CAJ | 학술논문

目的探讨徐州市居民罹患高血压的脆弱性,以制定有效的干预策略.方法采用多阶段分层随机抽样方法,共抽取15至69岁居民4980名,进行统一的问卷调查,根据调查内容对不同人群分组分析,用卡方检验进行脆弱性比较评价.结果 15至69岁调查人群高血压患病率为13.62%;应对高血压脆弱性方面,不知道人群正常血压值者占45.26%,认为35岁以上没必要每年测血压者占29.68%,不知道每人每天摄入食盐克数者占57.23%,不知道如何预防高血压者占21.53%,不知道如何控制高血压者占12.05%,女性、农林牧渔劳动者和在校学生、低文化程度、家庭每月人均收入低者应对高血压脆弱性较高,高血压病患者应对高血压的脆弱性小于未患高血压病者;行为脆弱性方面,目前吸烟率为16.45%,过去12个月内饮酒率为11.10%,饮食偏成率为30.00%,从未测血压率32.05%,随着文化程度提高、家庭人均收入增加、年龄的增长,从未测血压者所占比例越小,饮酒率逐渐增加,不同文化程度饮食偏咸情况差异有统计学意义(χ2=23.37,P＜0.05),年龄组大者目前吸烟者所占比例较大,患病与未患病行为脆弱性差异无统计学意义.结论徐州市居民罹患高血压的脆弱性较大,不同人群之间高血压的脆弱性不同,应针对不同人群加强高血压防治知识的普及,引导人们选择正确生活方式,进一步完善徐州高血压的综合防治工作.
목적 탐토서주시거민리환고혈압적취약성,이제정유효적간예책략.방법 채용다계단분층수궤추양방법,공추취15지69세거민4980명,진행통일적문권조사,근거조사내용대불동인군분조분석,용잡방검험진행취약성비교평개.결과 15지69세조사인군고혈압환병솔위13.62%;응대고혈압취약성방면,불지도인군정상혈압치자점45.26%,인위35세이상몰필요매년측혈압자점29.68%,불지도매인매천섭입식염극수자점57.23%,불지도여하예방고혈압자점21.53%,불지도여하공제고혈압자점12.05%,녀성、농림목어노동자화재교학생、저문화정도、가정매월인균수입저자응대고혈압취약성교고,고혈압병환자응대고혈압적취약성소우미환고혈압병자;행위취약성방면,목전흡연솔위16.45%,과거12개월내음주솔위11.10%,음식편성솔위30.00%,종미측혈압솔32.05%,수착문화정도제고、가정인균수입증가、년령적증장,종미측혈압자소점비례월소,음주솔축점증가,불동문화정도음식편함정황차이유통계학의의(χ2=23.37,P＜0.05),년령조대자목전흡연자소점비례교대,환병여미환병행위취약성차이무통계학의의.결론 서주시거민리환고혈압적취약성교대,불동인군지간고혈압적취약성불동,응침대불동인군가강고혈압방치지식적보급,인도인문선택정학생활방식,진일보완선서주고혈압적종합방치공작.
Objective To explore the hypertensive vulnerability of residents living in Xuzhou City to provide evidence for effective intervention. Methods Based on multi-stage stratified randomized sampling methed,a total of 4980 residents aged 15 to 69 years from 9 counties of Xuzhou City were selected and completed a standard questionnaire. Hypertensive vulnerability was compared by using Chi-square test. Results The prevalence of hypertension was 13.62% among 15 to 69 years old participants. The residents who had no idea of normal level of blood pressure accounted for 45. 26%. The residents who thought it was unnecessary to measure blood pressure every year since 35 year-old accounted for 29. 68%. Those who did not know individual's salt intake per day accounted for 57. 23%. The participants who had no information on hypertension prevention or control accounted for 21.53% and 12. 05%, respectively. The higher hypertensive vulnerability was associated with lower educational level or monthly income per capita; higher hypertensive vulnerability of patients is less than normal crowed. The rates of current smoking, alcohol consumption,salt over-intake and non-blood pressure measurement were 16. 45%, 11.10% ,30. 00%, and 32. 05% respectively. The higher educational level, higher monthly income per capita or older age crowd ,the lower rate of non-blood pressure measurement, the higher rate of alcohol consumption ; salt over-intake was different in different education levels ( χ2 = 23.37, P＜0. 05 ) ; the older age group were in a higher proportion of current smokers;the behavior vulnerabilities were no difference between the patients and normal crowds. Conclusion Hypertensive vulnerability of residents living in Xuzhou City is high. Hypertension education and healthy living style should be improved to effectively prevent the development of hypertension.