基諾族老年人高血壓檢出率及其影響因素
發(fā)布時間:2018-06-26 19:03
本文選題:老年人 + 少數(shù)民族。 參考:《中華高血壓雜志》2017年05期
【摘要】:目的了解基諾族老年人原發(fā)性高血壓的患病情況,探討相關(guān)影響因素。方法 2015年8月,采用多階段分層整群抽樣方法抽取年齡≥60歲基諾族老年人793人,調(diào)查高血壓患病情況,并收集病史和體檢資料。結(jié)果調(diào)查基諾族老年人793人,高血壓檢出率為39.1%(95%CI35.7%~42.5%),低于我國年齡≥60歲人群高血壓患病率(49.0%,P0.05)。高血壓、單純收縮期高血壓(ISH)和正常高值血壓的檢出率均呈隨年齡增長而增加(P0.05)。離婚或喪偶后未再婚人群的高血壓和ISH檢出率高于在婚人群,經(jīng)濟發(fā)展水平中等地區(qū)的高血壓檢出率高于較低地區(qū)(P0.05)。多元Logistic回歸分析結(jié)果表明,經(jīng)濟發(fā)展水平與飲酒之間有跨層交互作用(P0.05);個體水平協(xié)變量中,與高血壓正相關(guān)的是體質(zhì)量指數(shù)(BMI,OR=1.146,95%CI 1.053~1.248)、年齡(OR=1.365,95%CI 1.105~1.685)、離婚或喪偶后未再婚(OR=1.847,95%CI 1.033~3.304)、吸煙(OR=1.601,95%CI1.001~2.560)和高鹽膳食(OR=5.898,95%CI3.499~9.942),而經(jīng)常食用蔬菜與高血壓呈負相關(guān)(OR=0.462,95%CI0.273~0.781)。結(jié)論基諾族老年人高血壓檢出率低于全國水平,主要危險因素包括經(jīng)濟發(fā)展水平、飲酒、BMI、年齡、離婚或喪偶、吸煙和高鹽膳食,而經(jīng)常食用蔬菜是保護因素。
[Abstract]:Objective to investigate the prevalence of essential hypertension (EH) in the elderly of Jinuo nationality and to explore the related factors. Methods in August 2015, 793 people aged more than 60 years old in Jinuo nationality were selected by multi-stage stratified cluster sampling to investigate the prevalence of hypertension, and to collect the medical history and physical examination data. Results the prevalence rate of hypertension was 39.1% (95CI35.7and 42.5%), which was lower than that of Chinese aged 鈮,
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