长沙市成人高血压流行现状及其相关因素分析

发布时间：2018-05-05 16:54

本文选题：高血压 + 患病率　；参考：《中华高血压杂志》2017年05期

【摘要】：目的了解长沙市成人高血压患病率、知晓率、治疗率和控制率现状及其危险因素,发现高危人群,以利于制定高血压防控策略,有效利用卫生资源。方法本次研究依托于2013-2014年长沙市各区县(芙蓉区、天心区、开福区、浏阳市、宁乡县)分别进行的主要慢性病基线调查,采用多阶段整群随机抽样方法,对年龄18岁常住居民进行流行病学调查。采用二元Logistic回归分析进行多因素分析。结果长沙市高血压患病率、知晓率、治疗率和控制率分别为32.79%、63.71%、56.80%和22.47%,标化后的高血压患病率、知晓率、治疗率和控制率分别为22.53%、47.61%、39.13%和15.27%。农村高血压患病率高于城区(35.41%比29.84%),但知晓率(55.20%比75.10%)、治疗率(49.25%比66.92%)和控制率(14.14%比33.62%)低于城区。年龄、农村居民、血糖、中心性肥胖、超重和肥胖是高血压患病率的危险因素。农村居民、血糖和饮酒是高血压控制率低的危险因素。结论长沙市居民高血压患病率高,但知晓率、治疗率和控制率低,对于农村居民而言,这种趋势更为明显。
[Abstract]:Objective to investigate the prevalence rate, awareness rate, treatment rate, control rate and risk factors of adult hypertension in Changsha, and to find out the high risk population, so as to make effective use of health resources. Methods this study was based on the baseline investigation of major chronic diseases in Changsha districts (Furong District, Tianxin District, Kaifu District, Liuyang City, Ningxiang County) in 2013-2014, and adopted a multi-stage cluster random sampling method. Epidemiological investigation was carried out on residents aged 18 years. Multivariate Logistic regression analysis was used. Results the prevalence rate, awareness rate, treatment rate and control rate of hypertension were 32.790.63.71% and 22.47%, respectively. The standardized prevalence rate, awareness rate, treatment rate and control rate of hypertension were 22.53% and 15.27%, respectively. The prevalence of hypertension in rural areas was higher than that in urban areas (35.41% vs 29.84), but the awareness rate was 55.20% vs 75.102.The treatment rate was 49.25% vs 66.92%) and the control rate was 14.14% vs 33.62%). Age, rural residents, blood sugar, central obesity, overweight and obesity are risk factors for hypertension. Blood sugar and alcohol consumption are risk factors for low control of hypertension among rural residents. Conclusion the prevalence rate of hypertension in Changsha residents is high, but the awareness rate, treatment rate and control rate are low, and this trend is more obvious for rural residents.
【作者单位】：长沙市疾病预防控制中心;
【基金】：长沙市指导性科技项目(K15ZD043-33)
【分类号】：R181.3;R544.1

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