西藏农牧区贫困居民高血压患病现状分析  

Analysis on the prevalence of hypertension among the poor residents in Tibet agricultural and pastoral areas

作　　者：白国霞[1] 李亚杰[1] 张方圆[1] 嘎玛仓决[1] 平措卓玛[1] 国胜[1] 

机构地区：[1]西藏自治区疾病预防控制中心,西藏拉萨850000

出　　处：《现代预防医学》2017年第10期1807-1809,1822,共4页Modern Preventive Medicine

基　　金：西藏卫生能力建设项目办"西藏贫困人群卫生服务需要与利用研究"(201409001);西藏大学国家大学生创新性实验计划项目(201410694021)

摘　　要：目的了解西藏农牧区贫困居民高血压患病现状及其影响因素,为高血压疾病防控提供依据。方法采用第五次国家卫生服务调查设计的家庭健康询问调查问卷,进行入户式调查。结果西藏农牧区贫困居民高血压患病率为18.93%;女性患病率高于男性,是男性的2.01倍(χ~2=14.909,P<0.001);随着年龄的增长(χ~2=110.011,P<0.001)、体育锻炼次数的减少(χ~2=31.650,P<0.001)及文化程度的降低(χ~2=14.353,P=0.001),高血压患病率呈上升趋势;超重或肥胖者高血压患病率增高,是其他人群的2.82倍(χ~2=19.886,P<0.001);婚姻状况上,丧偶人群高血压患病率最高(49.32%),其次是离婚人群(22.73%)。多因素非条件回归分析,女性、年龄增长、超重或肥胖、从不锻炼、丧偶、从未上过学是西藏农牧区贫困居民高血压病的危险因素。结论西藏农牧区贫困居民高血压患病率稍高,性别、年龄、BMI、体育锻炼是西藏农牧区贫困居民高血压的主要影响因素。应加强西藏农牧区高血压疾病主题健康教育力度,倡导全民健身。Objective To examine the prevalence and influencing factors of hypertension among poor farmers and herdsmen in Tibet autonomous region,and to provide references for taking corresponding intervention measures. Methods Questionnaire designed by the fifth national health service survey was used forhousehold health survey in this study. Results The prevalence of hypertension among the poor residents in Tibet agricultural and pastoral areas was 18.93%. The prevalence was 2.01 times higher in female than male （χ^2=14.909,P〈0.001）. Prevalence of hypertension among poor residents in the agricultural and pastoral areas of Tibet rate went up with increasing age （χ^2=110.011 ,P〈0.001）, decreasing frequency of physical exercise （χ^2=31.650,P〈0.001）orlower educational level （χ^2=14.353 ,P=0.001）,. The prevalence of hypertension in overweight or obese patients was 2.82 times higher than that of other people （χ^2=19.886,P〈0.001）. The prevalence of hypertension was highest （49.32%） among the widowed, followed by divorced population （22.73%）. Multivariate unconditioned regression analysis showed that female gender, overweight or obese patients, lacking physical exercise and older age were the risk factors of suffering hypertension disease. Conclusion The prevalence of hypertension was slightly higher among the poor people in Tibet agricultural and pastoral areas. Gender, age, BMI, physical exercise were the main influencing factors of hypertension in Tibet rural areas. Effort should be paid to strengthen the health education on hypertension patients in agricultural and pastoral areas of Tibet, improve their diet and advocate the national fitness.

关 键 词：农牧区 贫困居民 高血压 患病现状 分析 

分 类 号：R195.4[医药卫生—卫生统计学]