2010年新疆监测点居民高血压现况分析  

Analysis on hypertension prevalence among residents in Xinjiang monitoring stations,2010

作　　者：关玉梅[1] 刘来新[1] 者炜[1] 罗卫平[1] 马江平[1] 索菲娅[1] 廖佩花[1] 

机构地区：[1]新疆维吾尔自治区疾病预防控制中心,新疆乌鲁木齐830002

出　　处：《中国健康教育》2014年第11期971-975,共5页Chinese Journal of Health Education

摘　　要：目的通过对新疆18岁及以上常住居民血压情况、高血压管理现状及其影响因素的调查,掌握高血压的知晓率、治疗率、血压控制率以及影响因素,为制定高血压干预措施提供依据。方法采用多阶段整群随机抽样的方法,调查了新疆5个监测点共2999名18岁及以上常住居民。采取集中和入户相结合调查的方式获得资料。采用SPSS 13.0统计分析软件进行分析。结果新疆监测点18岁及以上人群高血压患病率为33.34%,高血压知晓率为39.40%,高血压治疗率为31.20%,血压控制率为10.80%。Logistic单因素回归分析结果显示年龄大（OR=0.639,95%CI：0.598～0.682）、文化水平低（OR=1.165,95%CI：1.078～1.258）、汉族（OR=1.296,95%CI：1.167～1.439）、超重/肥胖（OR=0.506,95%CI：0.453～0.565）、食用水果不足（OR=1.286,95%CI：1.020～1.620）、食用蔬菜不足（OR=1.420,95%CI：1.183～1.705）、食用盐过量（OR=1.416,95%CI：1.120～1.790）、食用油过量（OR=1.532,95%CI：1.193～1.966）等患高血压的风险高。结论新疆监测点高血压患病率高,高血压知晓率、治疗率、血压控制率均低,高血压危害严重,高血压病人的治疗管理要加强;肥胖、吸烟、饮酒、蔬菜水果摄入不足、过量摄入食用油盐、低水平的身体活动等高血压危险因素居高不下,需要采取综合性干预措施和健康管理来逐步降低高血压病的危害。Objective To investigate blood pressure,hypertension management status and its influencing factors among residents aged 18 years old and above in Xinjiang,understand the rate of awareness,treatment and control of hypertension,and provide evidence for hypertension intervention measures. Methods Totally 2999 residents aged over 18 years old from 5 monitoring point were selected by multi-stage cluster random sampling method. Focused and household investigation methods were used to collect data,statistical software SPSS 13. 0 was used for data analysis. Results The prevalence rate of hypertension was 33. 34% among the subjects. 39. 40% of them were aware of their high blood pressures,31. 20%receiving medications,and 10. 80% achieving targeted blood pressure. The main risk factors were aging（ OR = 0. 639,95% CI： 0. 598- 0. 682）,overweight / obesity（ OR = 0. 506,95% CI： 0. 453- 0. 565）,low cultural level（ OR =1. 165,95% CI： 1. 078- 1. 258）,the Han nationality（ OR = 1. 296,95% CI： 1. 167- 1. 439）,low fruit intake（ OR= 1. 286,95% CI： 1. 020- 1. 620）,low vegetable intake（ OR = 1. 420,95% CI： 1. 183- 1. 705）,high salt intake（ OR = 1. 416,95% CI： 1. 120- 1. 790）,high edible oil intake（ OR = 1. 532,95% CI： 1. 193- 1. 966） as logistic regression analysis shown. Conclusion There are high prevalence rate of hypertension and low awareness,treatment and control rate in community residents. The hypertension effective measures should be carried out to improve the treatment and control of hypertension patients. Factors that are linked to high blood pressure,such as overweight,smoking,drinking,low fruit and vegetable intake,high salt and edible oil intake,are in high-level. Comprehensive intervention measures and health management should be taken to reduce prevalence rate of hypertension.

关 键 词：高血压 患病率 危险因素 调查 LOGISTIC回归分析 

分 类 号：R193[医药卫生—卫生事业管理] R544.1[医药卫生—公共卫生与预防医学]