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目的了解河北省内丘县农村居民高血压患病情况及其影响因素。方法采用多阶段整群分层随机抽样的方法对内丘县7个行政村17周岁及以上常住居民1898人进行高血压影响因素调查及相应的健康体检。采用SPSS17.0进行分析。结果高血压患病率随年龄增加而升高(χ2=126.78,P=0.00)。单因素分析显示年龄、文化水平、腰围、体重指数(BMI)、食盐量、家族史等与高血压患病有关。经多因素分析显示:腰围(OR:1.59,95%CI:1.18~2.13)、食盐量(OR:1.37,95%CI:1.08~1.72)、高血压家族史(OR:3.28,95%CI:2.40~4.47)、年龄(OR:1.69,95%CI:1.53~1.87)、超重或肥胖(OR:1.70,95%CI:1.39~2.08)为高血压患病危险因素;文化程度(OR:0.74,95%CI:0.62~0.88)为高血压的保护因素。结论应加强高血压的三级预防工作,开展知识讲座、控制肥胖、提倡低盐膳食,进而降低高血压的患病率。
Objective To understand the prevalence of hypertension and its influencing factors among rural residents in Neiqiu County, Hebei Province. Methods The multi-stage stratified stratified random sampling method was used to investigate the influencing factors of hypertension and the corresponding health check-ups in 1898 people of 17-year-old and above residents in 7 administrative villages in Neiqiu County. Using SPSS17.0 for analysis. Results The prevalence of hypertension increased with age (χ2 = 126.78, P = 0.00). Univariate analysis showed that age, education level, waist circumference, body mass index (BMI), salt content and family history were related to the prevalence of hypertension. Multivariate analysis showed that the family history of hypertension (OR: 1.59, 95% CI: 1.18-2.13), salt content (OR: 1.37, 95% CI: 1.08-1.72) (OR: 1.74, 95% CI: 1.53-1.87), and the risk of hypertension was higher in overweight or obesity (OR: 1.70,95% CI: 1.39-2.08) , 95% CI: 0.62 ~ 0.88) were the protective factors of hypertension. Conclusions Third-grade prevention of hypertension should be strengthened, lectures on knowledge, obesity control, low-salt diet should be promoted, and the prevalence of hypertension should be reduced.