江西省城乡居民高血压患病现状调查及影响因素分析

发布时间：2018-06-06 06:35

本文选题：江西省 + 高血压　；参考：《中华高血压杂志》2017年02期

【摘要】：目的明确江西省年龄15岁人群高血压患病现状及其主要危险因素,为制订高血压防治策略提供科学依据。方法采用多阶段分层随机抽样的方法,抽取江西省年龄15岁的常住居民15 296人于2013年11月至2014年8月开展心血管病患病现况调查,分析高血压患病流行情况及其相关影响因素。结果江西省年龄15岁人群高血压患病率29.00%,标化患病率为15.69%,知晓率、治疗率和控制率分别为64.77%、27.07%和12.58%;城市和农村居民高血压患病率分别为33.76%、24.04%,标化率分别为17.49%、13.98%,城市高于农村(χ~2=175.32,P0.01)。男女患病率分别为30.07%,28.26%,标化率分别为17.43%、14.51%,男性高于女性(χ~2=5.71,P0.05)。不同性别人群的高血压患病率随年龄增长有上升趋势,经趋势χ~2检验,差异有统计学意义(P0.01)。随着体质量指数(BMI)和(或)腰围的增加,人群高血压患病率呈明显的上升趋势。多因素回归分析结果显示:增龄、高BMI、腹型肥胖、高身体脂肪率为男、女高血压的独立危险因素,绝经为女性高血压的危险因素,而适当饮酒是女性高血压的保护因素。结论应加强对江西省居民尤其是城市人群血压和体质量监测,积极开展患者及高危人群健康教育与干预。
[Abstract]:Objective to determine the prevalence of hypertension and its main risk factors in 15-year-old population in Jiangxi Province, and to provide scientific basis for the prevention and treatment of hypertension. Methods A multi-stage stratified random sampling was used to investigate the prevalence of cardiovascular diseases in 15 296 residents aged 15 years from November 2013 to August 2014 in Jiangxi Province. The prevalence of hypertension and its related factors were analyzed. Results the prevalence rate of hypertension was 29.00 and the standardized prevalence rate was 15.690.The awareness rate, treatment rate and control rate were 64.777.07% and 12.58% respectively, and the prevalence rates of hypertension in urban and rural residents were 33.760.04 and 17.490.98, respectively, which were higher in urban than in rural areas. The prevalence rates of male and female were 30.07 and 28.26, respectively. The standardized rate was 17.43 / 14.51, and the male was higher than the female (蠂 2 / 5.71 / P 0.05). The prevalence rate of hypertension in different sex population increased with the increase of age, and the difference was statistically significant by 蠂 ~ 2 test. With the increase of body mass index (BMI) and / or waist circumference, the prevalence rate of hypertension increased significantly. The results of multivariate regression analysis showed that aging, high BMI, abdominal obesity, high body fat rate were independent risk factors of hypertension in men and women, menopause was the risk factor of hypertension in women, and proper drinking was the protective factor of hypertension in women. Conclusion the monitoring of blood pressure and body mass among the residents of Jiangxi Province, especially the urban population, should be strengthened, and the health education and intervention of the patients and high risk groups should be actively carried out.
【作者单位】：南昌大学第二附属医院心血管内科;南昌大学第二附属医院心血管病防治中心;南昌大学第二附属医院江西省分子医学重点实验室;
【基金】：“十二五”国家科技支撑课题“中国重要心血管病患病率调查及关键技术研究”(2011BAI11B01) 江西省科技厅对外科技合作计划“江西省高血压人群心脑肾并发症研究”(20151BDH80038)
【分类号】：R544.1

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