Objective To investigate the prevalence and risk factors of hypertension of community residents in Ba'nan district of Chongqing city, in order to provide evidence for the implementation of community based comprehensive prevention and control of hypertension. Methods A cluster random sampling method was adopted to investigate the prevalence of hypertension and its main risk factors among residents aged over 18 in Ba'nan district. Results A total of 3 900 residents were investigated , among whom there were 615 cases (15.77%) of hypertension. Univariate analysis showed that age, occupation, education level, marital status, family history of hypertension, alcohol consumption, waist circumference, BMI value, physical exercise were significant variables. Logistic regression analysis showed that age, education level, family history, marital status, alcohol consumption, physical exercise, obesity were factors related to hypertension in adults of Ba'nan district (OR = 1.270, 0.864, 1.071, 1.181, 1.052, 0.914, 1.844). Conclusion The prevalence of hypertension among Ba'nan district residents aged over 18 is in the medium level. Age, family history, alcohol consumption and obesity are its risk factors, and education level, physical exercise are its protective factors. Health education should be strengthened and community standardized management of hypertension should be actively carried out, in order to control the prevalence and harm of hypertension.%目的 探讨重庆市巴南区社区居民高血压患病及其主要危险因素的现状,为高血压病社区综合防治的实施提供依据.方法 采用整群随机抽样方式,对辖区18岁以上常住居民高血压患病情况及其主要危险因素进行调查.结果共计调查3 900人,高血压患病615例(15.77%);单因素分析显示,有意义的变量包括年龄、职业、文化程度、婚姻状况、高血压家族史、饮酒、腰围、BMI值、体育锻炼;多因素Logistic 回归分析显示,年龄、文化程度、高血压家族史、婚姻状况、饮酒、体育锻炼、肥胖均是巴南区成人高血压患病的影响因素(OR值分别为1.270、0.864、1.071、1.181、1.052、0.914、1.844).结论 巴南区18岁以上城乡居民高血压患病率处于中等水平,其危险因素主要有年龄、高血压家族史、饮酒、肥胖,文化程度、体育锻炼为保护因素,应加强健康教育,积极开展社区高血压规范化管理,控制高血压的流行和危害.
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