上海市松江区居民高血压流行的现状及危险因素分析.docVIP

上海市松江区居民高血压流行的现状及危险因素分析 　　摘要［目的］了解上海市松江区居民高血压病流行特点及危险因素。［方法］采用整群随机抽样的方法，抽取年龄在15~74岁的居民1 674名，进行吸烟、饮酒等行为危险因素的问卷调查及测量身高、体重、血压等。［结果］松江区居民高血压患病率为24.01%，其中男性为25.89%，女性为22.13%，男女性高血压患病率差异有统计学意义（P＜0.05） ；高血压患病率有随年龄增高而上升的趋势；高血压知晓率、治疗率、控制率分别为37.06%、32.59%、26.62%； Logistic回归分析显示，吸烟、超重、肥胖及腹部肥胖是高血压患病的危险因素。［结论］高血压已成为影响松江区居民身体健康的重要公共卫生问题，应建立以政府为主导，多部门参与的高血压防治体系，以遏制高血压的流行趋势。? 　　 　　关键词：高血压；患病率；危险因素； Logistic 回归分析 ; 中图分类号： R 544.1文献标识码：B??? 　　 　　 Investigation on prevalence and risk factors of hypertension in Songjiang district, Shanghai ZHU Mei-ying, AN Na, ZHANG Wen-cui, ZHU Yun（Shanghai Songjiang Center for Disease Control and Prevention,Shanghai201600, China） ? 　　 Abstract:［Objective］To understand the epidemiological characteristic and risk factors of hypertension in Songjiang district, Shanghai.［Methods］Cluster random sampling was used and 1 674 persons between 15 and 74 years were sampled. Correlative risk factors were investigated and physical examinations includingblood pressure, height and weight were taken.［Results］Morbidity of hypertension was 24.01 percent (male 25.89%, female 22.13%) the difference of morbiditybetween male and female was significant(P0.05).Incidence of hypertension increased significantly with age. Awareness rate, treatment rate and controlled rate of hypertension was37.06%,32.59% and 26.62% respectively. By logistic regression, smoking, overweight, obesity and abdominal obesity were risk factors of hypertension.［Conclusion］Hypertension has become the important public health problem which influences population’s health in Songjiang district. To suppress the prevalence of hypertension, we should establish the prevention system with multi-sector participation and taking government as the forerunner.? 　　 Key words:Hypertension;Morbidity;Risk factors;Logistic regression??? 　　 　　 高血压是一种严重危害人类身体健康的疾病。2002年中国居民营养与健康调查结果表明,我国18岁及以上居民的高血压患病率为18.8％[１]。松江区是上海市经济较为发达的地区，居民的生产和生活方式发生了巨大变化，为了解松江区居民高血压患病现状，结合WHO“Prognostic value of the WHO/ISHcardiovascular