居民高血压病流行现状及危险因素分析.docVIP

成都市城乡居民高血压病流行现状及危险因素知晓率分析 姚思君1，曾伟2 ，魏咏兰3， 王琼4，鹿茸 5，夏劲节6 [摘要] 目的 了解成都市城乡居民高血压流行现状及主要危险因素知晓率，为制定防控措施提供依据。方法 采用多阶段随机抽样方法，抽取全市12个社区18岁以上的常住居民7200人现场进行问卷调查及体检与测定血压。 结果 调查有效人数7179人，高血压的患病率为21.62%，高血压知晓率、治疗率和控制率分别为51.9%、48.9%、20.6%。近郊区县高血压患病率高于主城区；随着年龄的增加高血压患病率呈上升趋势，高血压危险因素总体知晓率为48.65%，主城区对吃盐多，精神紧张、吸烟和缺乏运动是危险因素的知晓率均高于近郊区县。结论 成都市高血压病患病率与全国平均水平相似，知晓率、治疗率、控制率稍高于全国平均水平。应根据不同人群、不同地区，因地制宜进行综合防控，通过危险因素的控制与健康教育，提高知晓率、治疗率、控制率，降低患病率。 [关键词]:高血压；流行现状；危险因素分析 Epidemic Situation and Analyses of Risk Factors of Hypertension in Urban and Rural Residents of Chengdu City Abstract: Objective To find out the epidemic situation and the awareness of hypertension in urban and rural residents of Chengdu city to provide the basis for the development of prevention and control measures. Method During September to November 2008, the site survey,physical examination and determination of blood pressure have been done to 7 200 inhabitants(18 years old) in 12 communities by multistage random sampling method. Results The effective number is 7 179.The prevalence rate of hypertension is 21.62%, and the awareness rate,treatment rate and control rate of hypertension are 51.9%,48.9% and 20.6% respectively. The prevalence rate of hypertension in suburban districts is higher than in the main city. The prevalence rate of hypertension is in upward trend with age increasing. The total of awareness rate is 48.65% . The awareness rate in the main city who know more salt intaking, mental tension, smoking and lack of exercise are the risk factors is higher than in suburban districts.The logistic multiple factors regression analyses show that age,body mass index,obesity,sex, family history of —————————————————— 基金项目：成都市科技局“十一五”重大科技专项“城乡社区常见多发慢性病防治” 编号08YTZD971SF-020 作者单位：成都市疾病预防控制中心 （成都 610041） 作者简介：姚思君（1972-）女，大学本科，主管护师，慢病防治与健康教育 hypertension,and history of diabetes are the main influencing factors of hypertension,and smoking has no obvious influence on men with hypertension. Conclusion The prevalence