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目的 :调查研究扬州市自然人群中高血压患病情况及危险因素。方法 :采用流行病学调查方法 ,对调查变量进行单因素和多因素 L ogistic回归分析。结果 :15～ 74岁人群高血压患病率为 19.78%(男性 2 2 .92 % ,女性 17.6 9% ) ,标化患病率为 16 .15 % (男性 18.70 % ,女性 14.6 5 % )。单因素分析显示与高血压患病显著相关的危险因素有 :性别、年龄、职业、文化程度、饮酒、吸烟、吃肉类型、蛋摄入量、婚姻状况、绝经、睡眠质量、友邻谈心、血糖值、体重指数、腰 /臀围比、家族史 (高血压病、糠尿病、脑血管病、肥胖 )。多因素 L ogistic回归分析显示 ,影响高血压患病的独立危险因素有 :性别、年龄、职业、文化程度、饮酒、鸡蛋摄入量、婚姻状况、高血压病家族史、脑血管病家族史、体重指数、腰 /臀比、血糖值。结论 :高血压病是多因素综合作用所致 ,高血压病重点防治人群是 35岁以上、有高血压病和脑血管病家族史、超重肥胖、离婚丧偶、吸烟、高脂高胆固醇摄入、血糖浓度高的人群
Objective: To investigate the prevalence and risk factors of hypertension in natural population in Yangzhou City. METHODS: Using epidemiological survey methods, univariate and multivariate logistic regression analysis was performed on the survey variables. Results: The prevalence of hypertension was 15.78% (22.92% for males and 17.6% for females) in the 15 to 74-year-old population. The standardized prevalence rate was 16.15 % (18.70 % for males and 14.65 % for females). Univariate analysis showed that the risk factors significantly associated with the prevalence of hypertension were: gender, age, occupation, education, drinking, smoking, type of meat eaten, egg intake, marital status, menopause, sleep quality, friendship Blood glucose, body mass index, waist/hip ratio, family history (hypertension, urinary tract disease, cerebrovascular disease, obesity). Multivariate logistic regression analysis showed that independent risk factors affecting the prevalence of hypertension include gender, age, occupation, education level, drinking, egg intake, marital status, family history of hypertension, family history of cerebrovascular disease, Body mass index, waist/hip ratio, blood glucose level. Conclusions: Hypertension is caused by a combination of multiple factors. The key prevention and treatment of hypertension is over 35 years of age. There is a family history of hypertension and cerebrovascular disease, overweight and obesity, divorce and death, smoking, and high fat and high cholesterol intake. People with high blood sugar concentrations