岱山县海岛渔农村居民高血压现状及危险因素流行病学调查  

Epidemiological survey of hypertension prevalence and related risk factors in Daishan county

作　　者：何存弘[1] 夏仕军[1] 

机构地区：[1]浙江省岱山县疾病预防控制中心,浙江岱山316200

出　　处：《中国农村卫生事业管理》2013年第9期1012-1016,共5页Chinese Rural Health Service Administration

基　　金：2011年度浙江省重大科技专项计划项目(编号:2011C13032-1)

摘　　要：目的:了解海岛渔农村居民高血压患病情况和相关危险因素,为制定高血压防治策略提供科学依据。方法:采用多阶段整群随机抽样的方法,抽取岱山县18岁以上渔农村居民1 149人,进行高血压患病情况调查,并对高血压患病的影响因素进行单因素和多因素非条件logistic回归分析。结果:海岛渔农村18岁以上居民高血压患病率为21.58%,标化率14.43%;其中男性患病率20.56%,标化率13.23%;女性患病率22.38%,标化率15.52%,男女性差异无统计学意义(χ2=0.55,P﹥0.05)。高血压患病率有随着年龄的增大而上升的趋势;高血压知晓率、治疗率和控制率分别为60.48%、43.95%和25.81%。多因素非条件logistic回归分析显示年龄、高血压家族史、高甘油三酯、高总胆固醇、糖尿病和超重或肥胖为高血压危险因素。结论:海岛渔农村居民的高血压患病率低于全国基本患病率,但知晓率、治疗率和控制率仍较低。要加强社区综合干预工作,有效控制高血压及心脑血管疾病的发生发展。Objective To study the hypertension prevalence and its related risk factors among the fishing village resi- dents in Daishan county,Zhejiang. Methods A multistage randomized clustering sampling was used to investigate 1149 residents aged 18 years and over. A face--to--face interview and physical examination were carried out to survey the prevalence of hypertension. Both single--factor and multiple--factors logistic regression analyses were used for the risk factor determination of hypertension. Results The prevalence rate of the hypertension was 21.58 % in residents of fish- ing village in Daishan County, and the age--standardized rate was 14.43 %. The prevalence of male was 20.56 %, and the age--standardized rate was 13.23 %. The prevalenee of female was 22.38M, and the age--standardized rate was 15.52 %. There was no significant difference between females and males（l（2 = 0.55, P^0.05）. The prevalence rate of the hypertension was increasing with age in all samples;The proportions of participants with hypertension awareness, treatment, and control rates were 60.48 ~ ,43.95 % and 25.81%, respectively. A multiple--factor unconditioned logis- tic regression model suggested that the risk factors of hypertension included age, the family history of hypertension, hy- pertriglyceridemia,hypercholesterolemia,diabetes mellitus and overweight/obesity. Conclusions The prevalence rate of hypertension was lower in the fishing village residents of Daishan than the national basic prevalence. But hypertension awareness, treatment, and control rates were low. It is important to carry out a community based hypertension interven- tion focusing on the risk factors of the disease.

关 键 词：高血压 患病率 危险因素 调查 

分 类 号：R544.1[医药卫生—心血管疾病]