西藏老年人高血压流行病学调查及其危险因素分析  

Epidemiological Survey of Hypertension in the Elderly in Tibet and Analysis of Its Risk Factors

作　　者：于跃[1] 史恒 扎西宗吉 白国霞[1] YU Yue;SHI Heng;Taxi Zongji;BAI Guoxia(Tibet Autonomous Region Center for Disease Control and Prevention,Lhasa,Tibet Autonomous Region,850000 China)

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：《中国卫生产业》2021年第34期163-166,共4页China Health Industry

摘　　要：目的了解西藏60岁及以上老年人高血压患病情况及其影响因素,为防治高血压提供依据。方法采用随机整群抽样法抽取2016年7月—2019年7月在西藏常住的8701名60岁及以上的老年人进行调查,分析西藏老年人高血压患病情况及其相关危险因素。结果西藏60岁及以上老年人高血压患病率为68.30%,男性为69.67%,女性为67.33%,差异有统计学意义(χ2=5.224,P<0.05),城乡(OR=0.801)、职业(OR=1.566)、超重及肥胖(OR=1.583)、糖尿病(OR=1.454)与高血压的患病密切相关。高血压患病知晓率、治疗率及控制率分别为49.87%、32.24%、4.36%,高中及以上文化水平、职业为非农民的老年人高血压知晓率、治疗率、控制率较高。结论西藏老年人高血压患病率较高,而知晓率、治疗率和控制率较低,应采取综合干预措施,加强重点危险因素的干预控制,提高高血压患病的知晓率,治疗率、控制率。Objective To understand the prevalence of hypertension and its influencing factors in the elderly aged 60 and above in Tibet,and to provide evidence for the prevention and treatment of hypertension.Methods A random cluster sampling method was used to select 8701 elderly people aged 60 and above who lived in Tibet from July 2016 to July 2019,the prevalence of hypertension and its related risk factors in the elderly in Tibet were analysed.Results The prevalence of hypertension among the elderly aged 60 and over in Tibet was 68.30%,male was 69.67%,female was 67.33%,and the difference was statistically significant(χ2=5.224,P<0.05).Urban and rural(OR=0.801),occupation(OR=1.566),overweight and obesity(OR=1.583),diabetes(OR=1.454)were closely related to the prevalence of hypertension.The awareness rate,treatment rate and control rate of hypertension were 49.87%,32.24%and 4.36%,respectively.The awareness rate,treatment rate and control rate of hypertension among the elderly with high school education level or above and occupation as non-farmers were higher.Conclusion The prevalence of hypertension in Tibetan elderly is high,but the awareness rate,treatment rate and control rate are low.Comprehensive intervention measures should be taken to strengthen the intervention and control of key risk factors,and improve the awareness rate,treatment rate and control rate of hypertension.

关 键 词：高血压 流行病学 危险因素 

分 类 号：R18[医药卫生—流行病学]