哈尔滨市高血压患病率及其相关因素

目的 了解2007年哈尔滨市高血压患病率、知晓率、控制率及其相关危险因素.方法 于2007年在黑龙江省哈尔滨市南岗区对15岁以上的社区居民5 523人进行了横断面调查,包括问卷调查,血压测量,身高、体重、血糖、甘油三酯测定,高血压诊断标准按照1999年WHO/ISH推荐的标准:收缩压≥140 mm Hg和(或)舒张压≥90 mm Hg;或者既往有高血压史,目前正在服抗高血压药物者.按年龄段分组,分析患病率、知晓率、治疗率和控制率,并对高血压的危险因素做多因素Logistic回归分析.结果 年龄未标化的高血压总患病率为31.30%(1674/5348),男、女分别为38.52%(829/2152)和26.44%(845/3196).年龄标化后的高血压患病率为24.91%,男、女分别为37.72%和20.75%;高血压的知晓率、治疗率和控制率分别为57.41%、32.74%和5.85%;就业情况、高血压家族史、饮酒史、体重指数、甘油三酯、血糖水平等均为本组高血压的危险因素.结论 哈尔滨市高血压患病率仍较高,知晓率、治疗率和控制率较发达国家相比仍有较大差距,提示我们亟待制定我国高血压的防治策略.

Prevalence, awareness, treatment, and risk factors of hypertension in Harbin, Heilongjiang Province

Objective To investigate the prevalence, rates of awareness, treatment, and control,and risk factors of hypertension among the residents in Harbin, Heilongjiang Province. Methods 5523 residents, 2325 males and 3198 females, aged 15 and over, underwent questionnaire survey to understand their general conditions, history of present disease, awareness of disease, treatment, working condition, etc, and measurement of blood pressure (BP), height, body mass, and serum glucose and triglyceride. Results The no-standardized prevalence of hypertension was 31.30% in general(1674/5348), 38.52% in the males (829/2152), and 26.44% in the females(845/3196). The corresponding standardized prevalence rates of hypertension were 24.91%, 37.72%, and 20.75% respectively. The rates of awareness, treatment, and control of hypertension were 57.41%, 32.74%, and 5.85% respectively. Multiple logistic regression analysis revealed that employment condition, family history of hypertension, alcohol consumption, body mass index, level of triglyceride and serum glucose were risk factors of hypertension. Conclusion Hypertension is highly prevalent is highly prevalent and the rates of awareness, treatment, and control of hypertension are still rather low in Harbin.