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南京市城区社区居民高血压现况调查及影响因素分析
作者:王栋1  王洁2  汤成春1  马根山1  王宏亮3  李秀云3 
单位:1. 东南大学附属中大医院 心内科, 江苏 南京 210009;
2. 南京医科大学, 江苏 南京 210029;
3. 南京市模范西路社区卫生服务中心, 江苏 南京 210013
关键词:社区 高血压 现况调查 影响因素 
分类号:R544.1
出版年·卷·期(页码):2014·33·第五期(581-585)
摘要:

目的:了解南京市社区居民高血压患病情况及其相关影响因素,为社区高血压综合管理与干预提供科学依据。方法:通过整群抽样的方法对南京市模范西路丁山社区15岁以上的居民2215人进行入户问卷调查及体格检查。结果:调查人群高血压患病率为23.0%(标化率21.2%);不同职业、文化程度、婚姻状况人群的高血压患病率差异有统计学意义(均P值<0.01);有高血压家族史及相关慢性疾病史人群的高血压患病率显著增高(均P值<0.01);超重及肥胖、吸烟、饮酒、口味偏咸、经常失眠等人群的高血压患病率显著高于非以上特征者(均P值<0.01);多因素logistic回归分析显示,男性、高龄、超重及肥胖、睡眠时间过少和过多、高血压家族史、糖尿病、高脂血症、冠心病、脑血管病、慢性肾病可能是社区居民高血压病的危险因素。结论:南京市社区居民高血压患病率处于较高水平,人群分布及相关危险因素具有地方特征,高血压的防治应结合本地特点进行针对性的社区综合管理与干预。

Objective:To investigate the prevalence and risk factors of hypertension among residents of West Mofan Road community in Nanjing, and provide scientific evidence for hypertension prevention and intervention. Methods:A cluster random sample of 2 215 community residents over 15 years old were investingated by questionnaire and medical examination. Results:The crude prevalence rate of hypertension was 23.0% (standardized rate was 21.2%). The prevalence rate of hypertension differed significantly among the subjects of different groups which were classified by occupation, education degree, marital status, respectively (P<0.01). Subjects with a family history of hypertension had a higher prevalence of hypertension than those without it, and so did the people with the history of related chronic diseases (P<0.01). The prevalence rates of hypertension among overweight, obesity, smoking, drinking, taste salty, insomnia population were all significantly higher than those without the above-mentioned characteristics. Furthermore, the unconditional multiple logistic regression analysis showed that risk factors for hypertension in this population included male, advanced age, overweight or obesity, less or more sleep, family history, diabetes, hyperlipidaemia, coronary heart disease, cerebrovascular disease and chronic kidney disease. Conclusion: The distribution and risk factors of hypertension have local characteristics among urban community residents in Nanjing. Therefore, we should make the comprehensive intervention and management measures to prevent and control hypertension.

参考文献:

[1] 中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华心血管病杂志,2011,39(7):579-615.
[2] 中国肥胖问题工作组数据汇总分析协作组.我国成人体重指数和腰围对相关疾病危险因素异常的预测价值:适宜体重指数和腰围切点的研究[J].中华流行病学杂志,2002, 23(1):5-10.
[3] 潘晓群,吕淑荣,向全永,等.江苏省居民高血压现状流行病学调查分析[J].江苏预防医学,2010,21(2):17-19.
[4] 许德专,许欣,王美龙.南京市企业退休人员健康状况与管理对策分析[J].东南大学学报:医学版,2011,30(5):722-725.
[5] 丁贤彬,漆莉,冯连贵,等.重庆市高血压流行特征分析[J].第三军医大学学报,2011,33(16):1170-1172.
[6] 杨伟健,田朝伟,钟赟,等.广州市海珠区社区居民高血压患病率、知晓率、治疗率及控制率的调查分析[J].广东医学,2012,33(3):932-934.
[7] YANG Z J,LIU J,GE J P,et al.Prevalence of cardiovascular disease risk factor in the Chinese population:the 2007-2008 China National Diabetes and Metabolic Disorders Study[J].Eur Heart J,2012,33(2):213-220.
[8] SUN Z,ZHENG L,DETRANO R,et al.Risk of progression to hypertension in a rural Chinese women population with prehypertension and normal blood pressure[J].Am J Hypertens,2010,23(6):627-632.
[9] 李东野,于浩,李英,等.中年人群高血压病危险因素的流行病学调查[J].江苏医药,2006,32(4):309-311.

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