Objective To understand the hypertension related risk factors of community residents over aged 15 in Chengde city, in order to formulate prevention and control measures against community hypertension and provide reliable basis for the prevention and control of community hypertension. Methods 3 578 residents were randomly selected from 2 communities and received inquiry investigation and physical examination. Results Among 3 565 community residents of complete data over aged 15 in Chengde city, 685 suffered with hypertension, accounted for 19.21%, among whom 325 were female, accounted for 18.30% and 360 were male, accounted for 20.13%. The prevalence rate of the male was higher than that of the female, with statistically significant difference (P < 0.01). The prevalence rate of hypertension increased along with the age increasing and it was significantly different between different ages. The prevalence rate of hypertension of the widowed residents was higher than that of the married residents, with extremely significant difference (P < 0.01). The prevalence rates of hypertension of residents with family history, diabetes, no exercise, large mental stress and high-salt diet were higher than those of residents without these factors, with extremely significant difference (P < 0.01). Conclusion The prevalence of hypertension among community residents in Chengde city is associated with the age, sex, martial status, family history, diabetes, exercise, mental factors and high-salt diet.%目的 掌握承德市区15岁以上社区居民的高血压相关危险因素情况,制订社区高血压防治措施,并为社区高血压防治提供可靠依据.方法 以2个社区为调查点,从中随机抽查3 578人进行问询调查和体格检查.结果 3 565名资料完整的被调查者中15岁以上社区高血压患病685例,占19.21％,其中,女性患病325例,占18.30％,男性患病360例,占20.13％,男性患病率高于女性,男女患病率差异有高度统计学意义(P＜0.01)；高血压患病率随着年龄的增长呈上升趋势,不同年龄之间差异有高度统计学意义(P＜0.01)；丧偶人群高血压患病率高于在婚人群,差异有高度统计学意义(P＜0.01)；有家族史、糖尿病、不锻炼、精神压力大、高盐饮食人群高血压患病率高于无以上相关因素人群,差异有高度统计学意义(P＜0.01).结论 承德市社区居民高血压的发病与年龄、性别、婚姻状况及家族史、糖尿病、锻炼、精神因素、高盐饮食有关.
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