湖北省15岁以上居民高血压患病状况分析  

Analysis on prevalence situation of hypertension among residents aged 15 years old or more in Hubei Province

作　　者：潘琦[1] 郭立新[1] 刘薇[2] 肖琛嫦[2] 陈功[2] 燕虹[2] 李十月[2] 

机构地区：[1]北京医院内分泌科,北京100730 [2]武汉大学公共卫生学院,武汉430071

出　　处：《重庆医学》2016年第18期2532-2534,共3页Chongqing medicine

基　　金：国家自然科学基金资助项目(81273135);十二五课题"心脑血管疾病新药临床评价技术平台研究"(2012ZX09303-008-002)

摘　　要：目的了解湖北省居民高血压患病状况及其相关因素,为预防及控制居民高血压提供参考依据。方法采用多阶段分层整群随机抽样的方法,于2013年在湖北省20个县（市、区）抽取15岁以上居民,采用统一的问卷对调查对象进行面对面入户询问调查。采用多元Logistic回归分析方法分析高血压的影响因素。结果共调查28 555人,报告高血压4 135人,高血压患病率为14.48%。城市高血压患病率为18.41%,农村高血压患病率为11.71%,城市居民高血压患病率高于农村居民（P〈0.01）。男、女高血压患病率分别为14.10%、14.83%,不同性别高血压患病率比较差异无统计学意义（P〉0.05）。多元Logistic回归分析显示,随着年龄增加,高血压患病风险增加;与在业人员相比,离退休（OR=1.44,95%CI：1.25-1.65）和失业/无业人员（OR=1.29,95%CI：1.15-1.46）高血压患病可能性较大;收入水平高者高血压患病可能性较低;肥胖（OR=3.09,95%CI：2.63-3.63）和糖尿病者（OR=3.87,95%CI：3.30-4.52）更有可能患高血压。结论湖北省15岁以上居民高血压患病率呈上升趋势,需相关部门及机构采取措施积极预防与控制。Objective To understand the hypertension prevalence situation and its associated factors among residents in Hu‐bei Province to provide a reference basis for preventing and controlling residents′ hypertension .Methods The residents aged 15 years old or more were sampled from 20 counties （cities and districts） by adopting the multi‐staged stratified cluster sampling .The unified questionnaire was adopted to conduct the face to face interview by entering home .The multivariate Logistic regression was used to analyze the influencing factors of hypertension .Results A total of 28 555 respondents were investigated ,4 135 respondents reported hypertension and the hypertension prevalence rate was 14 .48% .The hypertension prevalence rate in urban residents was 18 .41% ,which was higher than 11 .71% in rural residents（P〈0 .01） .The prevalence rates in males and females were 14 .10% and 14 .83% respectively ,showing no statistically significant difference between males and females （P〉0 .05） .The multivariate Logistic regression results revealed that the risk of hypertension was increased with age ;compared with job‐hololers ,the retired（OR=1 .44 , 95% CI：1 .25-1 .65）and the unemployed（OR=1 .29 ,95% CI：1 .15-1 .46）had more possibility to suffer from hypertension ;higher income earners had lower risk of hypertension ;obese people（OR=3 .09 ,95% CI：2 .63-3 .63）and diabetes（OR= 3 .87 ,95% CI：3 .30-4 .52）were more likely to suffer from hypertension .Conclusion The prevalence rate of hypertension among residents aged 15 years old or more in Hubei Province presents the increasing trend ,which needs the corresponding departments and institutions to adopt the measures to actively prevent and control hypertension .

关 键 词：高血压 患病率 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病]