上海市泥城社区老年人高血压患病情况及其危险因素

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目的了解上海市泥城社区老年人高血压患病现状及有关危险因素,为制定高血压防治策略提供依据。方法采用整群随机抽样的方法,对上海市泥城社区65岁及以上老年人进行横断面调查。结果上海市泥城社区老年居民高血压病的患病率为60.4%,男女患病率差异无统计学意义(χ2=3.15,P>0.05),高血压患病率随年龄增长而上升(χ2=9.92,P<0.05)。高血压知晓率、治疗率和控制率分别为87.4%、82.7%和43.3%。Logistic回归显示年龄、独居、食盐摄入量、体育锻炼、体质指数、心血管疾病史、家族史、糖尿病史与高血压患病存在相关性。结论上海市泥城社区老年高血压的患病率处于较高水平,危险因素有多种,应针对危险行为因素进行干预,倡导健康的生活方式。 Objective To understand the prevalence and related risk factors of hypertension in the elderly in Shanghai’s Chengcheng community and provide the basis for the prevention and treatment of hypertension. Methods By cluster sampling method, a cross-sectional survey was conducted on the elderly aged 65 years and over in Shanghai’s mud city community. Results The prevalence of hypertension among elderly residents in Shanghai Citizens Community was 60.4%. There was no significant difference between male and female prevalence (χ2 = 3.15, P> 0.05). The prevalence of hypertension increased with age (χ2 = = 9.92, P <0.05). Hypertension awareness, treatment and control rates were 87.4%, 82.7% and 43.3%. Logistic regression showed age, solitary, salt intake, physical activity, body mass index, history of cardiovascular disease, family history, history of diabetes and hypertension were related. Conclusion The prevalence of senile hypertension in Shanghai Chengcheng community is at a high level with many kinds of risk factors. Intervention should be made according to the risk behaviors and a healthy life style should be advocated.
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