河北省邢台市城乡居民高血压患病情况及其影响因素的流行病学调查研究  

Epidemiological Investigation on Prevalence of Hypertension and Its Influencing Factors of Urban and Rural Residents in Xingtai,Hebei Province

作　　者：常永丽[1] 

机构地区：[1]邢台医学高等专科学校,河北省邢台市054000

出　　处：《实用心脑肺血管病杂志》2015年第11期37-40,共4页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金："十二五"国家科技支撑计划项目:中国重要心血管病患病率调查及关键技术研究(2011BAI11B01)

摘　　要：目的调查河北省邢台市城乡居民高血压患病情况及其影响因素。方法采用多阶段整群分层随机抽样方法于2013年9月抽取邢台市6个居民委员会和6个村民委员会年龄≥15周岁的常住居民4 010人。参照《全国心脑血管病危险因素监测资料》调查表,结合本研究目的自行设计调查表,调查内容包括年龄、性别、文化程度、婚姻状况、吸烟情况、健身锻炼情况及家族史(包括高血压、高脂血症、糖尿病、脑卒中及冠心病)等一般资料,腰围、身高、体质量及外周血压等体格检查指标,食盐量及食油量等饮食习惯,采用非条件logistic回归分析筛选高血压的影响因素。结果本调查共发放4 010份调查表,回收3 801份,回收率为94.8%。邢台市城乡居民高血压患病率为19.0%(724/3 801),且城市居民〔18.3%(343/1 903)〕与农村居民〔20.2%(383/1 898)〕高血压患病率比较,差异无统计学意义(P>0.05)。单因素分析结果显示,高血压患病率随年龄增长呈上升趋势(χ2趋势=213.32,P=0.00);不同文化程度、婚姻状况,是否吸烟,不同健身锻炼情况,有无高血压家族史、高脂血症家族史、糖尿病家族史、脑卒中家族史及冠心病家族史及是否为中心性肥胖、不同体质指数(BMI)、不同食盐量邢台市城乡居民高血压患病率比较,差异有统计学意义(P<0.05);不同性别、食油量邢台市城乡居民高血压患病率比较,差异无统计学意义(P>0.05)。非条件logistic回归分析结果显示,年龄〔OR=1.814,95%CI(1.691,1.947)〕、婚姻状况〔OR=1.485,95%CI(1.146,1.923)〕、吸烟〔OR=1.906,95%CI(1.463,2.483)〕、高血压家族史〔OR=3.111,95%CI(2.452,3.946)〕、中心性肥胖〔OR=1.430,95%CI(1.147,1.783)〕、BMI〔OR=1.982,95%CI(1.703,2.306)〕及食盐量〔OR=1.323,95%CI(1.121,1.562)〕是邢台市城乡居民高血压的独立危险因素,文化程度是其保护因素〔OR=0.729,95%CI(0.654,0.814)〕。结论邢台市城乡居民高血�Objective To investigate the prevalence of hypertension and its influencing factors of urban and rural residents in Xingtai,Hebei Province. Methods In September 2013,a total of 4 010 urban and rural residents equal or over 15 years old were selected in 6 residents＇ committees and 6 villagers＇ committees in Xingtai,Hebei Province by multistage stratified random cluster sampling method. Self- designed questionnaire was used to correlated related information according to the National Cardio- cerebrovascular Disease Risk Factors Monitoring Data and the purpose of this study, including general information（ including age, gender, educational level, marital status, smoking status, physical exercise situation, family history of hypertension, hyperlipidaemia, diabetes, stroke and coronary heart disease）, physical examination indicators（ waistline,height,body weight and peripheral blood pressure） and dietary habit（ edible salt intake and cooking oil intake）,non- conditional logistic regression analysis was used to analyze the influencing factors of hypertension. Results The recovery rate of questionnaires was 94. 8%（ 3 801 /4 010）. The prevalence rate of hypertension of urban and rural residents in Xingtai,Hebei Province was 19. 0%（ 724 /3 801）,and no statistically significant differences of prevalence rate was found between urban residents and rural residents 〔18. 3%（ 343 /1 903） vs 20. 2%（ 383 /1 898）,P 〉0. 05 〕. Univariate analysis showed that,the prevalence rate of hypertension increased along with the age（ χ^2trend= 213. 32,P = 0. 00）; there were statistically significant differences of prevalence rate of hypertension in urban and rural residents in Xingtai with different educational levels, marital status,moking status,physical exercise situations, BMI, edible salt intake, with or without family history of hypertension,hyperlipidaemia,diabetes,stroke and coronary heart disease,with or without central obesity（ P 〈0. 05）,while no statistically significant differences of

关 键 词：高血压 影响因素分析 邢台市 数据收集 

分 类 号：R544.1[医药卫生—心血管疾病]