results The prevalence rate and standardized rate of hypertension in the residents were30. 87% and 20. 38%,respectively. The prevalence rate increased gradually with age,and the trend was more obvious for the participants of 50 years old and above,and the residents aged over 80 years had the highest odds ratio( OR) value( 35. 573). Risk factors associated with hypertension were elevated fasting glucose( OR =2. 072,95% confidence interval95%CI=1. 201-3. 575),overweight( OR =2. 252,95% CI = 1. 477- 3. 433),obesity( OR = 3. 231,95% CI = 1. 687- 6. 187),central obesity( OR = 1. 659,95% CI = 1. 099- 2. 504),and family history of hypertension( OR = 2. 134,95%CI = 1. 474- 3. 089). Conclusion The prevalence rate of hypertension in Linhai is quite high with the influencing factors of elevated fasting glucose,overweight,obesity,central obesity,and family history of hypertension.

     

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