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目的 了解高血压的主要相关影响因素 ,为采取有针对性的控制措施提供科学依据。方法 运用多阶段随机整群抽样方法抽取广东省 1 3个县 (区 ) ,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。采用Logistic回归分析方法筛选高血压相关影响因素。结果 调查共 1 5 4 74人测量血压 ,高血压患者 2 6 99人 ,高血压粗患病率为 1 7 4 %。Logistic回归分析结果显示 ,城市高血压主要影响因素有职业、高血压家族史、体质指数、腰围和年龄 ,OR值分别为 1 1 1、1 32、1 6 5、1 5 1、2 30。农村高血压主要影响因素有职业、年龄、体质指数、腰围、高血压家族史、性别和文化程度 ,OR值分别为 1 1 3、2 0 4、2 38、1 30、1 2 2、0 6 4和 0 84。结论 肥胖和向心性肥胖是高血压可以改变的独立危险因素 ,广东省高血压的防治要与预防控制肥胖措施结合起来。
Objective To understand the main influencing factors of hypertension and provide a scientific basis for taking targeted control measures. Methods A total of 13 counties (districts) in Guangdong Province were sampled by multistage randomized cluster sampling. The past history of hypertension and personal basic information of residents aged 15 and above were obtained by face-to-face interrogation. Blood pressure was obtained during physical examinations. Logistic regression analysis was used to screen the influencing factors of hypertension. Results A total of 1 5474 people were surveyed with 2 693 hypertensive patients and a crude prevalence rate of 17 4%. Logistic regression analysis showed that the main influencing factors of urban hypertension were family history of hypertension, family history of hypertension, body mass index, waist circumference and age, with OR values of 1 1, 1 1, 32, 1 65, 1 5 1, and 2 30 respectively. The main influencing factors of rural hypertension were occupation, age, body mass index, waist circumference, family history of hypertension, sex and education level, OR values were 1 1 3,2 0 4,2 38,1 30,1 2 2,0 6 4 and 0 84. Conclusion Obesity and concentric obesity are independent risk factors for hypertension. The prevention and treatment of hypertension in Guangdong Province should be combined with prevention and control of obesity.