中国东南亚边贸口岸民族地区高血压患病情况及其影响因素研究  

Prevalence of hypertension and its influencing factors in ethnic area of Southeast Asia border trade port, Yunnan

作　　者：苏明华[1] 杨云娟[2] 杨汝成 汪成波 杨丽香[1] 

机构地区：[1]云南省德宏州瑞丽市疾病预防控制中心慢性非传染病科,云南瑞丽678600 [2]云南省疾病预防控制中心慢性非传染病所,云南昆明650022 [3]云南省德宏州疾病预防控制中心慢性非传染病科,云南芒市678400

出　　处：《现代预防医学》2015年第9期1537-1542,共6页Modern Preventive Medicine

摘　　要：目的探讨我国东南亚边贸民族地区居民高血压的流行规律、分布特点及其影响因素,为制定相关的预防干预策略提供科学依据。方法采用多阶段分层随机整群抽样的方法,对2013年云南省瑞丽市居住在随机所抽到家庭中的15-89岁居民进行问卷和体格测量等调查。本研究共调查1 614人。结果高血压的患病率为27.45%,标化患病率为27.15%。随着年龄的增加,患高血压的风险也相应的增高;男性高于女性。年龄、男性（OR=1.90）、腹型肥胖（OR=1.51）、体质指数超重（OR=1.71）、肥胖（OR=3.52）、血脂异常（OR=1.80）、血糖异常（OR=1.60）、高血压家族史（OR=1.67）是高血压患病的独立危险因素。每周锻炼时间在3 d及以上和食用薯类是患高血压的保护因素。结论中国东南亚边贸口岸民族地区居民的高血压问题不容忽视。云南省今后应加强对该地区人群的高血压预防与干预,尤其是45岁以上的中老年男性,以减少高血压、冠心病和脑卒中等慢性病的发生。Objectives To explore the prevalence trend and its influencing factors of hypertension in ethnic area of Southeast Asia border trade port and to supply scientific evidence to make policies and strategies for hypertension prevention and contro1. Methods In 2013, the residents of the random sampled family and aged 15 to 89 enrolled in questionnaire survey and physical examination. Totally 1614 individuals were investigated. Results The prevalence of hypertension was 27.45%, and the standardized prevalence was 27.15%. With the increasing age, the hypertension prevalence increased. The prevalence of males was higher than that of females. The residents aged 45-59 （OR=2.54）, aged more than 60 （OR=8.25）, the male （OR=1.90）, the central obesity （OR=1.51）, the over-weight （OR=1.71）, the fatter （OR=3.52）, the dyslipidemia （OR=1.80）, the abnormal of the limosis blood sugar （OR=1.60） and the family history of hypertension （OR=1.67） were independent risk factors of hypertension. Taking exercises more than 3 day per week and eating tuber crop were the protective factors of hypertension. Conclusion The hypertension problem of the residents cannot be ignored in ethnic area of Southeast Asia border trade port. The prevention and control of chronic diseases in this area should be enhanced, especially for the male aged more than 45, to decrease the incidence of chronic diseases.

关 键 词：高血压 流行现状 影响因素 

分 类 号：R181.37[医药卫生—流行病学]