社区高血压控制影响因素的病例对照研究  

A case- control study on influencing factors of community- based hypertension control

作　　者：卢汉体 方杭燕[2] 丁丞[1] 沈毅[1] 

机构地区：[1]浙江大学公共卫生学院,浙江杭州310058 [2]杭州市余杭区疾病预防控制中心

出　　处：《浙江预防医学》2015年第7期665-668,共4页Zhejiang Journal of Preventive Medicine

摘　　要：目的探讨社区高血压患者血压控制的影响因素,为制定相应的干预措施提供依据。方法采用病例对照研究,通过二阶段整群随机抽样从杭州市余杭区20个乡镇（街道）中各随机抽取1个村,每村抽取100例,抽取2 126例高血压病例为调查对象,其中高血压控制1 377例为病例组,血压未控制749例作为对照组进行问卷调查。对调查数据进行描述性分析、单因素和多因素Logistic回归分析。结果社区高血压控制率为64.77%,单因素Logistic回归分析显示,BMI、病程以及随访模式等3个因素与高血压的控制相关（P〈0.05）;多因素Logistic回归分析显示,年龄大（OR=0.983,95%CI：0.974~0.993）、男性（OR=1.272,95%CI：1.053~1.535）、超重（OR=0.709,95%CI：0.576~0.872）、肥胖（OR=0.297,95%CI：0.210~0.421）和集中式随访（OR=0.495,95%CI：0.375~0.654）是影响高血压控制的不利因素。结论影响高血压控制的因素有高龄、男性、超重、肥胖和集中式随访,应进一步加强社区高血压综合干预,提高社区患者的血压控制水平。Objective To understand the influencing factors of hypertension control,and to provide a theoretical basis for developing intervention measures. Methods A two- stage cluster random sampling method was performed and a total of1 377 cases and 749 controls in Yuhang District were selected. Univariate and multivariate logistic regression analysis were used. Results The control rate of hypertension was 64. 77%. Hypertension control was related to BMI,course of disease and models of follow- up by univariate logistic regression analysis（ P 0. 05）. The multivariate logistic regression analysis showed that older age（ OR = 0. 983,95% CI = 0. 974- 0. 993）,male（ OR = 1. 272,95% CI = 1. 053- 1. 535）,overweight（ OR = 0. 709,95% CI = 0. 576- 0. 872）,obesity（ OR = 0. 297,95% CI = 0. 210- 0. 421） and model of group follow- up（ OR = 0. 495,95% CI = 0. 375- 0. 654） were the major influencing factors. Conclusion The older age,male,overweigt,obesity and model of group follow- up were the major influencing factors. Comprehensive intervention measures should be strengthened so as to improve the control rate of hypertension in community.

关 键 词：高血压控制 影响因素 病例对照 社区 

分 类 号：R544.11[医药卫生—心血管疾病]