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目的分析红河州居民高血压流行情况及其影响因素,为红河州制定高血压防控相关政策提供科学依据。方法采用多阶段分层随机整群抽样的方法,对红河州4 704名18岁及以上常住居民进行问卷调查、体格测量和实验室检测,并采用多因素logistic回归方法探讨高血压的影响因素。结果红河州居民高血压患病率为20.5%,男性20.9%,女性20.2%,城市24.9%,农村19.0%,高血压患病率随年龄增长而增加。农民(OR=1.5)、小学以下文化(OR=1.3)、不健康饮酒(OR=1.4)、居住城市(OR=1.5)、年龄≥35岁(OR=5.3)、超重肥胖(OR=2.1)、血脂异常(OR=1.7)、糖尿病(OR=1.8)是高血压的危险因素。体重知晓(OR=0.7)、已婚或同居(OR=0.7)与高血压呈负相关。结论红河州居民高血压患病率处于较高水平,不同特征人群存在差异,亟待加强红河州高血压防控工作。
Objective To analyze the prevalence and influencing factors of hypertension among residents in Honghe Prefecture and to provide a scientific basis for formulating policies on prevention and control of hypertension in Honghe Prefecture. Methods A multistage stratified stratified random cluster sampling method was used to investigate the prevalence of hypertension among 4 704 permanent residents aged 18 years and over in Honghe Prefecture by questionnaires, physical measurements and laboratory tests. Multivariate logistic regression was used to investigate the influencing factors of hypertension. Results The prevalence of hypertension in Honghe residents was 20.5%, 20.9% for males and 20.2% for females, 24.9% in urban areas and 19.0% in rural areas. The prevalence of hypertension increased with advancing age. (OR = 1.5), lower primary school education (OR = 1.3), unhealthy drinking (OR = 1.4), living in urban areas Dyslipidemia (OR = 1.7), diabetes (OR = 1.8) was a risk factor for hypertension. Body weight (OR = 0.7), married or cohabitation (OR = 0.7) was negatively correlated with hypertension. Conclusion The prevalence of hypertension in Honghe Prefecture is at a high level, and there are differences among different population characteristics. It is urgent to strengthen the prevention and control of hypertension in Honghe Prefecture.