本文選題：知曉　切入點：血壓　出處：《重慶醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的調(diào)查中國西南部重慶市地區(qū)高血壓的患病率、知曉率、治療率以及控制率和危險因素的相關(guān)性分析。方法采用多階段、分層、隨機整群抽樣方式進行抽樣抽取計劃招募的代表樣本。所有研究參與者完成調(diào)查問卷,進行體格檢查。采用Logistic回歸模型,對多變量多因素進行相關(guān)性分析。結(jié)果總體納入14420例18歲以上的人群為受試者(其中男性=7186)。高血壓的整體患病率為23.9%,農(nóng)村居民高于城市居民的患病率(26%比21.6%,P0.001)。在接受治療的患者中,高血壓知曉率、治療率、控制率和已接受治療后的控制率分別為44.1%,36.6%,8.5%,和23.3%。城市地區(qū)的老年女性知曉率更高,接受治療的比例更高。城市和農(nóng)村地區(qū)有不同的控制率(12.9%比5.1%,P0.001)。年齡,性別,飲酒,高血壓家族史,超重/肥胖,內(nèi)臟脂肪指數(shù),體脂百分比為城市和農(nóng)村地區(qū)高血壓的共有危險因素。教育水平,吸煙和每日食鹽攝入量僅為農(nóng)村居民高血壓的危險因素,而中央型肥胖僅與城市居民的高血壓相關(guān)。性別、鄉(xiāng)村性、年齡、教育水平,飲酒,超重/肥胖,中心性肥胖,內(nèi)臟脂肪指數(shù)和體脂百分比是高血壓知曉率、治療率、控制率的相關(guān)因素。結(jié)論在過去的十年中,重慶市人口高血壓的患病率普遍增高。對高血壓的知曉、治療和控制均有所改善,但是仍維持在較低水平。應(yīng)有更積極的高血壓管理策略用以高血壓的防治工作。
[Abstract]:Objective to investigate the prevalence, awareness rate, treatment rate, control rate and risk factors of hypertension in Chongqing, southwest of China. Random cluster sampling was used to sample the representative samples recruited by the plan. All the participants completed the questionnaire and underwent physical examination. Logistic regression model was used. Results 14420 subjects over 18 years of age were included in the study. The overall prevalence of hypertension was 23. 9%. The prevalence rate of hypertension among rural residents was 26% higher than that of urban residents (P 0. 001). Of the patients treated, The awareness rate of hypertension, the rate of treatment, the rate of control and the control rate after treatment were 44.1 and 23.30.The rate of awareness and treatment of elderly women in urban areas was higher and the proportion of women receiving treatment was higher. There were different control rates in urban and rural areas (12.9% vs 5.1P0.001. age, respectively). Sex, alcohol consumption, family history of hypertension, overweight / obesity, visceral fat index, body fat percentage were common risk factors for hypertension in urban and rural areas. Smoking and daily salt intake were only risk factors for hypertension in rural residents, while central obesity was only associated with hypertension in urban residents. Gender, rural sex, age, education level, alcohol consumption, overweight / obesity, central obesity, The visceral fat index and the percentage of body fat are related factors of hypertension awareness rate, treatment rate and control rate. Conclusion in the past ten years, the prevalence of hypertension in Chongqing population has generally increased. Treatment and control have improved, but remain at a low level. A more proactive hypertension management strategy should be used to prevent and treat hypertension.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R544.1

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本文編號：1661125