昆明市农村居民高血压患病与社会经济关系  

Analysis on socioeconomic determinants of hypertension for residents in rural area of Kunming

作　　者：蔡乐[1] 董峻[2] 毕卫红 许传志[1] 陆义春[4] 

机构地区：[1]昆明医学院公共卫生学院卫生信息与卫生经济学教研室,云南650031 [2]昆明医学院 [3]云南省石林县卫生局 [4]云南省昆明市官渡区疾病预防与控制中心

出　　处：《中国公共卫生》2008年第3期259-260,共2页Chinese Journal of Public Health

基　　金：云南省自然科学基金资助项目(2003C0022Q)

摘　　要：目的分析云南省昆明市农村居民高血压患病情况及与社会经济指标的关系。方法采用按比例概率抽样方法对昆明市石林县6006名45岁以上农村居民进行现场体检和问卷调查;应用多水平Logistic模型分析高血压患病的社会经济影响因素。结果个体和村级社会经济因素均与高血压患病有关。年龄越大和家庭收入水平越低者高血压患病率呈增高趋势;男性高血压患病率高于女性;偏远村庄村民高血压患病率高于离县城较近的村民。结论对高血压的干预措施应同时考虑个体和村级社会经济水平,应重点加强对偏远村庄村民高血压的预防和干预工作。Objective To simultaneously examine contextual and individual level socioeconomic variables on hypertension in rural Kunming.Methods Probability proportional to size（PPS）sampling method was used to select representative sample of 6,006 residents aged 45 years and over from Shilin county,a rural area of Kunming.Information was obtained from a cross-sectional health examination survey.The data was analyzed using multilevel logistic modeling.Results Both village level and individual level socioeconomic variables were associated with hypertension.Individuals with lower family income had higher prevalence of hypertension.The elderly had higher prevalence of hypertension than younger people.Males had higher prevalence of hypertension than females.People living in remote village tended to be worse of in having hypertension.Conclusion Village level interventions on hypertension in parallel with those at individual level are needed.Prevention and intervention on hypertension should be emphasized on remote villages.

关 键 词：高血压 社会经济 影响因素 农村居民 多水平Logistic模型 

分 类 号：R181.3[医药卫生—流行病学]