Objective To understand the epidemiological characteristics and provide evidence for prevention and control of hypertension in Shijingshan District,Beijing.Methods A survey of chronic disease and risk factor in community residents was conducted in 9 sub-districts in Shijingshan District in 2015.The prevalence,treatment and control of hypertension in residents were collected.The influencing factors,including height,weight,waist circumference,blood pressure,fasting blood glucose,blood lipids,and serum uric acid were investigated to analyze their relationship with hypertension.Results A total of 4880 persons aged 18 years old and over were investigated.The prevalence of hypertension was 36.1％.The awareness rate,treatment rate and control rate were 63.7％,55.6％ and 35.3％.The prevalence of hypertension was significantly increased with age (x2 =62.77,P ＜ 0.01).The prevalence of male was significantly higher than that of female before aged 60 (x2 =39.61,P ＜ 0.01).However,the prevalence of female was increased rapidly after aged 50 years old,and higher than that of male after 60 years old (x2 =3.81,P ＜ 0.01).Multivariate logistic regression analysis showed that age (OR =1.776,95％ CI:1.679-1.879),alcohol consumption (OR =1.604,95％ CI:1.349-1.908),overweight and obesity (OR =1.668,95％CI:1.501-1.853),HUA (OR =1.685,95％CI:1.199-2.360),waist (OR=1.699,95％CI:1.434-2.012) and FPG (OR=1.232,95％CI:1.156-1.314) were the main risk factors for hypertension.Sex (OR =0.760;95％ CI:0.604-0.956),Physical exercise (OR =0.767,95％CI:0.630-0.935),education (OR =0.872,95％ CI:0.811-0.938) and occupation (OR =0.973,95％ CI:0.946-1.000) were protective factors.Conclusion Theprevalence of hypertension in residents of Shijingshan district was high,and there was an upward trend.The awareness rate,treatment rate and control rate of hypertension need to be further improved.%目的 了解北京市石景山区高血压的流行特征及防治水平.方法 2015年在石景山区9个街道的社区居民进行慢性病及其危险因素现况调查,收集居民有关高血压的患病、治疗和控制情况.结果 共调查年龄在18岁及以上常住居民4880人.高血压患病率为36.1％,知晓率、治疗率及控制率分别为63.7％,55.6％和35.3％.高血压患病率随年龄的增长而显著增高(x2=62.77,P＜0.01),年龄在60岁以前男性高血压患病率明显高于女性(x2 =39.61,P＜0.01),随着年龄增长在50岁以后女性高血压患病率上升明显,60岁以后女性高血压患病率甚至超过男性(x2 =3.81,P＜0.01).多因素Logistic回归分析显示:高血压的主要危险因素有年龄(OR=1.776,95％CI:1.679～1.879)、饮酒(OR=1.604,95％CI:1.349～1.908)、超重肥胖(OR=1.668,95％CI:1.501 ～1.853)、高尿酸血症(OR=1.685,95％ CI:1.199 ～2.360)、腰围(OR=1.699,95％ CI:1.434 ～2.012)和空腹血糖(OR=1.232,95％CI:1.156～1.314)等;高血压的保护性因素有性别(OR=0.760,95％CI:0.604～0.956)、体育锻炼(OR=0.767,95％ CI:0.630～0.935)、文化程度(OR=0.872,95％CI:0.811 ～0.938)和职业(OR =0.973,95％CI:0.946～1.000).结论 石景山区居民高血压病患病率高,且有上升趋势.其疾病知晓率、治疗率和控制率有待进一步提高.
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