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目的了解临沂市高血压流行情况,为制定高血压防治对策提供依据。方法2009年3~5月,在临沂市12个县区整群随机抽取18岁以上常住居民进行调查。结果调查6819人,查出高血压2000例,患病率为29.33%,标化患病率为26.12%。其中新发现高血压889例(患病率为13.04%),占高血压患者总数的44.45%。高血压患病率随着年龄的增长逐渐升高,随着文化程度的升高逐渐降低。高血压患病率,男性为29.38%,女性为29.25%;城区28.79%,农村为29.68%;超重、肥胖者患病率分别为30.10%、52.08%,非超重、肥胖者为18.55%;吸烟者为29.60%,不吸烟者为29.21%;饮酒者为30.13%;不饮酒者为28.98%。结论临沂市城乡居民高血压患病率处于较高水平,应在居民中尤其是文化程度较低的居民中广泛开展形式多样的,以预防高血压、糖尿病等慢性非传染性疾病为主题的健康教育和健康促进活动,全面提高居民慢性病防治知识水平,降低高血压发病率。
Objective To understand the prevalence of hypertension in Linyi and provide the basis for developing hypertension prevention and control measures. Methods From March to May 2009, randomly selected residents over 18 years old from 12 clusters in 12 districts of Linyi City for investigation. Results A total of 6,819 people were surveyed, of which 2000 were diagnosed as hypertension. The prevalence rate was 29.33% and the standardized prevalence rate was 26.12%. Among them, 889 new cases of hypertension were found (the prevalence rate was 13.04%), accounting for 44.45% of the total number of hypertension patients. The prevalence of hypertension increased with age and gradually decreased with the increase of education. The prevalence of hypertension was 29.38% in males and 29.25% in females; the urban area was 28.79% and that in rural areas was 29.68%. The prevalence rates of overweight and obesity were 30.10% and 52.08% respectively, and non-overweight and obese persons were 18.55% 29.60%, 29.21% of non-smokers, 30.13% of drinkers and 28.98% of non-drinkers. Conclusions The prevalence of hypertension in urban and rural areas of Linyi City is at a high level. A wide range of forms should be widely carried out among residents, especially those with lower educational level, to prevent chronic non-communicable diseases such as hypertension and diabetes. Education and health promotion activities, comprehensively improve the residents of chronic disease prevention and control knowledge, reduce the incidence of hypertension.