Objective To study the prevalence of hypertension and risk factors in Shunyi District of Beijing and provide scientific evidences for the prevention of hypertension.Methods With the application of Probability-Proportional-to-Size Sampling (PPS Sampling),3839 permanent residents who were from 18 to 79 years old in Shunyi District were includ-ed in our study to conduct questionnaire survey,physical measurement and laboratory examination.Chi-square test and Lo-gistic regression analysis were adopted to analyze the risk factors related to hypertension.Results The prevalence of hyper-tension among permanent residents who were from 18 to 79 years old in Shunyi District was 36.4%.The prevalence rate a-mong male permanent residents was 42.30% which was higher than the rate of 31.68% among female permanent residents, and there was statistically significant difference (P <0.01 ).The prevalence of hypertension increased with the growth of age,and that among permanent residents over 50 years old reached more than 50%.According to the results of logistic re-gression analysis,gender,age,dyslipidemia,overweight and obesity (including abdominal obesity),familial history of hypertension and alcohol were all the risk factors of hypertension.The total awareness rate,treatment rate and control rate of hypertension in Shunyi District were 62.83%,53.25% and 21.73%,respectively.The three rates of female residents were higher than those of male residents with statistical significance (P <0.01).With the growth of age,the awareness rate, treatment rate and control rate of hypertension were increased significantly.As to patients with confirmed hypertension,the treatment rate and control rate were 84.95% and 40.81% respectively,and the rates of female patients were higher than those of male patients with statistical significance.The older the patients with confirmed hypertension were,the higher the treatment rate and control rate of hypertension were,and there was statistically significant difference.Conclusion The prevalence of hypertension among permanent residents from 18 to 79 years old in Shunyi District is high and the situation of blood pressure control is still unsatisfactory.Therefore,some integrated intervention measures should be taken to make pro-gress in controlling the main risk factors and improving the awareness rate,treatment rate and control rate of hypertension.%目的 了解北京市顺义区高血压患病现状及发病危险因素,为高血压的预防控制提供科学依据.方法 采用按规模大小成比例的概率抽样(PPS抽样)方法进行抽样,抽取18~79岁顺义区常住居民3839人进行问卷调查、体格测量及实验室检查,采用 χ2检验、Logistic回归分析对高血压相关危险因素进行分析.结果 顺义区18~79岁常住居民高血压患病率为36.4%,男性患病率42.30%,女性患病率31.68%(P<0.01).患病率随着年龄增加而增加,50岁以上老年人高血压患病率超过50%.Logistic回归分析结果显示,性别、年龄、血脂异常、超重肥胖(包括腹型肥胖)、高血压家族史、饮酒均为高血压的危险因素.顺义区高血压总的知晓率、治疗率、控制率分别为62.83%、53.25%、21.73%,女性知晓率、治疗率、控制率均高于男性(P<0.01);随着年龄增大,高血压知晓率、治疗率、控制率均呈现增高趋势;对于已经确诊的高血压患者,治疗率、控制率分别为84.95%、40.81%,女性均高于男性;年龄越大,确诊患者高血压治疗率、控制率也呈现增高趋势,以上差异有统计学意义(P<0.05)结论 顺义区18~79岁常住居民高血压患病率处于较高水平,且血压控制仍不理想.应采取综合性干预措施,加强对重点危险因素的控制,提高高血压的知晓率、治疗率、控制率.
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