吉林省德惠地区高血压病流行病学现状及其相关危险因素分析  

Epidemiology of hypertension and its associated risk factors in Dehui city of Jilin Province

作　　者：刘玉连[1] 周海燕[1] 崔美子[1] 刘星星[1] 陶育纯[2] 孟粼[3] 马驰[4] 孙捷[1] 牛俊奇[5] 

机构地区：[1]吉林大学第一医院干部病房,吉林长春130021 [2]吉林大学公共卫生学院流行病与卫生统计学教研室,吉林长春130021 [3]吉林大学口腔医学院,吉林长春130021 [4]吉林大学白求恩医学院,吉林长春130021 [5]吉林大学第一医院肝胆胰内科,吉林长春130021

出　　处：《吉林大学学报（医学版）》2012年第5期1021-1027,共7页Journal of Jilin University：Medicine Edition

基　　金：吉林省科技厅科研基金资助课题(200805107)

摘　　要：目的:了解吉林省德惠地区高血压病的患病率、知晓率、治疗率、控制率和高血压病的危险因素,为经济中等发达县级市高血压病的预防提供依据。方法:采用分层随机抽样的方法,从德惠市51个街道居委会随机抽选了11个街道居委会,其次将所有乡镇的308个村按标志值排序后,随机抽取了9个村,最后共选取了3 778个研究对象行统计学分析。采用Logistic回归分析对高血压病的相关危险因素进行分析。结果:吉林省德惠地区高血压病患病率为41.0%,知晓率、治疗率和控制率分别是8.95%、6.38%和0.45%。城市高血压病患病率为44.5%,农村高血压病患病率为36.3%,两组比较差异具有统计学意义(P<0.05),城市与农村高血压病的知晓率、治疗率、控制率分别是9.9%、7.4%、0.4%和7.6%、5.0%、0.6%。Logistic回归分析表明,高血压病的危险因素包括高龄、男性、中心型肥胖、饮酒、高血压病家族史、糖尿病、血脂异常和职业类型,其优势比(OR)和95%可信区间(95%CI)分别为1.06(1.05～1.06)、1.56(1.29～1.90)、2.42(2.07～2.82)、1.24(1.01～1.52)、1.95(1.55～2.45)、1.56(1.17～2.10)、1.62(1.39～1.88)和1.04(1.01～1.08)。结论:吉林省德惠地区高血压病患病率高于我国其他地区,但知晓率、治疗率和控制率却低于其他地区。Objective To evaluate the prevalence,awareness rate,treatment rate,and control rate of hypertension and risk factors in Dehui city of Jilin Province,and provide reference to prevent hypertension for the middle-economy county-level city.Methods A cross-sectional study was performed among 3 778 subjects in Dehui city of Jilin province.The subject underwent a standard questionnaire,biochemical tests and physical examinations.Logistic regression analysis was used to identify the risk factors of hypertension.Results The prevalence of hypertension was 41.0% in this area;the awareness rate,treatment rate and control rate of hypertension were 8.95%,6.38% and 0.45%,respectively.The awareness rates,treatment rates and control rates of hypertension in city and rural areas were 9.9%,7.4%,0.4%;7.6%,5.0%,0.6%;respectively.The prevalence of hypertension was 44.5% in city,and 36.3% in cural,there was significant differences between city and rural areas（P0.05）.Binary Logistic regression analysis indicated that the relative risks（95% confidence interval） of old age,male,central obesity,drinking,family history of hypertension,diabetes mellitus,dyslipidemia and work for hypertension were 1.06（1.05-1.06）,1.56（1.29-1.90）,2.42（2.07-2.82）,1.24（1.01-1.52）,1.95（1.55-2.45） and 1.56（1.17-2.10）,1.62（1.39-1.88）,1.04（1.01-1.08）,respectively.Conclusion The prevalence of hypertension is higher in Dehui city of Jilin Province than other areas,but the awareness rate,treatment rate and control rate are lower.

关 键 词：患病率 知晓率 治疗率 高血压 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]