青岛地区饥荒年出生人群高血压相关调查分析

发布时间：2018-01-31 03:29

本文关键词： 高血压饥荒年患病率危险因素　出处：《青岛大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:研究青岛地区高血压患病率及高血压的相关危险因素并分析生命早期遭受食物短缺和营养不良对成年后高血压患病危险的影响,为社区高血压危险因素干预提供科学依据。方法:采用分层和随机抽样相结合的方法在青岛市6个区选取居委会和乡村,于2006年抽取1953-1970年出生居民3004人,于2009年抽取1953-1970年出生居民3010人,两次共抽取6014人为调查对象,收回有效问卷4820份。将1962-1970年出生人群定为非暴露组(N=2501),1959-1961年出生人群定为胚胎期暴露组(N=767),1953-1958年出生人群定为儿童期暴露组(N=1552)。采用SPSS 17.0统计软件,做单因素和多因素非条件Logistic回归,分析高血压相关危险因素并比较不同组患高血压危险性。结果:本次调查4820名研究对象中,男性1825人,占总人数的37.86%。多元线性回归分析结果为是否经历大饥荒、年龄、BMI、腰围、冠心病、高血脂、糖尿病、高血压家族史、婚姻状况不良为高血压发生的危险因素,女性、经济收入多为高血压的保护因素。经历过大饥荒的人群高血压患病率显著高于未暴露组(P0.01),多因素logistic分析显示,仅调整高血压基本影响因素,两组的OR(95%CI)为2.078(1.610-2.681)、1.453(1.179-1.792);在上述基础上再调整疾病因素,两组的OR(95%CI)为1.914(1.477-2.480)、1.394(1.127-1.724);最后调整所有混杂因素,两组的OR(95%CI)为2.092(1.601-2.734)、1.451(1.165-1.807)。结论:高血压是多种因素引起的,生命早期的生活经历,食品短缺和营养不良及其他不利因素可能会增加成年高血压的风险。生命早期的营养问题应得到人们的重视,尤其对于社区妇女及婴幼儿的营养问题应关注,形成有效的预防措施来降低成年后各种慢性疾病的发生率。
[Abstract]:Objective: to study the prevalence and risk factors of hypertension in Qingdao area and to analyze the influence of food shortage and malnutrition in early life on the risk of hypertension in adults. Methods: the method of stratification and random sampling was used to select residents' committees and villages in 6 districts of Qingdao. In 2006, 3,004 residents born 1953-1970 and 3,010 residents born 1953-1970 were drawn on 2009. A total of 6014 subjects were selected and 4820 valid questionnaires were collected. The persons born in 1962-1970 were classified as non-exposed group (n = 2501). Persons born in 1959-1961 were classified as embryonic exposure group (NZ767). People born from 1953 to 1958 were selected as childhood exposure group. SPSS 17.0 statistical software was used to do univariate and multivariate non-conditional Logistic regression. Analysis of risk factors related to hypertension and comparison of the risk of hypertension in different groups. Results: in this study 4820 subjects, 1825 men. The results of multiple linear regression analysis were as follows: a family history of famine, age, waist circumference, coronary heart disease, hyperlipidemia, diabetes, hypertension. Poor marital status is the risk factor of hypertension, female, economic income is the protective factor of hypertension. The prevalence rate of hypertension is significantly higher than that of unexposed group (P0.01). Multivariate logistic analysis showed that the ORQ95 CI of the two groups was 2.0781.6-10-2.681 only adjusted for essential factors of hypertension. 1.453C 1.179-1.792L; On the basis of adjusting the disease factors, the OR 95 CI of the two groups was 1.914 ~ 1.477-2.480 ~ 1.394 ~ 1.127-1.724; Finally, all the confounding factors were adjusted, the ORG95 CI of the two groups was 2.092U 1.601-2.734). Conclusion: hypertension is caused by many factors and early life experience. Food shortages, malnutrition and other adverse factors may increase the risk of adult hypertension. Nutrition problems in early life should be paid attention to, especially for women and infants in the community. Effective prevention measures are developed to reduce the incidence of various chronic diseases in adulthood.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R544.1

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