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目的了解克拉玛依炼油厂社区居民高血压患病率及其影响因素。方法于2007年10月-2010年3月采用整群随机抽样法抽取克拉玛依炼油厂社区年龄>35岁常住成人作为调查对象,自行设计调查表调查成人高血压患病情况,分析不同民族、不同性别人群高血压患病率的差异。结果抽样获得调查人群为4 188人,完成调查者3 821人,应答率为91.24%。本社区居民高血压患病率为38.26%,其中男性人群高血压患病率为39.42%,女性为37.20%,不同性别人群高血压患病率差异无统计学意义(χ2=1.99,P=0.08)。汉族、维吾尔族、哈萨克族不同性别人群高血压患病率差异无统计学意义。高血压的患病率均随年龄的增长而增高。汉族高血压患病率为37.37%,维吾尔族高血压患病率为39.27%,哈萨克族高血压患病率为59.12%,不同民族高血压患病率比较差异有统计学意义(χ2=26.49,P=0.00),哈萨克族人群血压水平显著高于汉族和维吾尔族。年龄、饮酒、肥胖、高TC血症、高TG血症、糖尿病是克拉玛依地区高血压患病的危险因素。结论克拉玛依地区高血压患病率均随年龄增加呈增高趋势,高血压患病率存在民族差异但无性别差异。
Objective To understand the prevalence of hypertension in community residents in Karamay Refinery and its influencing factors. Methods From October 2007 to March 2010, population random sampling was used to select the resident adults aged> 35 in Karamay Refinery community as the survey subjects. The questionnaire was designed to investigate the prevalence of hypertension among adults in different age groups in different ethnic groups Differences in the prevalence of hypertension in the population. Results A total of 4 188 persons were sampled and 3821 persons completed the survey. The response rate was 91.24%. The prevalence of hypertension in this community was 38.26%. The prevalence of hypertension was 39.42% in males and 37.20% in females. There was no significant difference in the prevalence of hypertension among different sexes (χ2 = 1.99, P = 0.08 ). There was no significant difference in the prevalence of hypertension between Han, Uygur and Kazak ethnic groups. The prevalence of hypertension increased with age. The prevalence rate of hypertension in Han nationality was 37.37%, the prevalence rate of hypertension in Uighur was 39.27%, the prevalence rate of hypertension in Kazak was 59.12%, and the prevalence of hypertension among different ethnic groups was significantly different (χ2 = 26.49, P = 0.00). The blood pressure of Kazak people was significantly higher than that of Han and Uighurs. Age, alcohol consumption, obesity, hypercholesteremia, hypercholesterolemia, and diabetes mellitus are risk factors for hypertension in Karamay. Conclusions The prevalence of hypertension in Karamay region is increasing with age. The prevalence of hypertension has ethnic differences but no gender differences.