重庆地区高血压患病率、知晓率、治疗率、控制率以及危险因素的相关性分析

发布时间：2018-03-25 02:24

本文选题：知晓　切入点：血压　出处：《重庆医科大学》2017年硕士论文

【摘要】：目的调查中国西南部重庆市地区高血压的患病率、知晓率、治疗率以及控制率和危险因素的相关性分析。方法采用多阶段、分层、随机整群抽样方式进行抽样抽取计划招募的代表样本。所有研究参与者完成调查问卷,进行体格检查。采用Logistic回归模型,对多变量多因素进行相关性分析。结果总体纳入14420例18岁以上的人群为受试者(其中男性=7186)。高血压的整体患病率为23.9%,农村居民高于城市居民的患病率(26%比21.6%,P0.001)。在接受治疗的患者中,高血压知晓率、治疗率、控制率和已接受治疗后的控制率分别为44.1%,36.6%,8.5%,和23.3%。城市地区的老年女性知晓率更高,接受治疗的比例更高。城市和农村地区有不同的控制率(12.9%比5.1%,P0.001)。年龄,性别,饮酒,高血压家族史,超重/肥胖,内脏脂肪指数,体脂百分比为城市和农村地区高血压的共有危险因素。教育水平,吸烟和每日食盐摄入量仅为农村居民高血压的危险因素,而中央型肥胖仅与城市居民的高血压相关。性别、乡村性、年龄、教育水平,饮酒,超重/肥胖,中心性肥胖,内脏脂肪指数和体脂百分比是高血压知晓率、治疗率、控制率的相关因素。结论在过去的十年中,重庆市人口高血压的患病率普遍增高。对高血压的知晓、治疗和控制均有所改善,但是仍维持在较低水平。应有更积极的高血压管理策略用以高血压的防治工作。
[Abstract]:Objective to investigate the prevalence, awareness rate, treatment rate, control rate and risk factors of hypertension in Chongqing, southwest of China. Random cluster sampling was used to sample the representative samples recruited by the plan. All the participants completed the questionnaire and underwent physical examination. Logistic regression model was used. Results 14420 subjects over 18 years of age were included in the study. The overall prevalence of hypertension was 23. 9%. The prevalence rate of hypertension among rural residents was 26% higher than that of urban residents (P 0. 001). Of the patients treated, The awareness rate of hypertension, the rate of treatment, the rate of control and the control rate after treatment were 44.1 and 23.30.The rate of awareness and treatment of elderly women in urban areas was higher and the proportion of women receiving treatment was higher. There were different control rates in urban and rural areas (12.9% vs 5.1P0.001. age, respectively). Sex, alcohol consumption, family history of hypertension, overweight / obesity, visceral fat index, body fat percentage were common risk factors for hypertension in urban and rural areas. Smoking and daily salt intake were only risk factors for hypertension in rural residents, while central obesity was only associated with hypertension in urban residents. Gender, rural sex, age, education level, alcohol consumption, overweight / obesity, central obesity, The visceral fat index and the percentage of body fat are related factors of hypertension awareness rate, treatment rate and control rate. Conclusion in the past ten years, the prevalence of hypertension in Chongqing population has generally increased. Treatment and control have improved, but remain at a low level. A more proactive hypertension management strategy should be used to prevent and treat hypertension.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R544.1

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