高血压；影响因素；Logistic模型_

广州市城乡居民高血压相关影响因素分析

http://www.100md.com 《中国公共卫生》 2007年第1期

高血压；影响因素；Logistic模型,,高血压；影响因素；Logistic模型,1对象与方法,2结果,3讨论,参考文献

     摘要：目的了解广州市城乡居民高血压的主要相关影响因素，为采取有针对性的控制措施提供科学依据。方法运用多阶段随机抽样方法确定调查样本，面对面询问调查15岁及以上居民高血压既往史和个人基本情况，测量血压，检测血糖及血脂水平。采用Logistic回归分析方法分析高血压相关影响因素。结果共调查23485人，其中高血压患者4034人，高血压粗患病率为172%，其中城市、农村居民高血压患病率分别为192%，141%，城市高于农村，差异有统计学意义(P<001)。Logistic回归分析结果显示，城市居民高血压主要影响因素有年龄、职业、腰围、体质指数、高血压家族史、高甘油三酯、糖尿病。农村居民高血压主要影响因素有年龄、腰围、体质指数、高血压家族史、高胆固醇、低高密度脂蛋白、糖尿病。结论城乡居民高血压影响因素存在差异，广州市高血压的防治重点应预防控制肥胖、糖尿病。

    关键词：高血压；影响因素；Logistic模型

    Analysis on influence factors of hypertension between urban and rural area in Guangzhou city

    LIU Weijia,CHEN Weiqing,LUO Bufan,et al.

    Department of Chronic and Non-communicable Disease Control and Prevention,Guangzhou Center for Disease Control and Prevention(Guangzhou 510080,China)

    Abstract： Objective To identify risk factors of hypertension in Guangzhou and to provide evidences for performing specific prevention and control measures of hypertension.Methods Subjects aged over 15 years old were sampled through multi-stage randomized sampling.Background information was collected by face-to-face interview and blood pressure (BP),body mass index (BMI) and waist circumference (WC) were measured by physical examination,and serum lipid and blood sugar were detected in laboratory.The relative risk factors were explored through logistic regression analysis.Results Of 23 485 subjects,4 034 were found to be with hypertension and the crude hypertension prevalence rate was 172%,of which 192% in urban and 141% in rural.The prevalence rate of hypertension in urban was significantly higher than that in rural areas.In urban areas,the major relative risk factors of hypertension were age,occupation,waist circumference,body mass index,family hypertension history,high serum triglycerides and diabetes.In rural areas,the major relative risk factors of hypertension were age,occupation,waist circumference,body mass index,family hypertension history,high serum cholesterol,low high-density lipoprotein and diabetes,and education was a protecting factor.Conclusion Risk factors for hypertension in urban and rural area are different.Hypertension control and prevention should include obesity and diabetes intervention. ......

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