青海省不同地区居民高血压患病现状及危险因素分析  

Analysis on prevalence status of hypertension and its risk factors among inhabitants in different areas of Qinghai province

作　　者：李晓萍[1] 周敏茹[1] 许志华[1] 韦文会 景强[1] 郭淑玲[1] 

机构地区：[1]青海省疾病预防控制中心,青海西宁810007

出　　处：《现代预防医学》2013年第3期578-580,共3页Modern Preventive Medicine

摘　　要：目的了解青海省不同地区(城市、农村、半农半牧区、牧区)居民高血压患病率及危险因素,为制定干预措施提供科学依据。方法采用多阶段随机整群抽样方法抽取西宁市城西区、海东地区互助县、海南州贵南县和黄南州河南县的12个乡/街道36个村为调查点,对每个调查点18岁以上常住居民进行高血压相关调查。结果本次调查18岁以上人群血压测量有效人数2633人,其中男性1191人、女性1442人。高血压患病率为20.81%,各地高血压患病率分别为城市25.27%、农村22.27%、半农半牧区19.22%、牧区仅为16.59%,各地高血压患病率差异有统计学意义(χ2=16.999,P=0.001);经多因素非条件Logistic回归分析表明,年龄、体质指数、腰围、高血压家族史、脑卒中家族史是高血压的危险因素。结论高血压患病率高且有逐年上升的趋势,应针对高血压现况及危险因素采取综合防治措施。OBJECTIVE To know the prevalence status and awareness rate of hypertension among inhabitants in different areas of Qinghai Province （city, rural, farming-pastoral and pastoral area）; To find the risk factors that can cause hypertension; To provide scientific bases for intervention measures. METHODS Adopted the method of multi-stage random cluster sampling. 36 committees and villages （12 townships） among 4 areas of Qinghai Province were selected as the investigative spots, including Xining （Chengxi district）, Haidong （Huzhu county）, Hainan （Guinan County）, Huangnan （Henan County）. In each spot, permanent residents aged above 18 years were investigated on the correlation study of hypertension. RESULTS In this study, 2 633 residents aged above 18 years were investigated, of which 1 191 men and 1 442 women were included. The prevalent rate of hypertension was 20.81%, in which the city was 25.27%, the rural was 22.27%, the farming-pastoral area was 19.22%, and the pasturing area only 16.59%, there was a statistical significant difference among the prevalence rates of hypertension （χ2 = 16.999, P = 0.001）. The multivariate Logistic regression analysis showed the risk factors for hypertension in this population included age, body mass index （BMI）, waist circumference, family history of hypertension, family history of stroke. CON- CLUSION There is a high prevalent rate of hypertension in Qinghai Province. So we should take some measures aiming at the present situation and risk factors of hypertension.

关 键 词：高血压 患病率 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]