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目的了解辽宁省丹东市农村≥15岁居民高血压患病情况,分析该地区农村居民高血压主要影响因素,为防治高血压采取针对性措施提供依据。方法采用分层整群抽样方法抽取丹东市农村地区6 121名≥15岁常住居民进行调查,进行高血压影响因素分析。结果丹东市农村地区≥15岁居民患高血压1 536例,患病率为25.1%;logistic回归分析结果显示,农村女性患高血压的危险是男性的1.32倍;以15~24岁为参照组,年龄每增加10岁患高血压的危险增加2.14倍;以正常体重为参照组,体重过轻、超重、轻度肥胖、中/重度肥胖患高血压的危险分别是正常组的1.70、1.28、1.89、2.23倍;以吸烟组为参照组,不吸烟是患高血压的保护因素(OR=0.83);有糖尿病史患者患高血压的危险是无糖尿病史患者的2.03倍。结论丹东市农村地区居民高血压患病率高于全国平均水平,合理饮食、减轻体重、控烟,并针对重点人群进行健康干预和治疗,是有效降低和预防农村居民高血压的方法之一。
Objective To understand the prevalence of hypertension among rural residents aged 15 or above in Dandong, Liaoning Province, analyze the main influencing factors of hypertension among rural residents in this area, and provide evidence for the prevention and treatment of hypertension. Methods A stratified cluster sampling method was used to survey 6,121 residents aged ≥15 years in rural areas of Dandong for the analysis of influencing factors of hypertension. Results In rural areas of Dandong, ≥15 years old residents suffered from hypertension with a total of 1 536 cases, with a prevalence of 25.1%. Logistic regression analysis showed that the risk of hypertension in rural women was 1.32 times higher than that of men, and 15 to 24 years old as reference group , The risk of hypertension increased by 2.14 times for each 10-year-old age; the risk of underweight, overweight, mild obesity, and moderate / severe obesity were 1.70,1.28, 1.89,2.23 times; smoking group as a reference group, non-smoking is a protective factor against hypertension (OR = 0.83); patients with history of diabetes have a high risk of hypertension is 2.03 times the history of patients without diabetes. Conclusion The prevalence rate of hypertension in rural areas of Dandong is higher than the national average level, reasonable diet, weight loss, tobacco control, and health intervention and treatment for key populations is one of the effective ways to reduce and prevent rural residents from high blood pressure.