神池县城乡居民高血压及其危险因素现况调查  

A Sample Survey on Prevalence and Risk Factors of Hypertension among Inhabitants in Shenchi County

作　　者：饶华祥[1] 柳洁[1] 侯玉英[1] 赵淑芳[1] 胡玲[1] 赵媚鲜[1] 刘霞[1] 张淑萍[1] 刘智深[1] 郭剑津[1] 张栋[1] 郭建锴[1] 陈金钟[1] 邢学武[1] 

机构地区：[1]山西医科大学基础医学院,山西太原030001

出　　处：《中国慢性病预防与控制》2009年第3期290-292,共3页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：山西医科大学大学生创新基金(校学字[2006]13号)

摘　　要：目的了解山西省神池县城乡居民高血压患病现况及危险因素,为制定相应的干预措施提供科学依据。方法采取分层整群抽样方法,抽取神池县的4个乡镇,每个乡镇随机抽取2个居委会(村)作为调查点,对每个调查点20～74岁常住居民进行高血压患病现况及相关危险因素问卷调查。结果共调查2231人,其中男性871人,女性1360人。高血压患病率为28.0%(标化率为23.6%),其中男性为32.0%(标化率为28.5%),女性为25.4%(标化率为20.7%),男女性差别有统计学意义(χ2=11.437,P<0.01)。知晓率为49.4%,治疗率为41.6%,控制率为20.8%。经非条件Logistic回归分析,高龄(OR=1.674,95%CI为1.508～1.858)、文化程度低(OR=1.240,95%CI为1.078～1.427)、饮酒(OR=1.474,95%CI为1.082～2.009)、缺少锻炼(OR=1.347,95%CI为1.059～1.714)、不注意饮食控制(OR=1.082,95%CI为1.000～1.171)、有高血压家族史(OR=1.993,95%CI为1.566～2.538)以及肥胖(OR=2.291,95%CI为1.974～2.660)是高血压的危险因素。结论神池县居民高血压患病率较高,应针对高血压现状及危险因素采取综合性防治措施。Objective To comprehend the status and risk factors of hypertension of inhabitants in city and countryside of Shenchi County. Methods With layer cluster sampling, Longquan, Yijing, Bajiao and Hezhi towns of Shenchi were collected and two residents committees from each town were collected as investigation spot. In each spot, permanent inhabitants aged between 20 and 74 were investigated on the epidemic status and its risk factors of hypertension by questionnaire. Results In this study, 2231 inhabitants were investigated in all, including 871 males and 1360 females. The general prevalence rate of hypertension was 28.0% （standardized rate was 23.6%）, and was 32.0% in male （standardized rate was 28.5%）, 25.4% in female （standardized rate was 20.7%）; the awareness rate was 49.4%, the treatment rate was 41.6% and the control rate was 20.8%, respectively. There was a statistical significance in prevalence rate between male and female （x2=1 1.437, P〈0.01）. The unconditional Logistic regression analysis showed that risk factors for hypertension in this population included old age （OR=1.674, 95%CI： 1.508~1.858）, the low degree of education （OR=1.240, 95%CI： 1.078~1.427）, drinking （OR=1.474, 95%CI： 1.082~2.009）, lacking of exercise （OR=1.347, 95%CI： 1.059~1.714）, inattention of alimentary control （OR=1.082, 95%CI： 1.000~1.171）, family history （OR=1.993, 95%CI： 1.566~2.538） and obesity （OR=2.291, 95%CI： 1.974~2.660）, et al. Conclusion There was a high prevalence rate of hypertension in Shenchi county in Shanxi province. We should make the comprehensive intervention measures according to the status and risk factors of hypertension and make the prevalence rate and complication decreased, and so to enhance the quality of life.

关 键 词：高血压 患病率 危险因素 现况调查 

分 类 号：R544.1[医药卫生—心血管疾病]