兰州市七里河区成人高血压患病率及危险因素分析

doi:10.3969/j.issn.1006-3110.2021.03.020

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摘要目的调查分析兰州市七里河区成人居民高血压患病率及主要危险因素,为有效开展高血压防控策略提供科学依据。方法采用整群多阶段随机抽样的方法,选抽取兰州市七里河区9个街道、6个镇(乡)年龄为18岁及以上常住居民5 000人。应用 Epi Date 3.1录入数据,SPSS 25.0统计软件对数据进行单因素检验及多因素非条件logistic回归分析。结果发放问卷5 000份,回收有效问卷4 776份,有效率为95.52%。其中男性2 414人(50.54%),女性2 362人(49.46%)。高血压粗患病率为21.94%(95%CI:20.79%~23.14%),标化率为21.45%。单因素分析结果显示:城乡、年龄、文化程度、BMI、腰围、饮酒、高血压家族史、糖尿病和平均每日摄入蔬菜量均与高血压的发生有关。多因素logistic回归分析结果显示:农村、年龄、BMI、高血压家族史和糖尿病是高血压患病的危险因素,OR(95%CI)分别为1.577(1.309~1.899)、1.062(1.057~1.068)、1.584(1.412~1.777)、1.526(1.286~1.811)和1.772(1.409~2.229)。结论 2017年七里河区成人高血压患病率水平较高,农村、年龄、BMI、高血压家族史及糖尿病为高血压患病的危险因素。在高血压防治工作中,应通过对高血压危险因素的防控,进一步控制高血压患病率。

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	倪文婷
	赵玲珑
	禄韶华
	梁可可
	吴建军
	殷晓春
	尚德泉
	王金霞
	孔慧娟
	魏兴民

关键词 ：成人, 高血压, 患病率, 危险因素

Abstract：Objective To survey and analyze the prevalence rate of hypertension and its main risk factors in adult residents in Qilihe District of Lanzhou City, and to provide a scientific basis for effectively carrying out prevention and control strategies for hypertension. Methods A cluster multi-stage random sampling method was used to select 5,000 permanent residents aged 18 years and above in 9 streets and 6 towns of Qilihe District of Lanzhou City, and then a questionnaire survey was conducted. Data were entered using EpiDate 3.1, and SPSS 25.0 statistical software was used to perform single-factor Chi-square test andmulti-factor unconditional logistic regression analysis. Results A total of 5,000 questionnaires were distributed, and 4,776 valid questionnaires were retrieved, with the effective rate of 95.52%. Among them, there were 2,414 males (50.54%) and 2,362 females (49.46%). The crude prevalence rate of hypertension was 21.94% (95%CI: 20.79%-23.14%), and the standardization rate was 21.45%. Univariate analysis showed that urban and rural areas, age, educational background, body mass index (BMI), waist circumference, alcohol consumption, family history of hypertension, diabetes, and average daily intake of vegetables were related to the occurrence of hypertension. Multivariate logistic regression analysis displayed that rural area (OR=1.577, 95%CI:1.309-1.899), age (OR=1.062, 95%CI:1.057-1.068), BMI (OR=1.584, 95%CI:1.412-1.777), family history of hypertension (OR=1.526, 95%CI: 1.286-1.811), and diabetes (OR=1.772, 95%CI: 1.409-2.229) were risk factors for hypertension. Conclusions The prevalence rate of hypertension in the adults in Qilihe District in 2017 was relatively high. Rural area, age, BMI, family history of hypertension and diabetes were risk factors for hypertension. It is necessary to further control the prevalence rate of hypertension through preventing and controlling the risk factors for hypertension.

Key words： adult hypertension prevalence rate risk factor

收稿日期: 2020-03-13

R544.1

基金资助:兰州市科技计划项目(2018-3-74);甘肃中医药大学大学生科技创新项目(xskj-201824);甘肃中医药大学教学改革项目(YB-201615)

通讯作者: 魏兴民,E-mail:weixingmin@gszy.edu.cn。

作者简介: 倪文婷(1997-),女,本科在读,研究方向:预防医学。

引用本文:

倪文婷, 赵玲珑, 禄韶华, 梁可可, 吴建军, 殷晓春, 尚德泉, 王金霞, 孔慧娟, 魏兴民. 兰州市七里河区成人高血压患病率及危险因素分析[J]. 实用预防医学, 2021, 28(3): 327-331. NI Wen-ting, ZHAO Ling-long, LU Shao-hua, LIANG Ke-ke, WU Jian-jun, YIN Xiao-chun, SHANG De-quan, WANG Jin-xia, KONG Hui-juan, WEI Xing-min. Prevalence rate and risk factors of hypertension in adults in Qilihe District of Lanzhou City. , 2021, 28(3): 327-331.

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https://www.syyfyx.com/CN/10.3969/j.issn.1006-3110.2021.03.020 或 https://www.syyfyx.com/CN/Y2021/V28/I3/327

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