摘要
目的了解内蒙古地区不同类型流动人口高血压的患病、知晓、治疗与控制情况,并探讨影响高血压的相关因素。方法采用按行业分层多阶段整群抽样方法选取调查对象,包括制造业、批发零售业、住宿餐饮业、社会服务业、建筑业和其他,共六大类行业。对每类行业流动人口进行等额抽样调查,每类行业调查50人。调查内容包括问卷调查、身体测量和实验室检查。根据流动地域、环境变动程度不同,将同为省内流动,环境变动程度较小的城区间流动与县间流动归为＂同型流动＂,而将环境变化程度较大的省外流动与省内的城县间流动归为＂异型流动＂。结果共调查内蒙古流动人口1501人,其中同型流动890人,异型流动611人。高血压年龄标化检出率为36.5%,男性为38.8%,女性为34.0%（P〉0.05）。不同流动方式组高血压检出率不同,同型流动组为40.0%,高于异型流动组的28.5%（P〈0.05）,且同型流动〈45岁组与≥45岁组高血压检出率高于异型流动相应组（均P〈0.05）。高血压知晓率为44.2%,治疗率为30.2%,控制率为12.0%,不同流动方式组间差异无统计学意义（P〉0.05）。多因素Logistic回归分析结果显示,高龄（≥45岁）（OR=2.107,95%CI1.616~2.747）,男性（1.664,1.231~2.250）,同型流动（1.444,1.111~1.877）,腰围增加[〉85（男）、〉80cm（女）]（2.283,1.660~3.139）,体质量指数（BMI）≥24kg/m2（2.441,1.731~3.443）、总胆固醇≥6.2 mmol/L（1.766,1.181~2.639）为高血压的危险因素。结论内蒙古地区流动人口高血压检出率高,且不同类型流动方式高血压检出率不同,同型流动人口对当地流动人口高血压检出率贡献较大。
Objective To investigate the prevalence,awareness,treatment and control rates of hypertension among the migrants with different patterns in Inner Mongolia,and explore the related risk factors for hypertension prevalence. Methods A stratified multi-stage cluster sampling was performed on six categories of industry,including manufacturing,wholesale and retail,accommodation and catering,social services,construction and the others.Sample size of patients from each industry was 50. Questionnaires,physical measurements and laboratory tests were completed for each patient. According to the geographical mobility and the degree of environmental change,the ＂same flow pattern（SFP）＂ was defined as that the subjects float within province,urban or county where the environment was changed to a lesser degree. The ＂different flow pattern（DFP）＂ was defined as that the subjects migrate between provinces or cities and the countries,where the environment was changed to a larger degree. Results In total,1501 cases within this floating population in Inner Mongolia were investigated. Of them,890 subjects belonged to the SFP and 611 subjects belonged to the DFP. The standardized prevalence of hypertension was 36.5%（38.8%in males and 34.0% in females,P〉0.05）. The prevalence of hypertension was higher in the SFP migrants than in the DFP migrants（40.0% vs 28.5%）,as well as in the SFP migrants aged 18-45and≥45years old than the age-matched DFP migrants. The rates of awareness,treatment and control for hypertension were 44.2%,30.2% and 12.0%respectively,and there were no differences between the two groups.Multivariate logistic regression analysis revealed that advanced age（≥45years）（OR=2.107,95% CI1.616-2.747）,male（1.664,1.231-2.250）,SFP（1.444,1.111-1.877）,waist circumference（males〉85cm,females〉80cm）（2.283,1.660-3.139）,body mass index≥24kg/m2（2.441,1.731-3.443）and total cholesterol≥6.2mmol/L（1.766,1.181-2.639）were significantly associated with the risk of experiencing hypertension. Conclusions The prevalence of hypertension is high in Inner Mongolia,and differs among the migrants with different flow patterns. Moreover,the migrants with the SFP account for a large proportion of local hypertensive residents.
出处
《中华高血压杂志》
CAS
CSCD
北大核心
2015年第9期857-862,共6页
Chinese Journal of Hypertension
关键词
高血压
流动人口
流动方式
检出率
Hypertension
Floating population
Flow patterns
Prevalence
