桂林城居民高血压流行现状及其危险因素分析-实用预防医学.pdfVIP

桂林市城市居民高血压流行现状及其危险因素分析 1 1 1 2 1 3 1 1， 1 阳冬 ，蒋兴兴，麦浩 ，石 祥，李春红，李东远，唐一玉，黄灵 石瑀 1 2 3 ( 桂林市疾病预防控制中心,桂林 541000； 桂林医学院公共卫生学院，桂林 541000； 桂林市叠彩社区 卫生服务中心，桂林 541000) 摘要：　 目的　了解桂林市城市居民高血压流行情况，分析其危险因素， 为桂林市高血压综合防治提供科学依据。　方法　采取多阶段分层随机整群抽 样的方法，通过问卷调查和体格检查，对桂林市城区 5197 名 18 岁以上常住居 民高血压患病及其危险因素的流行水平进行分析。　结果　桂林市城市居民高 血压患病率为 25.07%，标化率为 22.76%。高血压知晓率、治疗率、控制率分 别为 61.16%、53.80%、29.70%。不同年龄、文化程度、婚姻状态患病率差别有 统计学意义（P＜0.01）。多因素非条件 logistic 回归分析，年龄、经济收入、 身体锻炼、超重肥胖、中心性肥胖是高血压的主要影响因素。　结论　桂林市 城市居民高血压患病率处于较高水平，需开展对全人群和高危人群的综合干预。 加强对中老年人、超重肥胖、中心性肥胖人群的健康教育，提倡健康的生活方 式，对高血压及并发症的防治具有重要意义。 关键词：高血压；患病率；危险因素；logistic 回归分析 Epidemic status and risk factors of hypertension among urban adult residents in Guilin City YANG Dong, JIANG Xing-xing, MAI Hao Guilin Center for Disease Control and Prevention,Guilin,Guangxi,541000,China Abstract: Objective To explore the epidemic status and risk factors of hypertension among urban adult residents in Guilin City and to provide scientific basis for prevention and control of hypertension. Methods A multi-stage randomized cluster sampling method was used to select the participants. Data on health status were collected with a face-to-face questionnaire surrey and physical examination. Results Among the 5197 residents aged≥18years selected from Guilin City, the crude prevalence rate of hypertension was 25.07%,standardized prevalence rate was 22.76%.The rate of awareness，treatment and control of hypertension were 61.16%,53.80%,29.70%.The results of logistic regression analysis showed age, income, exercise, overweight and obesity, central obesity were the major risk factors of hypertension. Conclusion Hypertension prevalence rate at a high level in Guilin City, comprehensive intervention for the whole population and the high risk group is necessary. To strengthening the health educa