中国全科医学2017，Vol.20Issue(33)：4193-4198,6.DOI:10.3969/j.issn.1007-9572.2017.00.124
郑州市二七区常住居民高血压患病率及其影响因素的调查分析
Prevalence of Hypertension and Its Influencing Factors among Residents from Erqi District in Zhengzhou
摘要
Abstract
Background Hypertension is the main cause of the increase in the incidence of cardiovascular and cerebrovascular diseases and its prevalence is increasing year by year,which results in a serious burden on healthcare system.Objective To investigate the prevalence of hypertension among residents from Erqi district in Zhengzhou,and analyze its influencing factors.Methods Using the cluster sampling,15 370 residents from Erqi district in Zhengzhou were selected by questionnaire and physical examination from July to October of the year 2015.The questionnaire covered gender,age,marital status,occupation,educational level,per capita monthly income,lifestyle (whether it was a high salt diet),family history of hypertension,management of chronic diseases and so on.The physical examination included height,weight,blood pressure,and body mass index (BMI).The prevalence of hypertension and its standardized prevalence rate were calculated.Results A total of 15 370 questionnaires were distributed and 15 328 valid questionnaires were collected.The effective recovery rate was 99.73％.Among 15 328 residents,2 132 (13.91％) residents were with hypertension and the standardized prevalence rate was 13.91％;the prevalence of hypertension in males was 14.69％ (1 144/7 789) and its standardized prevalence rate was 7.03％,while the prevalence of hypertension in females was 13.11％ (988/7 539) and its standardized prevalence rate was 6.88％.The multivariate Logistic regression analysis showed that influencing factors of hypertension included gender [OR =0.831,95％ CI (0.739,0.933)],age [45-54 years old:OR =2.501,95％CI (2.004,3.122);55-64 years old:OR =5.058,95％ CI (4.024,6.358);≥ 65 years old:OR =11.642,95％ CI (9.261,14.634)],marital status [widowed person:OR =2.020,95％ CI (1.101,3.705)],occupation [self-employed entrepreneur/share holder:OR =2.108,95％ CI (1.511,2.939);housework/retire/re-employment:OR =1.545,95％ CI (1.276,1.870)],per capita monthly income [3000-4 999yuan:OR=0.777,95％CI (0.663,0.909);≥5 000 yuan:OR=0.788,95％CI (0.687,0.903)],high salt diet [OR =1.916,95％ CI (1.492,1.914)],family history of hypertension [OR =11.523,95％ CI (10.182,13.040)],management of chronic diseases [OR =14.761,95％ CI (12.121,17.967)] and BMI [24.0-27.9 kg/m2:OR=1.690,95％CI (1.492,1.914);≥28.0kg/m2:OR=2.952,95％CI (2.490,3.499)] (P＜0.05).Conclusion The prevalence of hypertension is low among residents from Erqi district in Zhengzhou.Male,age (≥65 years old),widowed person,self-employed entrepreneur/share holder,housework/retire/re-employment,per capita monthly income ≤ 2 999 yuan,high salt diet,family history of hypertension,management of chronic diseases and BMI ≥24 kg/m2 are the associated risk factors for hypertension prevalence.关键词
高血压/患病率/影响因素分析Key words
Hypertension/Prevalence/Root cause analysis分类
医药卫生引用本文复制引用
宋盈盈,杨波,万有栋,马珊珊,孙同文,王宇明,王润琦,杜魁元,任竹红,关方霞..郑州市二七区常住居民高血压患病率及其影响因素的调查分析[J].中国全科医学,2017,20(33):4193-4198,6.基金项目
“十二五”国家科技支撑计划课题(2014BAI08B01)——高血压慢病基层规范化防治适宜技术研究、评价与推广 （2014BAI08B01）
国家自然科学基金资助项目(81370364) （81370364）
河南省卫生科技创新人才项目[豫卫科(2010) 52号] （2010）
