【摘要】：目的調(diào)查福州市城鄉(xiāng)居民高血壓患病率及人口學特征、膳食結(jié)構(gòu)等對血壓影響,為社區(qū)健康干預(yù)提供基礎(chǔ)數(shù)據(jù)。方法采用分層整群隨機抽樣方法抽取福州市18個社區(qū)36群1 080戶2 030名常住居民采用統(tǒng)一調(diào)查表入戶進行社會人口學、3d×24h膳食調(diào)查及醫(yī)學體檢。結(jié)果城鄉(xiāng)高血壓患病率分別為22.8%與24.2%;城市知曉率、控制率、治療率、有效控制率均明顯高于農(nóng)村(P0.01);城市血壓未知曉組乳類、鉀鈣及農(nóng)村未知曉組果乳、蛋白、鉀鈣等攝入量均明顯低于正常組而主食、肉、油鹽、脂肪攝入量均明顯高于正常組;城市血壓知曉組果蔬乳、肉類、鉀鈣等攝入量均明顯高于農(nóng)村相應(yīng)組而主食、油鹽、脂肪攝入量明顯低于農(nóng)村相應(yīng)組(P0.01,P0.05)。多因素分析,城市組纖維30g/d、硒≥50μg/d、鈣500mg/d和農(nóng)村組乳類300g/d、水產(chǎn)品50g/d均與高血壓病發(fā)生成負關(guān)聯(lián),城鄉(xiāng)組年齡≥35歲、家族史、肥胖、肉類75g/d、主食400g/d、鈉75mg/d均與高血壓病發(fā)生成正關(guān)聯(lián)。結(jié)論農(nóng)村高血壓患病率高于城市,與膳食等因素相關(guān)。
[Abstract]:Objective to investigate the effect of hypertension prevalence, demographic characteristics and dietary structure on blood pressure in urban and rural residents of Fuzhou, and to provide basic data for community health intervention. Methods A stratified cluster random sampling method was used to select 2030 residents of 1,080 households in 18 communities in Fuzhou to conduct a meal survey and medical examination for 3 days 脳 24 hours with a unified questionnaire. Results the prevalence rate of hypertension in urban and rural areas was 22.8% and 24.2.The rate of awareness, control, treatment and effective control in urban areas was significantly higher than that in rural areas (P0.01). The intake of main food, meat, oil, salt and fat were significantly lower than that of normal group, and the intake of fruit and vegetable milk, meat, potassium and calcium in urban blood pressure knowing group were significantly higher than those in rural corresponding group. Fat intake was significantly lower than the corresponding group in rural areas (P 0.01). Multivariate analysis showed that fiber 30 g / d, selenium 鈮，

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