枣庄市山亭区成人高血压与糖尿病流行现状及危险因素分析  

Analysis on prevalence and risk factors of hypertension and diabetes among adults in Shanting district,Zaozhuang city

作　　者：李庆花 苗成信 孙娜娜 褚雷雷 LI Qing-hua;MIAO Cheng-xin;SUN Na-na;CHU Lei-lei(Department of Chronic Non-communicable Disease Control and Prevention,Shanting District Center for Disease Control and Prevention,Zaozhuang City,Shandong 277200,China;Shanting District Center for Disease Control and Prevention,Zaozhuang City;Department of Neurology 1,Zaozhuang Central Hospital,Shandong Healthcare Group;Department of Chronic Non-communicable Disease Control and Prevention,Zaozhuang City Center for Disease Control and Prevention)

机构地区：[1]枣庄市山亭区疾病预防控制中心慢性非传染性疾病防制科,山东277200 [2]枣庄市山亭区疾病预防控制中心 [3]山东健康集团枣庄中心医院神经内科一 [4]枣庄市疾病预防控制中心慢性非传染性疾病防制科

出　　处：《预防医学论坛》2024年第8期609-613,共5页Preventive Medicine Tribune

摘　　要：目的 探讨枣庄市山亭区成人高血压与糖尿病患病现状及危险因素,为制定慢性病防控政策与措施提供科学依据。方法 2023年采用多阶段分层整群随机抽样的方法,调查枣庄市山亭区2 006名≥18岁的常住居民,进行问卷调查、体格测量、血糖检测,分析高血压及糖尿病患病情况,采用多因素非条件logistic回归模型分析高血压、糖尿病患病的危险因素。结果 枣庄市山亭区≥18岁居民高血压患病率为31.61%(634/2 006),男性高血压患病率高于女性(χ^(2)=15.682,P<0.001);糖尿病患病率为12.46%(250/2 006),不同性别糖尿病患病率比较,差异无统计学意义(χ^(2)=0.055,P=0.814)。多因素logistic回归分析结果显示,年龄大(χ^(2)=131.943,P<0.001)、离婚/丧偶/分居(χ^(2)=6.689,P=0.010)、超重/肥胖(χ^(2)=82.634,P<0.001)、糖尿病(χ^(2)=15.988,P<0.001)、高血压家族史(χ^(2)=23.495,P<0.001)是高血压患病的危险因素,女性为高血压患病的保护因素(χ^(2)=26.060,P<0.001);年龄大(χ^(2)=63.061,P<0.001)、高血压(χ^(2)=18.769,P<0.001)、糖尿病家族史(χ^(2)=45.507,P<0.001)是糖尿病患病的危险因素。结论 枣庄市山亭区高血压与糖尿病患病率仍处在较高水平。年龄、性别、婚姻状况、体质量、高血压家族史及糖尿病是高血压患病的主要影响因素,年龄、糖尿病家族史及高血压是糖尿病患病的主要影响因素。Objective To explore the prevalence and risk factors of hypertension and diabetes among adults in Shanting district of Zaozhuang city,so as to provide scientific basis for the formulation of chronic disease prevention and control policies and measures.Methods In 2023,2006 permanent residents≥18 years of age in Shanting district,Zaozhuang city were surveyed by multistage stratified cluster random sampling,and questionnaire survey,physical measurements,and blood glucose tests were performed to analyze the prevalence of hypertension and diabetes mellitus,and multifactorial nonconditional logistic regression models were used to analyze the risk factors for the prevalence of hypertension and diabetes mellitus.Results The prevalence of hypertension among residents aged≥18 in Shanting district of Zaozhuang city was 31.61%(634/2006),and the prevalence of hypertension in men was higher than that in women(χ^(2)=15.682,P<0.001);The prevalence of diabetes was 12.46%(250/2006),and there was no significant difference in the prevalence of diabetes between sexes(χ^(2)=0.055,P=0.814);Multivariate logistic regression analysis showed that older age(χ^(2)=131.943,P<0.001),divorce,widowhood,separation(χ^(2)=6.689,P=0.010),overweight,obesity(χ^(2)=82.634,P<0.001),diabetes(χ^(2)=15.988,P<0.001),and family history of hypertension(χ^(2)=23.495,P<0.001)were risk factors for hypertension,and women were protective factors for hypertension(χ^(2)=26.060,P<0.00);older age(χ^(2)=63.061,P<0.001),hypertension(χ^(2)=18.769,P<0.001)and family history of diabetes(χ^(2)=45.507,P<0.001)were the risk factors for diabetes.Conclusion The prevalence of hypertension and diabetes in Shanting district of Zaozhuang city is still at a high level.Age,gender,marital status,body mass,family history of hypertension and diabetes are the main influencing factors of hypertension.Age,family history of diabetes and hypertension are the main influencing factors of diabetes.

关 键 词：慢性病 糖尿病 高血压 流行现状 危险因素 

分 类 号：R181.37[医药卫生—流行病学]