北京市顺义区高血压及其危险因素流行病学调查

发布时间：2018-07-20 11:06

【摘要】：目的了解北京市顺义区高血压患病现状及发病危险因素,为高血压的预防控制提供科学依据。方法采用按规模大小成比例的概率抽样(PPS抽样)方法进行抽样,抽取18~79岁顺义区常住居民3839人进行问卷调查、体格测量及实验室检查,采用χ2检验、Logistic回归分析对高血压相关危险因素进行分析。结果顺义区18~79岁常住居民高血压患病率为36.4%,男性患病率42.30%,女性患病率31.68%(P0.01)。患病率随着年龄增加而增加,50岁以上老年人高血压患病率超过50%。Logistic回归分析结果显示,性别、年龄、血脂异常、超重肥胖(包括腹型肥胖)、高血压家族史、饮酒均为高血压的危险因素。顺义区高血压总的知晓率、治疗率、控制率分别为62.83%、53.25%、21.73%,女性知晓率、治疗率、控制率均高于男性(P0.01);随着年龄增大,高血压知晓率、治疗率、控制率均呈现增高趋势;对于已经确诊的高血压患者,治疗率、控制率分别为84.95%、40.81%,女性均高于男性;年龄越大,确诊患者高血压治疗率、控制率也呈现增高趋势,以上差异有统计学意义(P0.05)结论顺义区18~79岁常住居民高血压患病率处于较高水平,且血压控制仍不理想。应采取综合性干预措施,加强对重点危险因素的控制,提高高血压的知晓率、治疗率、控制率。
[Abstract]:Objective to investigate the prevalence and risk factors of hypertension in Shunyi District, Beijing, and to provide scientific basis for prevention and control of hypertension. Methods 3839 residents aged 18 to 79 years old in Shunyi district were sampled by the method of probability sampling (PPS), which was proportional to the size of the population. The questionnaire survey, physical measurement and laboratory examination were conducted among the 3839 residents in Shunyi District, 180-79 years old. The risk factors of hypertension were analyzed by 蠂 2 test and logistic regression analysis. Results the prevalence rate of hypertension in residents aged 18 to 79 years old in Shunyi District was 36.4%, the prevalence rate of male was 42.30%, the prevalence rate of female was 31.68% (P0.01). The prevalence rate of hypertension increased with the increase of age. Logistic regression analysis showed that sex, age, dyslipidemia, overweight and obesity (including abdominal obesity), family history of hypertension, Alcohol consumption is a risk factor for hypertension. The awareness rate, treatment rate and control rate of hypertension in Shunyi district were 62.833.25 and 21.73, respectively. The awareness rate, treatment rate and control rate of female hypertension were higher than those of male (P0.01), and the awareness rate, treatment rate and control rate of hypertension showed an increasing trend with age. For the patients who have been diagnosed with hypertension, the treatment rate and the control rate are 84.95% and 40.81% respectively. The female is higher than the male. The older the age, the higher the treatment rate and the control rate of the confirmed hypertension. The above differences were statistically significant (P0.05) conclusion the prevalence of hypertension in residents aged 18 to 79 years old in Shunyi District is at a high level and the control of blood pressure is still not ideal. Comprehensive intervention measures should be taken to strengthen the control of key risk factors and to improve the awareness rate, treatment rate and control rate of hypertension.
【作者单位】：北京市顺义区疾病预防控制中心;北京大学公共卫生学院社会医学与健康教育系;
【分类号】：R544.1

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