山东省中西部农村地区高血压患病现状及相关因素研究

李慧; 孟庆跃; 尹爱田; 孙晓筠

引用本文：李慧,孟庆跃,尹爱田,等.山东省中西部农村地区高血压患病现状及相关因素研究[J].中国卫生政策研究,2011,4(3):40-45

山东省中西部农村地区高血压患病现状及相关因素研究

投稿时间：2010-12-07 修订日期：2011-02-23 PDF全文浏览 HTML全文浏览

1.山东大学应用经济学博士后流动站;2.山东大学卫生管理与政策研究中心;3.山东省卫生厅国际合作处

摘要:目的：分析山东省中西部农村居民高血压的患病现状及其相关危险因素。方法：采用多阶段分层整群抽样的方法，选择有代表性的8个农业县（市、区），对25岁及以上的常住农村居民进行问卷调查和体格检查，共调查了16 364人。结果：25岁及以上的山东中西部农村居民高血压标化患病率37.2％，男性患病率高于女性；血压分类中，1、2、3级高血压的比例分别为24.4%、11.9%和5.8%，单纯收缩期高血压患病率高达14.4%，女性患病率高于男性。男性和女性高血压患病相关影响因素基本相同，主要有年龄、婚姻状况、文化程度、家族史、体质量指数、吸烟等。结论：山东省中西部农村地区高血压患病率较高，疾病负担较重，高血压防治工作亟待改善和加强。

关键词:高血压危险因素农村人口

基金项目:WHO项目“山东省农村卫生人员培训与慢病控制”（WP/2006/CHN/NCD/2.4/001）

Prevalence of hypertension and risk factors in the mid and west rural areas of Shandong Province

LI Hui¹, MENG Qing-yue², YIN Ai-tian², SUN Xiao-yun³

1.The Postdoctoral Station of Applied Economics, Shandong University;2.Center for Health Management and Policy, Shandong University;3.International Cooperation Division, Shandong Provincial Department of Health

Abstract:Objectives: This study estimates the prevalence of hypertension and related risk factors in a rural population from Shandong Province. Methods: A cross sectional study was conducted in April 2007 using multistage cluster sampling. A total of 16 364 rural residents aged 25 years and greater were interviewed and examined. Results: Overall, the adjusted hypertension prevalence of this rural population was 37.2% with higher prevalence among men than among women. The percentages with stages 1, 2 and 3 hypertension were respectively 24.4%, 11.9% and 5.8%. The prevalence of isolated systolic hypertension was 14.4% with higher prevalence among women than men. Men and women had same risk factors of hypertension, such as age, marital status, educational level, family history of hypertension, overweight, obesity and smoking. Conclusion: In the study population, the prevalence of hypertension is high. There is an urgent need for comprehensive integrated strategies to improve preventing, detection and treatment of hypertension in rural areas in Shandong Province.

Key words:Hypertension Risk factor Rural population

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