广西城乡男性居民饮酒量与高血压的关系研究  

Relationship between quantity of alcohol intake and prevalence of hypertension of urban and rural male residents in Guangxi

作　　者：唐振柱[1] 陈兴乐[1] 黄兆勇[1] 刘玄华[1] 韩彦彬[1] 方志峰[1] 阮青[1] 黄林[1] 杨娟[1] 黄江平[1] 张洁宏[1] 

机构地区：[1]广西壮族自治区疾病预防控制中心,南宁530028

出　　处：《应用预防医学》2009年第5期262-265,共4页Applied Preventive Medicine

基　　金：广西卫生厅科研课题(Z2007022)

摘　　要：目的探讨广西城乡男性居民酒精摄入量与高血压患病的关系。方法利用2002年广西营养与健康调查数据,该调查采用多阶段分层整群随机抽样方法,在4个城市和4个县分别抽取城乡15岁及以上男性居民1 322人,分别对城乡居民开展医学体检、饮酒和行为因素调查;并采用Logistic回归分析进行多因素分析。结果在1 322人中确定278例高血压患者,15岁及以上城乡男性居民高血压患病率为21.0%,其中农村男性居民患病率为22.8%,城市为19.2%(P>0.05);男性居民饮酒率农村为50.07%,城市为44.05%,农村男性居民总的酒精摄入量为20.07±40.06g/d,略高于城市男性居民(15.37±50.45g/d),差异无统计学意义(P>0.05);随着酒精摄入量的增加,城乡男性居民高血压患病率均呈现明显升高趋势。非条件Logistic回归分析,调整年龄、文化、经济收入、吸烟、民族、BMI、向心性肥胖等因素,显示城市男性居民酒精摄入量≥25.0g/d、农村≥50.0g/d,高血压患病率高于从不饮酒组(P<0.05)。结论酒精摄入≥25.0g/d、≥50.0g/d分别是广西城市、农村男性居民高血压的重要独立危险因素。Objective To explore the relationship between the daily intake of alcohol and hypertension of urban male residents （UMR） and rural male residents （RMR） in Guangxi. Methods The data was from Guangxi nutrition study, 2002. Using the multistage stratified randomized cluster sampling, 1322 residents （ ≥ 15 years old） were selected in four cities and four counties, Guangxi. By the means of medical examination and a series of questionair, the data about alcohol intake and social economical behavior factors of the two groups was obtained and analysed with binary Logistic regression model. Results 278 male residents were diagnosed as hypertension and the average prevalence of hypertension of male residents （ ≥ 15 years old） was 21.0% , and the RMR＇ s was 22.8% and the UMR＇ s was 19.2% （P 〉 0.05）. The alcohol intake rate of RMR was 50.07% , and 44.05% in UMR. Although the average alcohol intake of RMR （20.07±40.06g/d） was a little higher than the UMR＇ s（ 15.37± 50.45g/d）, there was no obvious statistical significance between them （ P 〉 0.05）. Along with increasing intake of alcohol, the prevalence of hypertension obviously rose in the two groups. By adjusting the factors including the effect of age, culture, family income, smoking, nation, BMI and central obesity etc, non - conditional Logistic regression model showed that the prevalence of hypertension of the group with alcohol intake ± 25.0g/ d was higher than the group without alcohol intake in UMR, while the group with alcohol intake ± 50.0g/d was higher than the group without alcohol intake in RMR （P 〈 0.05）. Conclusion Alcohol intake ± 25g/d, and ± 50g/d are respectively considered to be an independent risk factor for UMR and RMR suffering from hypertension in Guangxi.

关 键 词：男性 酒精摄入量 高血压 

分 类 号：R544.101[医药卫生—心血管疾病]