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目的了解甘肃省兰州市七里河区18~59岁中青年人群高血压患病率及其危险因素,为该地区高血压防治提供依据和参考。方法采用多阶段分层和整群抽样方法对兰州市七里河区常住人口中4 834名符合条件的居民进行问卷调查,并进行体格检查及血液生化等指标的检测,运用χ2检验、多因素非条件logistic回归分析法分析数据。结果调查对象高血压患病率为19.03%(920/4 834),不同性别、民族患病率差异无统计学意义,不同年龄(χ2=36.249,P<0.001)、文化程度(χ2=101.991,P<0.001)、体质指数(BMI)(χ2=95.699,P<0.001)组患病率差异有统计学意义。多因素非条件logistic回归分析结果显示,超重和年龄是高血压的危险因素,文化程度高、合理膳食、经常运动是保护因素。结论兰州市社区中青年人群高血压患病率较高,需要加强宣传教育,提倡健康的生活方式来控制高血压的流行。
Objective To understand the prevalence and risk factors of hypertension in middle-aged and young people aged 18-59 years in Qilihe District, Lanzhou City, Gansu Province, and to provide the basis and references for the prevention and treatment of hypertension in this area. Methods A total of 4 834 eligible residents in Qilihe District of Lanzhou City were surveyed by multi-stage stratified and cluster sampling method. Physical examination and blood biochemical indexes were also tested. Chi-square test, multivariate analysis Conditional logistic regression analysis of the data. Results The prevalence of hypertension in the surveyed subjects was 19.03% (920/4 834). There was no significant difference in prevalence among different sexes and ethnic groups (χ2 = 36.249, P <0.001), educational level (χ2 = 101.991, P <0.001). The difference of body mass index (BMI) (χ2 = 95.699, P <0.001) was statistically significant. Multivariate non-conditional logistic regression analysis showed that overweight and age were risk factors for hypertension, with a high level of education, reasonable diet, and regular exercise as protective factors. Conclusion The prevalence of hypertension in middle-aged and young people in Lanzhou community is high, so it is necessary to strengthen publicity and education and promote a healthy lifestyle to control the prevalence of hypertension.