河南农村成年人高血压患病率及影响因素  

Prevalence of hypertension and influencing factors among rural adults in Henan province

作　　者：潘静静[1] 王重建[1] 杨黎明[1] 申明慧[1] 陈小良[1] 梁森[1] 孙亮[1] 胡东生[1] 

机构地区：[1]郑州大学公共卫生学院流行病学教研室,郑州450001

出　　处：《郑州大学学报（医学版）》2010年第3期429-431,共3页Journal of Zhengzhou University(Medical Sciences)

基　　金：国家"十一.五"科技支撑计划基金资助项目2006BAI01A01

摘　　要：目的:了解河南省农村地区成年人高血压的患病率及其影响因素。方法:2007年7月至2008年7月,采用随机整群抽样的方法调查河南省新安县35～74岁常住居民高血压的患病率,并采用logistic回归分析其影响因素。结果:共调查16953人,高血压的粗患病率为33.2%,用2000年全国人口数据标化后,高血压患病率为29.8%,女性高于男性(χ2=81.979,P<0.001)。高血压患病率随年龄增加而升高(χ2=1321.850,P<0.001)。在男性中,肥胖(OR=2.952,95%CI:2.443～3.567)、高血压家族史(OR=2.281,95%CI:1.994～2.610)和糖尿病(OR=1.500,95%CI:1.202～1.870)是高血压的独立危险因素,体力活动(OR=0.825,95%CI:0.763～0.891)是其独立保护因素;在女性中,肥胖(OR=2.732,95%CI:2.428～3.075)、高血压家族史(OR=2.573,95%CI:2.320～2.853)和糖尿病(OR=1.334,95%CI:1.131～1.573)是高血压的独立危险因素,体力活动(OR=0.890,95%CI:0.839～0.944)是其独立保护因素。结论:河南农村成年人具有很高的高血压患病率,应控制肥胖、糖尿病和血脂异常,从而防治高血压。Aim：To investigate the prevalence of hypertension and the influencing factors among rural adults in Henan province.Methods：Residents aged 35~74 years in Xin＇an county of Henan province were selected randomly by cluster sampling technique and investigated for hypertension prevalence from July 2007 to July 2008. The logistic regression method was used to analyze the influencing factors. Results：A total of 16 953 participants were investigated. The crude prevalence of hypertension was 33.2% and the age-adjusted rates by the population data of 2000 in China was 29.8%. The prevalence of hypertension in females was higher than that in males （χ2=81.979,P0.001） and the prevalence increased with age （χ2=1 321.850,P0.001）. For males,obesity （OR=2.952,95%CI：2.443~3.567）,hypertension family history （OR=2.281,95%CI：1.994~2.610） and diabetic mellitus（DM） （OR=1.500,95%CI：1.202~1.870） were main independent risk factors for hypertension and the physical activity （OR=0.825,95%CI：0.763~0.891） was independent protective factor. For females,obesity （OR=2.732,95%CI：2.428~3.075）,hypertension family history （OR=2.573,95%CI：2.320~2.853） and DM （OR=1.334,95%CI：1.131~1.573） were main independent risk factors for hypertension and the physical activity （OR=0.890,95%CI：0.839~0.944） was independent protective factor.Conclusion：The prevalence of hypertension among rural adults in Henan province is high; obesity,DM and dyslipidemia should be controlled in order to prevent and treat hypertension.

关 键 词：河南省 农村 成年人 高血压 患病率 影响因素 

分 类 号：R195.4[医药卫生—卫生统计学]