肇庆市15岁以上居民高血压现况调查及的影响因素分析.docVIP

肇庆市15岁以上居民高血压现况调查及的影响因素分析.doc

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肇庆市15岁以上居民高血压现况调查及的影响因素分析

肇庆市15岁以上居民高血压现况调查及的影响因素分析   摘要:目的: 掌握肇庆市15岁以上常住居民高血压患病率、知晓率、治疗率和控制率等流行特征,并分析其相关危险因素,为制定高血压防治对策提供依据。方法:采用多阶段分层整群随机抽样对肇庆市8个县(市、区)≥15岁的3617名居民进行调查和体测。运用SPSS13.0统计软件进行多因素Logistic回归分析。结果: 调查人群高血压粗患病率24.0%,全国人口和全市人口标化患病率分别为18.80%和17.82%。农村患病率高于城市,差异均有统计学意义(X2=3.908,P P0.05)。患者知晓率为37.21%。只有32.95%的患者服用降压药,9.68%的患者血压得到有效控制。高龄、超重或肥胖、高血糖以及高甘油三脂为人群高血压主要危险因素,OR值分别为1.949、1.798、1.304以及1.453。结论: 肇庆市居民高血压患病率高,但知晓率低,应开展以控制高血压的危险因素为主的防治工作。   关键词:高血压;现况调查;影响因素   Abstract:Objectives To master prevalence of hypertension among residents aged over 15 years in Zhao Qing, analyze influencing factors and provide the evidence for prevention and control of hypertension. Methods Multi―stage random sampling was used,3617 people aged over 15 years were selected from 8 countries of Zhaoqing, to investigate and take physical examination to get the data of hypertension and related information. Data was analyzed with SPSS 13.0 software. Multivariate Logistic regression were taken for analyses of influencing factors. Results The crude prevalence rate of hypertension were 15.52% .Age―standardized prevalence rate of hypertension were 18.8% (standardized Chinese population) and 17.82%(standardized Zhaoqing population),respectively. The pfevalence of hypertension in urban higher than that in rural (X2=3.908,P0.001). 22.27%.Among hypertensive patients,37.21% were aware of their high blood pressure,32.95%took antihypertensive medicine,and 9.68% achieved their blood pressure under control.The relative risks of hypertension to those who was older, over weight/fat, hyperglycemia and hyperlipidemia were much more than the general, and their OR values were 1.949, 1.798, 1.304 and 1.453 respectively. Conclusion The prevalence of hypertension in Zhaoqing was high, but The rate of awareness of hypertension was low, so it is urgently needed to take steps for intervention and control for hypertension prevention, particularly in control of risk factors.   高血压是一种常见的慢性非传染性疾病。近年来,由于社会经济的快速发展和人们生活方式的变化,我国的心血管病发病率及相关危险

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