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河南省35~74岁居民高血压患病率及影响因素

Prevalence and risk factors of hypertension among residents aged 35-74 years in Henan province

  • 摘要: 目的了解河南省35~74岁居民高血压流行病学特征及相关影响因素。方法采用多阶段分层随机整群抽样方法,根据地理经济水平,按照城市:农村=4:6的比例随机抽取河南省35~74岁常住居民9 983人,进行问卷调查和身高、体重、血压测量,应用多因素非条件logistic回归模型分析高血压患者影响因素。结果河南省35~74岁居民高血压患病率为39.7%,标化率为40.1%,其中男性标化率为41.5%,女性为41.4%,差异无统计学意义(P>0.05),随着年龄的增大,人群高血压患病率呈增高趋势;多因素logistic回归分析显示,年龄、性别、文化程度、婚姻状况、吸烟情况、腰围、体质指数是高血压的独立影响因素(均P<0.05)。结论河南省35~74岁居民患病率较高,且居民不良生活方式和肥胖是其主要危险因素。

     

    Abstract: ObjectiveTo investigate epidemic characteristics and risk factors of hypertension among residents aged 35-74 years in Henan province.MethodsWith multi-stage cluster random sampling,according to a 4:6 ratio of urban:rural area based on economic geography,a questionnaire survey was conducted in conjunction with the measurements of body height and weight and blood pressure among 9 983 inhabitants aged 35-74 years.Multivariate unconditional regression model was employed to analyze the influence factors of hypertension.ResultsThe prevalence rate of hypertension in the residents was 39.7%and the standardized prevalence rate was 40.1%.The standardized rates of male,female,urban and rural populations were 41.5%,41.4%,39.2%,and 40.1%,respectively.No significant differences were found in the standard rates of hypertension between male and female or the urban and rural residents(u≤1.45,P>0.05).With the increment of age,the hypertension prevalence rate of all residents,male,and female were obviously elevated.The results of logistic regresssion showed that the risk factors of hypertension were age,gender,educational level,marital status,smoking,central obesity and body mass index.ConclusionThe results indicated that hypertension was highly prevalent in Henan province and the unhealthy living style and obesity were the major risk factors.

     

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