北京市石景山区居民高血压流行现状及影响因素分析

发布时间：2018-03-15 01:13

本文选题：高血压　切入点：危险因素　出处：《中国健康教育》2017年09期 　论文类型：期刊论文

【摘要】：目的了解北京市石景山区高血压的流行特征及防治水平。方法 2015年在石景山区9个街道的社区居民进行慢性病及其危险因素现况调查,收集居民有关高血压的患病、治疗和控制情况。结果共调查年龄在18岁及以上常住居民4880人。高血压患病率为36.1%,知晓率、治疗率及控制率分别为63.7%,55.6%和35.3%。高血压患病率随年龄的增长而显著增高(χ~2=62.77,P0.01),年龄在60岁以前男性高血压患病率明显高于女性(χ~2=39.61,P0.01),随着年龄增长在50岁以后女性高血压患病率上升明显,60岁以后女性高血压患病率甚至超过男性(χ~2=3.81,P0.01)。多因素Logistic回归分析显示:高血压的主要危险因素有年龄(OR=1.776,95%CI:1.679~1.879)、饮酒(OR=1.604,95%CI:1.349~1.908)、超重肥胖(OR=1.668,95%CI:1.501~1.853)、高尿酸血症(OR=1.685,95%CI:1.199~2.360)、腰围(OR=1.699,95%CI:1.434~2.012)和空腹血糖(OR=1.232,95%CI:1.156~1.314)等;高血压的保护性因素有性别(OR=0.760,95%CI:0.604~0.956)、体育锻炼(OR=0.767,95%CI:0.630~0.935)、文化程度(OR=0.872,95%CI:0.811~0.938)和职业(OR=0.973,95%CI:0.946~1.000)。结论石景山区居民高血压病患病率高,且有上升趋势。其疾病知晓率、治疗率和控制率有待进一步提高。
[Abstract]:Objective to investigate the prevalence and prevention of hypertension in Shijingshan District, Beijing. Methods in 2015, a survey of chronic diseases and its risk factors was carried out among the residents in nine streets of Shijingshan District, so as to collect the prevalence of hypertension among the residents. Results A total of 4880 residents aged 18 years and above were investigated. The prevalence rate of hypertension was 36.1%. The rates of treatment and control were 63.7% and 35.3% respectively. The prevalence rate of hypertension increased significantly with age (蠂 2 / 22.77 / P 0.01). The prevalence of hypertension in males before the age of 60 was significantly higher than that in females (蠂 ~ 2 / 39.61 / P _ (0.01)), and with the age of 50 years old, the prevalence of hypertension in females was significantly higher than that in women (蠂 ~ 2 / 29.61g / P _ (0.01)). The prevalence rate of hypertension in females after 60 years old was even higher than that in males (蠂 ~ 2 / 23.81/ P 0.010.Multivariate Logistic regression analysis showed that the main risk factors of hypertension were: age OR1.77695 CI1.67991.879, drinking OR1.604 + 95CI1.3491.908, overweight and obesity OR1.668,95CI1.501C1.853, hyperuricemia 1.68595CI1.1992.360, waist circumference 1.69995CI1.4342.012) and fasting blood glucose 1.23295CI1.1561.314. The protective factors of hypertension were: sex: 0.604: 0.604: 0.956, physical exercise: 0.76795 CI: 0.630 / 0.935, education level: 0.87295CI0.8110.938) and occupation: 0.97395CI0.9461.0000.Conclusion the prevalence rate of hypertension in Shijingshan area is high, and there is an increasing trend. The rate of disease awareness, treatment rate and control rate need to be further improved.
【作者单位】：北京市石景山区疾病预防控制中心;
【分类号】：R181.3;R544.1

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