北京市石景山區(qū)居民高血壓流行現(xiàn)狀及影響因素分析
發(fā)布時(shí)間:2018-03-15 01:13
本文選題:高血壓 切入點(diǎn):危險(xiǎn)因素 出處:《中國(guó)健康教育》2017年09期 論文類型:期刊論文
【摘要】:目的了解北京市石景山區(qū)高血壓的流行特征及防治水平。方法 2015年在石景山區(qū)9個(gè)街道的社區(qū)居民進(jìn)行慢性病及其危險(xiǎn)因素現(xiàn)況調(diào)查,收集居民有關(guān)高血壓的患病、治療和控制情況。結(jié)果共調(diào)查年齡在18歲及以上常住居民4880人。高血壓患病率為36.1%,知曉率、治療率及控制率分別為63.7%,55.6%和35.3%。高血壓患病率隨年齡的增長(zhǎng)而顯著增高(χ~2=62.77,P0.01),年齡在60歲以前男性高血壓患病率明顯高于女性(χ~2=39.61,P0.01),隨著年齡增長(zhǎng)在50歲以后女性高血壓患病率上升明顯,60歲以后女性高血壓患病率甚至超過男性(χ~2=3.81,P0.01)。多因素Logistic回歸分析顯示:高血壓的主要危險(xiǎn)因素有年齡(OR=1.776,95%CI:1.679~1.879)、飲酒(OR=1.604,95%CI:1.349~1.908)、超重肥胖(OR=1.668,95%CI:1.501~1.853)、高尿酸血癥(OR=1.685,95%CI:1.199~2.360)、腰圍(OR=1.699,95%CI:1.434~2.012)和空腹血糖(OR=1.232,95%CI:1.156~1.314)等;高血壓的保護(hù)性因素有性別(OR=0.760,95%CI:0.604~0.956)、體育鍛煉(OR=0.767,95%CI:0.630~0.935)、文化程度(OR=0.872,95%CI:0.811~0.938)和職業(yè)(OR=0.973,95%CI:0.946~1.000)。結(jié)論石景山區(qū)居民高血壓病患病率高,且有上升趨勢(shì)。其疾病知曉率、治療率和控制率有待進(jìn)一步提高。
[Abstract]:Objective to investigate the prevalence and prevention of hypertension in Shijingshan District, Beijing. Methods in 2015, a survey of chronic diseases and its risk factors was carried out among the residents in nine streets of Shijingshan District, so as to collect the prevalence of hypertension among the residents. Results A total of 4880 residents aged 18 years and above were investigated. The prevalence rate of hypertension was 36.1%. The rates of treatment and control were 63.7% and 35.3% respectively. The prevalence rate of hypertension increased significantly with age (蠂 2 / 22.77 / P 0.01). The prevalence of hypertension in males before the age of 60 was significantly higher than that in females (蠂 ~ 2 / 39.61 / P _ (0.01)), and with the age of 50 years old, the prevalence of hypertension in females was significantly higher than that in women (蠂 ~ 2 / 29.61g / P _ (0.01)). The prevalence rate of hypertension in females after 60 years old was even higher than that in males (蠂 ~ 2 / 23.81/ P 0.010.Multivariate Logistic regression analysis showed that the main risk factors of hypertension were: age OR1.77695 CI1.67991.879, drinking OR1.604 + 95CI1.3491.908, overweight and obesity OR1.668,95CI1.501C1.853, hyperuricemia 1.68595CI1.1992.360, waist circumference 1.69995CI1.4342.012) and fasting blood glucose 1.23295CI1.1561.314. The protective factors of hypertension were: sex: 0.604: 0.604: 0.956, physical exercise: 0.76795 CI: 0.630 / 0.935, education level: 0.87295CI0.8110.938) and occupation: 0.97395CI0.9461.0000.Conclusion the prevalence rate of hypertension in Shijingshan area is high, and there is an increasing trend. The rate of disease awareness, treatment rate and control rate need to be further improved.
【作者單位】: 北京市石景山區(qū)疾病預(yù)防控制中心;
【分類號(hào)】:R181.3;R544.1
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