广州市某转型社区居民高血压流行现状调查  

ANALYSIS ON EPIDEMIOLOGICAL CHARACTERISTICS OF HYPERTENSION AMONG RENSIDENTS IN A RURAL TO URBAN TRANSITIONAL COMMUNITY IN GUANGZHOU

作　　者：何健荣[1] 陈丽娟[1] 钟灶华 任泽舫[1] 刘静 何玉梅 常旭 

机构地区：[1]中山大学公共卫生学院医学统计与流行病学系,广州510080 [2]广州市萝岗区九佛医院 [3]广州市开发区医院

出　　处：《现代预防医学》2011年第12期2224-2226,2236,共4页Modern Preventive Medicine

基　　金：广州市萝岗区科技创新项目(2009Q-P079)

摘　　要：[目的]了解广州市萝岗区九龙镇九佛片区居民的高血压病的流行现状,为开展高血压人群防治提供科学依据。[方法]采用多阶段整群随机抽样方法,对九佛地区l5岁及以上的居民进行问卷调查及体格检查。[结果]共完成问卷调查和血压测量2980人,粗患病率为20.5%,标化率为17.6%,其中男性粗患病率为22.6%,女性为18.5%,男性高于女性(χ2=7.51,P=0.006)。高血压患病率随年龄增长而上升(χ2趋势=420.2,P﹤0.001);随着文化程度的增高,高血压患病率降低(χ2趋势=123.1,P﹤0.001)。不同体重指数及腰围的人群高血压患病率不同,BMI≥28.0kg/m2组患病率最高(28.1%),向心性肥胖者高血压患病率大于腰围正常者(P﹤0.001);I、II和III级高血压分别占77.9%、16.5%和5.6%。高血压患者的知晓率、治疗率和控制率分别为22.3%、15.4%和3.1%,明显低于广州市水平。[结论]九佛区高血压患病率明显高于2002年广东省水平和2004年广州市水平,故在大力发展农村经济的同时,也应注重居民的高血压防治。[Objective]To find out the epidemiological characters of hypertension in the region of Jiufo Jiulong Luogang District,Guangzhou City.[Methods]3095 subjects over 15 years old were selected with stratified multi-stage randomized sampling.The general information and the history of hypertension were investigated by face-to-face interview and blood pressure（BP）,body height,body weight and waistline were measured by physical examination.[Results]A total of 2 980 subjects had the interview and measurement,and the crude prevalence of hypertension was 20.5%,the age-adjusted prevalence was 17.6%.The prevalence was higher in male than female（χ2 = 7.51,P = 0.006）.The prevalence was increased with age and decreased with the level of education（P﹤0.01）.The ratios of Hypertension in diagnosed patients with stage I,II or III degree were accounted for 77.9%,16.5% and 5.6%,respectively.The prevalence was increased with BMI and waistline increasing（P﹤0.01）both in male and in female.Among the hypertensive patients,22.3% of them were aware of their BP,15.4% accepted medication treatment,and 3.1% had their BP under contro1.These three percentages were much lower than those in Guangzhou City.[Conclusion]Our data suggested that the prevalence of hypertension in Jiufo was higher while the effectiveness of prevention was lower than that in Guangzhou.Intervention of hypertension should be reinforced in this area.

关 键 词：高血压 流行现状 患病率 转型社区 

分 类 号：R181.22[医药卫生—流行病学]