CAJ | 학술논문

目的：分析城乡男女居民高血压的影响因素，为在一般人群中制定性别差异化的高血压预防策略提供科学依据。方法采用整群二阶段抽样方法，共调查1057名成年常住居民，分别按男女性别进行高血压影响因素的单因素及多因素的Logistic回归分析。结果共检出347例高血压居民，其中男性107例（30.84％），女性240例（69.16％）。 Logistic回归分析结果显示，男性高血压的危险因素包括年龄较高（OR＝1.045，95％CI：1.011～1.063）、无业或休息（ OR＝4.596，95％CI：1.657～12.734）、吸烟（ OR＝1.058，95％CI：1.073～1.524）；女性高血压的危险因素包括年龄较高（ OR＝1.074，95％CI：1.052～1.091）、绝经（ OR＝2.022，95％CI：1.082～3.775）、常食用动物内脏（ OR＝1.043，95％CI：1.009～1.054）、体质指数≥24 kg／m2（ OR＝2.204，95％CI：1.641～2.973）、糖尿病（ OR＝2.122，95％CI：1.313～3.442）。结论城乡男女高血压影响因素存在差异性，在预防人群高血压时，需要根据性别差异制定高血压的预防策略和措施。
목적：분석성향남녀거민고혈압적영향인소，위재일반인군중제정성별차이화적고혈압예방책략제공과학의거。방법채용정군이계단추양방법，공조사1057명성년상주거민，분별안남녀성별진행고혈압영향인소적단인소급다인소적Logistic회귀분석。결과공검출347례고혈압거민，기중남성107례（30.84％），녀성240례（69.16％）。 Logistic회귀분석결과현시，남성고혈압적위험인소포괄년령교고（OR＝1.045，95％CI：1.011～1.063）、무업혹휴식（ OR＝4.596，95％CI：1.657～12.734）、흡연（ OR＝1.058，95％CI：1.073～1.524）；녀성고혈압적위험인소포괄년령교고（ OR＝1.074，95％CI：1.052～1.091）、절경（ OR＝2.022，95％CI：1.082～3.775）、상식용동물내장（ OR＝1.043，95％CI：1.009～1.054）、체질지수≥24 kg／m2（ OR＝2.204，95％CI：1.641～2.973）、당뇨병（ OR＝2.122，95％CI：1.313～3.442）。결론성향남녀고혈압영향인소존재차이성，재예방인군고혈압시，수요근거성별차이제정고혈압적예방책략화조시。
Objective To explore the gender differences in risk factors of hypertension in town residents for making gender-differentiated strategies of hypertension prevention in general population .Methods One thousand and fifty-seven adult residents were enrolled by two stage stratified cluster sampling , and the univariate and multivariate logistic regression were used sequentially to estimate the risk factors of hypertension .All analyses stratified by sex were performed .Results Three hundred and forty-seven participants with hypertension were detected , 107 men and 240 women, the proportions of male and female were 30.84% and 69.16%, respectively.Multivariate logistic re-gression analysis showed that older age ( OR =1.045 , 95%CI:1.011 ~1.063 ) , lack of physical activity ( OR =4.596 ,95%CI:1.657~12.734 ) , and smoking ( OR=1.058 ,95%CI:1.073~1.524 ) were associated with hyper-tension of men.For women, older age(OR=1.074,95%CI:1.052~1.091), menopause(OR=2.022,95%CI:1.082~3.775 ) , eating organ meats ( OR=1.043 ,95%CI:1.009~1.054 ) , BMI≥24 kg/m2 ( OR=2.204 ,95%CI:1.641~2.973 ) , and diabetes ( OR=2.122 ,95%CI:1.313~3.442 ) were associated with hypertension .Conclu-sion Gender differences in risk factors of hypertension were significant in town population , and this suggests that gender-differentiated strategies are needed while preventing hypertension in general population .