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目的了解安徽省沿江农村地区成人高血压患病、知晓、治疗和控制情况并分析相关影响因素。方法于2014—2015年采用多阶段随机整群抽样方法,从安徽省三个沿江代表城市池州、铜陵和马鞍山市的7个沿江乡镇抽取2873名常住成年居民进行高血压问卷调查和体格测量。结果安徽省沿江农村地区成人高血压患病率为30.7%(标化率18.4%)、知晓率50.6%(标化率29.0%)、治疗率40.4%(标化率18.7%)、控制率17.7%(标化率9.3%)。随着年龄的增长,高血压患病率、知晓率、治疗率和控制率均有所提高。腹型肥胖(OR=1.855,95%CI 1.467~2.344)、有高血压家族史(OR=1.594,95%CI 1.265~2.008)以及年均家庭总收入<6万元和超重/肥胖是安徽省沿江农村地区高血压患病的危险因素;女性(OR=0.734,95%CI0.604~0.891)是该地区高血压患病的保护因素。而知晓率、治疗率、控制率可能的影响因素则不尽相同。结论安徽省沿江农村地区成人高血压患病水平较高,且高血压知晓率、治疗率、控制率较低。
Objective To understand the prevalence, knowledge, treatment and control of hypertension in rural areas along the Yangtze River in Anhui Province and to analyze the related factors. Methods A multistage randomized cluster sampling method was used in 2014-2015 to collect 2,873 permanent residents from 7 riverside villages and towns along three representative cities of Chizhou, Tongling and Maanshan in Anhui Province for questionnaire and physical measurement of hypertension. Results The prevalence of hypertension in rural areas along the Yangtze River in Anhui Province was 30.7% (standardized rate 18.4%), the awareness rate was 50.6% (standardized rate 29.0%), the treatment rate 40.4% (standardized rate 18.7%) and the control rate 17.7 % (Standardization rate of 9.3%). With age, the prevalence of hypertension, awareness rate, treatment rate and control rate have increased. Abdominal obesity (OR = 1.855,95% CI 1.467-2.344), family history of hypertension (OR = 1.594, 95% CI 1.265-2.008) and average annual family income <60,000 yuan and overweight / Risk factors for hypertension in rural areas along the Yangtze River; Women (OR = 0.734,95% CI0.604 ~ 0.891) are the protective factors of hypertension in the area. The awareness, treatment, control rate may affect the factors are not the same. Conclusion The prevalence of hypertension in rural areas along the Yangtze River in Anhui Province is high, and the awareness rate, treatment rate and control rate of hypertension are lower.