重庆市部分区县高血压前期检出率及影响因素分析

摘要

目的 探讨重庆市部分区县15岁以上常住居民高血压前期检出情况,对影响因素进行分析.方法使用分层四阶段随机抽样,对黔江区、永川区、梁平县、璧山县15岁以上常住居民进行问卷调查和体格检查.结果 重庆市黔江区、永川区、梁平县、璧山县高血压前期检出率42.72％,农村检出率高于城市(47.85％ vs.37.53％,P＜0.01)、男性检出率高于女性(48.30％vs.37.31％,P＜0.01).男、女高血压前期的检出率在55岁以后有下降的趋势(x2=27.14、20.29,P＜0.01).多因素非条件Logistic回归结果提示,高血压前期危险因素包括农村、年龄(＞25岁)、男性、超重肥胖和饮酒.高血压前期保护因素为土家族(OR=0.83,P＜0.01).结论 重庆市部分区县15岁以上居民高血压前期检出率较高,对处于高血压前期的人群生活方式和行为的干预应予以加强.%Objective To investigate the detection situation of prehypertension among the permanent residents aged more than 15 years old in partial districts and counties of Chongqing City,and to analyze its influencing factors.Methods The stratified 4-stage random sampling method was used to conduct the questionnaire survey and physical examination on the permanent residents aged ≥15 years old in the districts of Qianjiang and Yongchuan and counties of Liangping and Bishan.Results The detection rate of prehypertension in these districts and counties was 42.72 ％,the detection rate of rural area was higher than that in city (47.85 ％vs.37.53 ％,P＜0.01),and male was higher than female (48.30 ％ vs.37.31％).The prehypertension detection rate in male and female was decreased after the age of 55 years old (x2=27.14,20.29,P＜0.01).The multivariate unconditional Logistic regression results suggested that the risk factors of prehypertension included the rural area,age (＞ 25 years old),male,overweight/obesity and alcohol consumption.The prehypertension protective factors were Tujia nationality(OR=0.83,P＜0.01).Conclusion The detection rate of prehypertension is relatively high among the residents aged ≥ 15 years old in partial districts and counties of Chongqing City.Therefore the intervention on the living style and behaviors among the population in prehypertension should be strengthened.