摘要
目的了解河北省农村社区居民高血压流行现况,为制定科学合理的高血压防治措施提供依据.方法按照统一方法对河北省藁城市梅花镇5 892名25岁以上居民进行了现场询问、血压测量等横断面调查,统计分析了不同年龄、性别等人群血压水平、高血压患病率、患病知晓率、治疗率、控制率、高血压防治知识知晓率等指标.结果被调查居民平均收缩压为(127.8±21.4)mm Hg,男性(130.2±20.7)mm Hg,女性(125.8±21.8)mm Hg,平均舒张压为(81.6±11.4)mm Hg,男性(84.0±11.5)mm Hg,女性(79.7±11.0)mm Hg;高血压粗患病率为39.4%(男性44.0%,女性35.8%),标化率为34.9%(男性38.8%,女性30.7%);人群平均收缩压水平及高血压患病率均随着年龄增加上升,高血压患病率45岁以下人群男性高于女性,45～64岁人群男性与女性持平,65岁以上人群女性高于男性;工人、大专及以上文化程度或经济收入高的人群高血压患病率高于其他人群;居民高血压知晓率、治疗率、控制率分别为34.7%、 17.6%和6.1%;高血压防治知识知晓率19.6%.结论河北省藁城市农村居民高血压患病率高,患病知晓率、治疗率、控制率低,高血压防治知识知晓率低,高血压防治水平低,需要加强对人群的健康教育、高血压筛查和高血压病人的随访管理工作.
Objective To study the epidemiological characteristics of hypertension in the adults in the rural areaof Hebei Province. Methods A cohort of 5 892 residents aged 25 or over from the rural community of Gaocheng city in Hebei province were enrolled. Questionnaire and blood pressure examinationwere carried out in May 2002.Results The mean BP in this population were (127.8±21.4)/(81.6±11.4)mm Hg, respectively. The crude prevalence rate of hypertension was 39.4%, and the age-adjusted rate was 34.9%. Both the SBP level and prevalence rate of hypertension were significantly increasedwith the age. The prevalence rateof hypertension in the men under 45 years wassignificantly higher than that in the age matched women, while in the women over 65 years the prevalence rate was higher than that in men. The prevalence ratesof hypertension in the workers, well educated people or people with high income were higher than that in the other people. The rates of awareness, treatment and control of hypertension were 34.7%, 17.6% and 6.1%, respectively. The correct knowledge for hypertension prevention and control were below 20%. Conclusion The prevalence rate of hypertension in the adults in this rural areawas high, while the ratesof awareness, treatmentand controlwere low. Health education, blood pressurescreening, management and control of hypertension should be strengthened.
出处
《高血压杂志》
CSCD
北大核心
2005年第3期171-176,共6页
Chinese Journal of Hypertension
