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目的了解某烟草种植县村民的吸烟现状及与高血压的关系,为控烟和高血压预防工作提供理论依据。方法2015年1~6月采用多阶段抽样方法,首先整群抽取全县80个村委会,其次采用单纯随机抽样的方法在每个村委会中随机抽取40名村民进行问卷调查和体格检查。结果某烟草种植县村民总的吸烟率为33.99%,被动吸烟率为33.07%;年龄在35~44岁的人群吸烟人数最多,占总吸烟人数的46.34%;文化程度在小学及以下、初中、高中或中专、大学及以上的吸烟人数分别占总吸烟人数的43.22%、39.55%、11.22%、6.00%。吸烟类别主要以吸过滤嘴香烟为主(89.82%);尝试过戒烟(次数1次)的人数占总吸烟者的17.65%。吸烟者的高血压患病率为21.06%,不吸烟者的高血压患病率为19.47%,吸烟与不吸烟者高血压患病率无统计学意义(P>0.05)。被动吸烟者中高血压患病率为27.28%,无被动吸烟者中高血压患病率为15.69%,有无被动吸烟其高血压患病率差异有统计学意义(P<0.05)。经多因素Logistic回归分析得,被动吸烟是高血压的危险因素(OR=2.12)。结论某烟草种植县村民中,吸烟现象普遍,有无被动吸烟其高血压患病率有差异,被动吸烟是高血压的危险因素。
Objective To understand the status quo of cigarette smoking and the relationship with hypertension among villagers in a tobacco-growing county and provide a theoretical basis for tobacco control and prevention of hypertension. Methods From January to June 2015, a multi-stage sampling method was adopted. Firstly, 80 village committees of the county were sampled by cluster sampling, followed by simple random sampling method. 40 villagers were randomly selected from each village committee for questionnaire and physical examination . Results The total smoking rate was 33.99% and the passive smoking rate was 33.07% in a tobacco-growing county. The number of smokers in the population aged 35-44 was the highest, accounting for 46.34% of the total number of smokers. The educational level was lower in primary and lower secondary schools, The number of smokers in high school or secondary school and college and above accounted for 43.22%, 39.55%, 11.22% and 6.00% of the total number of smokers respectively. The main types of smoking cigarettes mainly filter cigarettes (89.82%); tried to quit smoking (times 1) accounted for 17.65% of the total number of smokers. The prevalence of hypertension was 21.06% in smokers, 19.47% in non-smokers, and no significant difference between smokers and non-smokers (P> 0.05). The prevalence rate of hypertension in passive smokers was 27.28%. The prevalence of hypertension in non-smokers was 15.69%. The prevalence of hypertension with or without passive smoking was significantly different (P <0.05). Multivariate logistic regression analysis showed that passive smoking was a risk factor for hypertension (OR = 2.12). Conclusion Among the villagers in a tobacco-growing county, smoking is common, and the prevalence of hypertension is different with and without passive smoking. Passive smoking is a risk factor for hypertension.