论文部分内容阅读
目的明确江西省年龄>15岁人群高血压患病现状及其主要危险因素,为制订高血压防治策略提供科学依据。方法采用多阶段分层随机抽样的方法,抽取江西省年龄>15岁的常住居民15 296人于2013年11月至2014年8月开展心血管病患病现况调查,分析高血压患病流行情况及其相关影响因素。结果江西省年龄>15岁人群高血压患病率29.00%,标化患病率为15.69%,知晓率、治疗率和控制率分别为64.77%、27.07%和12.58%;城市和农村居民高血压患病率分别为33.76%、24.04%,标化率分别为17.49%、13.98%,城市高于农村(χ~2=175.32,P<0.01)。男女患病率分别为30.07%,28.26%,标化率分别为17.43%、14.51%,男性高于女性(χ~2=5.71,P<0.05)。不同性别人群的高血压患病率随年龄增长有上升趋势,经趋势χ~2检验,差异有统计学意义(P<0.01)。随着体质量指数(BMI)和(或)腰围的增加,人群高血压患病率呈明显的上升趋势。多因素回归分析结果显示:增龄、高BMI、腹型肥胖、高身体脂肪率为男、女高血压的独立危险因素,绝经为女性高血压的危险因素,而适当饮酒是女性高血压的保护因素。结论应加强对江西省居民尤其是城市人群血压和体质量监测,积极开展患者及高危人群健康教育与干预。
Objective To clarify the prevalence and major risk factors of hypertension in people aged> 15 years old in Jiangxi province and to provide a scientific basis for the prevention and treatment of hypertension. Methods A multistage stratified random sampling method was used to collect 15 296 residents aged 15 years and above in Jiangxi Province from November 2013 to August 2014 to investigate the prevalence of cardiovascular disease and to analyze the prevalence of hypertension The situation and its related factors. Results The prevalence of hypertension was 29.00% in Jiangxi province aged 15 years and the standardized prevalence was 15.69%. The awareness rate, treatment rate and control rate were 64.77%, 27.07% and 12.58% respectively. Urban and rural residents with hypertension The prevalences were 33.76% and 24.04%, respectively, and the standardized rates were 17.49% and 13.98% respectively in urban areas and higher in urban areas than in rural areas (χ ~ 2 = 175.32, P <0.01). The prevalence rates of males and females were 30.07% and 28.26%, respectively. The standardization rates were 17.43% and 14.51% respectively, higher in males than in females (χ ~ 2 = 5.71, P <0.05). The prevalence of hypertension among different sex groups had an upward trend with age, and the difference was statistically significant (P <0.01) by the trend χ ~ 2 test. With the body mass index (BMI) and / or waist circumference increased, the prevalence of hypertension in the population showed a clear upward trend. Multivariate regression analysis showed that: aging, high BMI, abdominal obesity, high body fat rate as male and female independent risk factors for hypertension, menopausal women as risk factors for hypertension, and proper drinking is the protection of female hypertension factor. Conclusion It is necessary to strengthen the monitoring of blood pressure and body mass of residents in Jiangxi Province, especially in urban areas, and actively carry out health education and intervention for patients and high-risk groups.