摘要
目的了解重庆市沙坪坝区居民高血压患者的现状和主要的危险因素,为社区高血压的防治提供可用依据及建议。方法对重庆市沙坪坝区沙北街、劳动路、双碑路等6个社区采用随机抽样的方法选取20～80岁的669个常住居民进行高血压影响因素的问卷调查,得到完整数据317例。采用单因素和多因素非条件Logistic回归进行统计分析。结果调查对象高血压患病率为31.55%,全国人口和世界人口年龄标化患病率分别为19.8%和19.1%,单因素分析得到有统计学意义的变量有年龄、高血压家族史、高脂血症、糖尿病、喝酒、饮食偏咸、过热、油炸食品和吸烟程度。多因素分析影响高血压的危险因素为年龄、高血压家族史、高脂血症、喝酒、饮食偏咸和油炸食品。其P均<0.05;其OR值分别为1.821、5.265、6.235、2.703、4.000和4.581。并且最终求出所选指标的准确率为84.2%,说明所选择的指标对于高血压患病的判断具有很好的代表性。结论重庆市沙坪坝区居民高血压患病率处于较高水平,年龄、高血压家族史、高脂血症、喝酒、饮食偏咸、油炸食品可能是沙坪坝区居民高血压的危险因素,在高血压的预防控制中,该地区居民应该更加注意饮食习惯的养成,特别是少盐少油限酒。
Objective To investigate the prevalence and risk factors of hypertension in residents of Shapingba Area of Chongqing.Methods A total of 669 residents at age 20-80 were randomly selected from six blocks（Shabei Street,Laodong Road,Shuangbei Road,Xinqiao Street,Shijingpo Street,Tianxingqiao Street） of Shapingba Area of Chongqing through multistage sampling and we finally get 317 compeleted data.Risk factors were identified by univariate and multivariate logistic regression analyses.Results Crude and age-standardized prevalence rate of hypertension were 31.55%,19.8%（standerdized Chinese population in 2004） and 19.1%（standerdized world population）,respectively.Of all the factors,age,family history of hypertension,HLP,diabetes mellitus,drinking,overheat diet,over-intake of salt,eating fried food and smoking were associated with hypertension through univariate logistic regression analysis.Multivariate logistic regression analysis showed that hypertension was associated with age,family history of hypertension,HLP,drinking,over-intake of salt and eating fried food（all P0.05;OR=1.821,5.265,6.235,2.703,4.000,4.581,respectively）.The accuracy rate of factors selected was 84.2%.Conclusion Prevalence of hypertension is high in residents of Shapingba area of Chongqing.Age,family history of hypertension,HLP,drinking,over-intake of salt and eating fried food may be risk factors for hypertension in this area.Paying more attention to the eating habit,especially less salt,less oil and limited drinking,may help to prevent and control hypertension in this area.
出处
《临床和实验医学杂志》
2012年第19期1522-1524,共3页
Journal of Clinical and Experimental Medicine
基金
国家自然科学基金(2012-2015)项目批准号:81170281【项目名称】SM-ɑ基因启动子区特异位点在2型糖尿病血管并发症中VSMC表型转换的分子机制研究
关键词
高血压
患病率
危险因素
饮食习惯
Hypertension
Prevalence
Risk factors
Eating habits
