中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2015年
1期
55-60
,共6页
戚文威%贾辉%王媛媛%陈艳%梁英姿%李立丰%魏健%李广平
慼文威%賈輝%王媛媛%陳豔%樑英姿%李立豐%魏健%李廣平
척문위%가휘%왕원원%진염%량영자%리립봉%위건%리엄평
高血压%患病率%危险因素
高血壓%患病率%危險因素
고혈압%환병솔%위험인소
Hypertension%Prevalence%Risk factors
目的:了解大港油田居民高血压患病、知晓、治疗和控制现状,并分析其影响因素。方法通过分层抽样,于2008至2010年随机选取大港油田年龄>18岁居民16553名进行高血压状况横断面调查,其中男性8174名(49.38%),女性8379名(50.62%)。结果该地区居民高血压患病粗率为27.30%(标化患病率27.56%),男性、年龄增长、肥胖、高血压家族史、婚姻状况非单身、受教育程度低、打鼾、心率快、高空腹血糖、高总蛋白、高尿酸血症是高血压的危险因素。在高血压患者中,知晓率、治疗率和控制率分别为52.65%、40.07%和15.51%,服药治疗控制率38.78%。45~64岁、每月医疗费用高、有高血压家族史、现在吸烟者血压知晓状况较好,其中,每月医疗费用1~59.9元,60~199.9元,≥200元的比值比分别为5.24(95%CI:2.78~9.88),24.11(95%CI:11.91~48.84)和27.46(95%CI:13.92~54.18),偶尔运动、睡眠时间长者血压知晓程度低;大龄、每月医疗费用高、有高血压家族史、冠状动脉粥样硬化性心脏病、蔬菜膳食者更倾向于治疗高血压,其中,每月医疗费用1~59.9元,60~199.9元,≥200元的比值比分别为10.89(95%CI:3.76~31.56),54.07(95%CI:19.20~152.24)和87.31(95%CI:31.54~241.75),睡眠时间长、现在饮酒者较少治疗高血压;大龄、每周锻炼2~4次、每月医疗费用高、有冠状动脉粥样硬化性心脏病、粗纤维膳食者血压控制较好,其中,每月医疗费用1~59.9元,60~199.9元,≥200元的比值比分别为13.59(95%CI:6.50~28.44),14.67(95%CI:7.01~30.68)和17.43(95%CI:8.34~36.39),现在饮酒、受教育程度高、心率快者血压控制不达标。结论大港油田居民的高血压知晓率、治疗率、控制率高于国内同期平均水平,但与发达国家和地区还存在差距,应采取综合干预措施以达到防治目的。
目的:瞭解大港油田居民高血壓患病、知曉、治療和控製現狀,併分析其影響因素。方法通過分層抽樣,于2008至2010年隨機選取大港油田年齡>18歲居民16553名進行高血壓狀況橫斷麵調查,其中男性8174名(49.38%),女性8379名(50.62%)。結果該地區居民高血壓患病粗率為27.30%(標化患病率27.56%),男性、年齡增長、肥胖、高血壓傢族史、婚姻狀況非單身、受教育程度低、打鼾、心率快、高空腹血糖、高總蛋白、高尿痠血癥是高血壓的危險因素。在高血壓患者中,知曉率、治療率和控製率分彆為52.65%、40.07%和15.51%,服藥治療控製率38.78%。45~64歲、每月醫療費用高、有高血壓傢族史、現在吸煙者血壓知曉狀況較好,其中,每月醫療費用1~59.9元,60~199.9元,≥200元的比值比分彆為5.24(95%CI:2.78~9.88),24.11(95%CI:11.91~48.84)和27.46(95%CI:13.92~54.18),偶爾運動、睡眠時間長者血壓知曉程度低;大齡、每月醫療費用高、有高血壓傢族史、冠狀動脈粥樣硬化性心髒病、蔬菜膳食者更傾嚮于治療高血壓,其中,每月醫療費用1~59.9元,60~199.9元,≥200元的比值比分彆為10.89(95%CI:3.76~31.56),54.07(95%CI:19.20~152.24)和87.31(95%CI:31.54~241.75),睡眠時間長、現在飲酒者較少治療高血壓;大齡、每週鍛煉2~4次、每月醫療費用高、有冠狀動脈粥樣硬化性心髒病、粗纖維膳食者血壓控製較好,其中,每月醫療費用1~59.9元,60~199.9元,≥200元的比值比分彆為13.59(95%CI:6.50~28.44),14.67(95%CI:7.01~30.68)和17.43(95%CI:8.34~36.39),現在飲酒、受教育程度高、心率快者血壓控製不達標。結論大港油田居民的高血壓知曉率、治療率、控製率高于國內同期平均水平,但與髮達國傢和地區還存在差距,應採取綜閤榦預措施以達到防治目的。
목적:료해대항유전거민고혈압환병、지효、치료화공제현상,병분석기영향인소。방법통과분층추양,우2008지2010년수궤선취대항유전년령>18세거민16553명진행고혈압상황횡단면조사,기중남성8174명(49.38%),녀성8379명(50.62%)。결과해지구거민고혈압환병조솔위27.30%(표화환병솔27.56%),남성、년령증장、비반、고혈압가족사、혼인상황비단신、수교육정도저、타한、심솔쾌、고공복혈당、고총단백、고뇨산혈증시고혈압적위험인소。재고혈압환자중,지효솔、치료솔화공제솔분별위52.65%、40.07%화15.51%,복약치료공제솔38.78%。45~64세、매월의료비용고、유고혈압가족사、현재흡연자혈압지효상황교호,기중,매월의료비용1~59.9원,60~199.9원,≥200원적비치비분별위5.24(95%CI:2.78~9.88),24.11(95%CI:11.91~48.84)화27.46(95%CI:13.92~54.18),우이운동、수면시간장자혈압지효정도저;대령、매월의료비용고、유고혈압가족사、관상동맥죽양경화성심장병、소채선식자경경향우치료고혈압,기중,매월의료비용1~59.9원,60~199.9원,≥200원적비치비분별위10.89(95%CI:3.76~31.56),54.07(95%CI:19.20~152.24)화87.31(95%CI:31.54~241.75),수면시간장、현재음주자교소치료고혈압;대령、매주단련2~4차、매월의료비용고、유관상동맥죽양경화성심장병、조섬유선식자혈압공제교호,기중,매월의료비용1~59.9원,60~199.9원,≥200원적비치비분별위13.59(95%CI:6.50~28.44),14.67(95%CI:7.01~30.68)화17.43(95%CI:8.34~36.39),현재음주、수교육정도고、심솔쾌자혈압공제불체표。결론대항유전거민적고혈압지효솔、치료솔、공제솔고우국내동기평균수평,단여발체국가화지구환존재차거,응채취종합간예조시이체도방치목적。
Objective To investigate factors associated with prevalence, awareness, treatment and control of hypertension in Dagang Oil Field, and to provide the scientific evidence for the intervention measurements. Methods A cross-sectional, population-based survey was conducted in Dagang Oil Field from 2008 to 2010. Totally, 16 553 adults, 8 174 men (49.38%) and 8 379 women (50.62%), completed all of the questionnaires, measurement examination and blood specimen collection. Results The prevalence of hypertension was 27.30%. Multivariate logistic regression analysis showed that male, old age, overweight or obesity, family history of hypertension, marriage, education attainment, snoring, high heart rate, fasting blood glucose, serum total protein, and hyperuricemia were associated with hypertension. The awareness, treatment, control rates among all hypertensive subjects, and control rate among treated hypertensive participants were 52.65%, 40.07%, 15.51%, and 38.78%, respectively. Awareness was more common in those who were 45-64 years old , high medical costs, family history of hypertension, and smoking currently. Odds ratio (OR) (95% CI) of awareness was 5.24 (2.78 to 9.88), 24.11 (11.91 to 48.84) and 27.46(13.92 to 54.18) for medical costs 1-59.9 yuan/month, 60-199.9 yuan/month, and≥200 yuan/month, respectively. In contrast, exercising 2-4 times/week and longer sleep duration were associated with lower awareness. Medication treatment was more common in those who had old age, high medical costs, hypertension family history, coronary heart disease, prefer vegetable, while less common in those who exercise occasionally, sleep longer and drink alcohol currently. OR (95%CI) of treatment was 10.89 (3.76 to 31.56), 54.07 (19.20-152.24), and 87.31 (31.54 to 241.75) for medical costs 1-59.9 yuan/month, 60-199.9 yuan/month, and ≥200 yuan/month, respectively. Controlled hypertension was more common in those who had old age, high medical costs, exercise 2-4 times/week, coronary heart disease, prefer crude fibre diet, but less common in those who drink alcohol currently, have higher heart rate, and higher education attainment. OR (95%CI) of controlled hypertension was 13.59 (6.50-28.44), 14.67 (7.01-30.68), and 17.43 (8.34-36.39) for medical costs 1-59.9 yuan/m, 60-199.9 yuan/m, and≥200 yuan/m, respectively. Conclusion Despite high rate of awareness, treatment and control of hypertension still need to be strengthened.