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目的了解荆门市城区及黄梅县农村地区中老年人群高血压的患病率及相关影响因素,为制定高血压的防治策略提供依据。方法 2012年4月于湖北省荆门市城区和黄梅县农村地区随机调查了3 408名35岁以上的常住居民,对其进行问卷调查与体格检查,描述其高血压患病状况,并运用logistic回归分析方法探讨高血压发病相关的影响因素。结果本次调查共发放问卷3 500份,收回有效问卷3 408份,问卷合格率为97.37%。调查的3 408人中,以前曾被诊断为高血压有779人,本次调查新发现高血压508人,高血压粗患病率为37.76%,标化患病率为29.74%。多因素logistic回归分析结果显示,被调查地区高血压的发病可能与年龄(OR=1.512,P<0.01)、奶类食用频率(OR=0.745,P=0.003)、较咸食物食用频率(OR=1.375,P=0.005)和肥胖(OR=1.672,P<0.01)有关。结论荆门市城区及黄梅县农村地区中老年人群高血压患病率较高,应通过广泛开展宣传教育和健康干预项目,加强防治工作。
Objective To understand the prevalence and related factors of hypertension in the urban areas of Jingmen City and rural areas of Huangmei County in order to provide the basis for the prevention and treatment of hypertension. Methods In April 2012, 3 408 residents over the age of 35 were randomly surveyed in Jingmen City, Hubei Province and rural areas in Huangmei County, Hubei Province. Questionnaires and physical examinations were conducted to describe their prevalence of hypertension. Logistic regression Analysis of factors related to the incidence of hypertension. Results A total of 3 500 questionnaires were sent out and 3 408 valid questionnaires were returned. The passing rate of the questionnaires was 97.37%. Among the 3 408 people surveyed, 779 were previously diagnosed as having hypertension. In this survey, 508 new hypertension patients were found. The crude prevalence rate of hypertension was 37.76% and the standardized prevalence rate was 29.74%. Multivariate logistic regression analysis showed that the incidence of hypertension in the surveyed areas may be related to age (OR = 1.512, P <0.01), frequency of milk consumption (OR = 0.745, P = 0.003) 1.375, P = 0.005) and obesity (OR = 1.672, P <0.01). Conclusions The prevalence of hypertension in middle-aged and elderly people in Jingmen City and Huangmei County rural areas is relatively high. Prevention and control work should be strengthened through extensive publicity, education and health intervention programs.