杭州市不同年龄组高血压影响因素的研究

发布时间：2018-05-22 15:01

本文选题：杭州市 + 高血压　；参考：《杭州师范大学》2012年硕士论文

【摘要】：目的：本研究基于杭州市电子健康档案系统的高血压和健康人群数据,探讨杭州市不同年龄组高血压相关影响因素的差异,从而为杭州市控制高血压,和制定居民高血压预防、管理与控制策略提供科学依据,服务于杭州“健康城市”的目标。内容和方法：(1)通过文献研究和对杭州市电子健康档案的系统学习,完成高血压的影响因素研究进展综述,确定研究的思路、研究对象,并结合专家咨询,最终形成论文的基本框架和技术路线；(2)在论文思路的指导下,采用整群分层随机抽样方法抽取研究对象,通过编辑SQL数据查询语言抽取杭州市电子健康档案系统里包括西湖区、上城区、下城区、拱墅区、江干区、滨江区等14g个区及市的高血压人群和健康人群对照样本,进行病例对照研究；(3)运用描述统计、单因素分析、logistic回归等分析杭州市不同年龄组高血压影响因素分布差异；采用归纳方法形成论文。结果：本研究结果显示,单因素分析有11个变量可能与高血压有关,即地区、分组、性别、年龄、婚姻、文化程度、居住地、生活习惯、是否吸烟、是否饮酒、体育锻炼等11个有意义的影响因素(P0.05)；对这11个变量进行多因素logistic逐步回归分析,不同年龄组高血压影响因素得出：杭州市城乡居民35岁～44岁年龄组高血压主要影响因素是地区、性别、婚姻状况、文化程度、生活习惯、饮酒状况、体育锻炼；45岁～54岁年龄段高血压的主要影响因素是地区、性别、文化程度、居住地、生活习惯、饮酒；55岁～64岁高血压的主要影响因素有地区、性别、文化程度、居住地、生活习惯、吸烟、体育锻炼；65岁～74岁年龄组高血压的主要影响因素分析是地区、性别、婚姻、文化程度、居住地、生活习惯、吸烟、体育锻炼；75岁以上年龄段高血压影响因素是地区、婚姻、文化程度、居住地、生活习惯、体育锻炼。结论：(1)不同年龄组之间高血压影响因素是有差异的。(2)不同年龄组影响因素分析比较一致性结论为：地区方面,临安、建德相对于上城高血压的风险在各个组都是最高的,富阳最低；大学本科及以上相对于文盲高血压风险是最低；偏油患高血压风险高于其他习惯；每周一次以上即经常锻炼相对于不运动患高血压的风险最低；35岁～44岁和45岁～54岁年龄组经常饮酒(2～3次/每周)患高血压的风险相对于不饮酒时高于每天饮酒。(3)不同年龄组影响因素有差异的结论：35岁～44岁、45～54岁、65～74岁三个年龄组的男性患高血压的风险大于女性,而55岁～64岁年龄段男性患高血压的风险小于女性,初步判断可能是受女性更年期的影响；45～54岁年龄组城市居民患高血压的风险大于农村,55岁以上农村居民的风险大于城市；65～74岁和75岁以上离婚和丧偶相对于未婚是最高的,而35岁～44岁年龄组已婚患高血压的风险相对于未婚是高的；吸烟55岁～64岁和65岁～74岁年龄组分析结果相矛盾,有待进一步研究。
[Abstract]:Objective: Based on the data of hypertension and healthy population in Hangzhou electronic health archives system, this study explored the difference of hypertension related factors in different age groups in Hangzhou, so as to provide scientific basis for the control of hypertension in Hangzhou, the prevention of hypertension, management and control strategy for residents, and to serve the "healthy city" in Hangzhou. Target.
Content and methods: (1) through literature research and the systematic study of Hangzhou electronic health archives, the research progress of the influencing factors of hypertension is completed, the thinking of the study, the research object, and the expert consultation, the basic framework and technical route of the paper are formed, and (2) under the guidance of the thesis, the cluster stratification is adopted. Sampling method was used to extract the subjects. By editing the SQL data query language, the Hangzhou electronic health archives system including Xihu District, Shangcheng District, lower urban area, Gongshu District, Jianggan District, Binjiang District, and other regions and cities of hypertension and healthy people were sampled for a case-control study. (3) the use of descriptive statistics, single factor scores. Logistic regression analysis was used to analyze the distribution of hypertension among different age groups in Hangzhou.
Results: the results of this study showed that there were 11 variables in the single factor analysis that may be related to hypertension, namely, areas, groups, sex, age, marriage, education, living habits, smoking, drinking, physical exercise, and other 11 significant factors (P0.05), and multiple factors logistic stepwise regression analysis of the 11 variables, The influencing factors of hypertension in different age groups showed that the main influencing factors of hypertension in Hangzhou urban and rural residents aged 35 to 44 years old were regional, sex, marital status, educational level, living habits, drinking condition, physical exercise, and the main factors of hypertension in 45 to 54 years old were region, sex, education level, residence, life. Habits and drinking; the main influencing factors of high blood pressure from 55 to 64 years old were regional, gender, education, residence, living habits, smoking, physical exercise, and the analysis of the main factors of hypertension in the age group of 65 to 74 years of age, sex, marriage, education, living habits, smoking, physical exercise, and higher age over 75 years of age. The influencing factors of blood pressure are areas, marriage, educational level, residence, lifestyle and physical exercise.
Conclusion: (1) there are differences in the influencing factors of hypertension among different age groups. (2) the conclusion of the influence factors of different age groups is that the risk of hypertension in Ling'an and Jiande is the highest in all groups, the lowest in Fuyang, and the risk of university undergraduate and above is the lowest relative to illiterate hypertension; The risk of hypertension in hypertension was higher than that of other habits; the risk of frequent exercise relative to non exercise hypertension was the lowest one time per week; the risk of frequent drinking (2~3 / weekly) for hypertension in 35 to 44 years and 45 to 54 years old was higher than that of daily drinking. (3) there were differences in factors of different age groups. The risk of high blood pressure in men aged 35 to 44, 45~54 and 65~74 years old and three age groups is greater than that of women, while the risk of hypertension in men from 55 to 64 years is less than that of women. The preliminary judgment may be influenced by female climacteric. The risk of hypertension in urban residents of 45~54 years old is greater than that in rural areas and over 55 years old. The risk of residents is greater than that of the city; divorced and widowed at the age of 65~74 and over 75 years older than unmarried is the highest, while the risk of married hypertension from 35 to 44 years old is higher than that of unmarried couples; smoking from 55 to 64 years and 65 to 74 years old is in contradiction with the results of a study.
【学位授予单位】：杭州师范大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R544.1

【参考文献】