摘要
目的 了解广东省居民高血压的流行特点及防治效果 ,为制定高血压防治的相关策略和措施提供科学依据。方法 运用多阶段随机整群抽样方法 ,抽取广东省大城市、中小城市、二类农村各 3个区 (市、县 ) ,一类农村 4个县 ,每个县 (区 )抽取 2个街道 (乡 )、6个居委 (村 ) ,共 5 4 0户 ,用面对面询问调查获得 1 5岁及以上居民高血压既往史和个人基本情况 ,体检获取血压值。结果 调查共测量 1 5 4 74人血压 ,其中高血压患者 2 6 99人 ,1 5岁及以上居民高血压粗患病率为 1 7 4 % ,标化患病率为 1 1 7% ;高血压患病率随着年龄的增加而上升 ,男性高于女性 ,城市高于农村。Ⅰ、Ⅱ级和Ⅲ级高血压患者分别占 6 7 7%、2 3 9%和 8 4 %。 1 5岁及以上居民曾经测过血压的仅为 4 8 5 % ,高血压患者知晓率、治疗率和控制率分别为 30 3%、2 4 8%和 6 9% ,城市高于农村 (P <0 0 1 )。结论 广东省高血压流行现状及趋势不容乐观 ,防治效果不理想 ,必须广泛动员社会力量 。
Objective To determine the epidemiological feature and intervention effectiveness of hypertension in Guangdong province. Methods Study objects, ≥15 years old , were selected in families in 13 city/district by multi stage randomized cluster sampling. Hypertension history and social economic status were collected by face to face interview and blood pressure (BP) by physical examination. Results A total of 2 699 person with hypertension was detected in 15 474 target objects (17 4%). The age adjusted prevalence was 11 7%; male higher than female, city higher than rural area and increased with age increased. Stage 1,2,3 hypertension was accounted for 67 7%, 23 9% and 8 4% respectively. 48 5% of target objects had ever had BP measured. Among the hypertensives, 30 3% were aware of their BP, 24 8% were under treatment, and 6 9% had their BP controlled. These three percentages for city were higher than that for rural area( P <0 01). Conclusion The results indicated the prevalence of hypertension was high. Intervention didn't work well. Comprehensive control and treatment measure should be implemented to interrupt the increasing trend.
出处
《华南预防医学》
2003年第6期20-24,共5页
South China Journal of Preventive Medicine
基金
2 0 0 2年广东省科技厅资助项目 ( 2 0 0 2C3 2 70 9)
关键词
高血压/流行病学
患病率
干预性研究
Hypertension/epidermiology
Prevalence
Intervention studies
