大理地区高血压患病率调查及影响因素分析

摘要

目的 探讨大理地区高血压的患病率及影响因素.方法 对大理地区≥17岁的1 843名居民进行高血压患病率及影响因素的调查.结果 大理地区≥17岁居民中高血压的患病率为32.4%,其中汉族的患病率(35.6%)高于白族(26.2%),差异有统计学意义(P＜0.05).高血压的知晓率为59.6%,治疗率为43.6%,控制率为16.6%.Logistic多元回归分析显示,年龄[OR=1.094,95%CI(1.081,1.106)]、体质指数[OR=1.194,95%CI(1.150,1.244)]、血尿酸[OR=1.003,95%CI(1.002,1.005)]、三酰甘油[OR=1.079,95%CI(1.019,1.142)]、吸烟[OR=1.335,95%CI(1.009,1.765)]是高血压患病的危险因素,而饮酒[OR=0.601,95%CI(0.438,0.823)]是保护因素.结论 大理地区高血压患病率较高,而知晓率、治疗率和控制率较低,急需建立有效的综合干预策略.%Objective To explore the prevalence of hypertension and its influencing factors of hypertension among the residents of Dali. Methods We conducted a cross - sectional survey among 1 843 residents aged 17 years and older in Dali,Yunnan Province. Results The overall prevalence of hypertension was 32. 4％ among residents aged 17 years and older in Dali,Yunnan Province. which was significantly higher in Han population ( 35. 6％ ) than in Bai nationality ( 26. 2％ ) ( P ＜ 0. 05 ).Among hypertensive patients, the awareness rate of hypertension was 59. 6％ , the treatment rate was 43. 6％ , and the control rate was 16.6％. Stepwise multivariate logistic regression analysis indicated that age [ OR = 1.094, 95％ CI ( 1.081,1. 106 ) l, body mass index [ OR = 1. 194. 95％ CI ( 1. 150. 1. 244 )], serum uric acid [ OR = 1. 003 , 95％ CI ( 1. 002,1. 005 ) ], triglyceride [ OR = 1. 079, 95％ CI ( 1. 019, 1. 142 ) ], and current smoking [ OR = 1. 335, 95％ CI ( 1. 009,1. 765 ) ] were risk factors for hypertension, whereas current alcohol intake [ OR = 0. 601 , 95％ CI ( 0. 438 , 0. 823 ) ] was a protective factor. Conclusion The prevalence of hypertension is high among residents of Dali, while the rates of awareness,treatment , and control are low. Comprehensive intervention strategy shall be developed to improve the prevention and treatment of hypertension.