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目的了解永州市成人高血压患病率、知晓率及危险因素,为制定干预措施提供科学依据。方法采用多阶段分层随机抽样法,通过问卷调查和体检对永州市18～69岁成人进行高血压相关调查,应用SPSS13.0软件包进行单因素和多因素Logistic回归分析。结果共有效调查3780人,其中男性1638人,女性2142人;高血压患病率为25.1%,标化患病率为23.5%,其中男性为28.7%,女性为22.3%;知晓率为41.4%,其中男性为31.3%,女性为50.4%。进行单因素和多因素Logistic回归分析发现,高血压影响因素按作用大小依次为年龄、超重肥胖、精神状态、过量饮酒、中心性肥胖、血脂、性别、钙摄入。结论永州市成人高血压患病率高,针对高血压现况及危险因素采取控制体重、减少饮酒量、保持心理平衡、保持血脂正常及多摄入高钙食物等措施可以有效地减少永州市成人高血压的发生。抓好该市高血压及其相关疾病的综合防治是今后该市慢性病防治工作的重点。
Objective To understand the prevalence, awareness rate and risk factors of hypertension among adults in Yongzhou, and to provide a scientific basis for formulating interventions. Methods The multi-stage stratified random sampling method was used to investigate the hypertension among 18 to 69-year-old adults in Yongzhou city through questionnaire survey and physical examination. Univariate and multivariate Logistic regression analysis was performed using SPSS13.0 software package. Results A total of 3780 people were investigated, including 1638 males and 2142 females. The prevalence of hypertension was 25.1% and the standardized prevalence was 23.5%, of which 28.7% were males and 22.3% females; the awareness rate was 41.4% , Of which 31.3% were males and 50.4% were females. Univariate and multivariate Logistic regression analysis showed that the influencing factors of hypertension were as follows: age, overweight and obesity, mental status, excessive alcohol consumption, central obesity, lipids, gender and calcium intake. Conclusion The prevalence of hypertension in adults in Yongzhou is very high. Taking control of body weight, reducing alcohol consumption, maintaining psychological balance, maintaining normal blood lipids and increasing intake of high-calcium foods can effectively reduce the risk of adults Hypertension occurs. Do a good job in the city’s comprehensive prevention and treatment of hypertension and its related diseases in the future prevention and treatment of chronic diseases in the city’s focus.