目的 了解江西省城乡居民高血压流行情况及其影响因素,为制订防治策略提供参考.方法 采用多阶段分层随机抽样的方法,抽取江西省18岁及以上的常住居民开展慢性病流行现状调查,分析高血压患病流行情况及相关影响因素.结果 高血压患病率为30.67％,标化率24.46％；男性高于女性(x2=4.23,P＜0.05),差异有统计学意义；城市低于农村(x2=8.00,P＜0.05),差异有统计学意义；增龄(OR=2.361)、体质指数高(OR=1.170)、喜食咸菜(OR=1.089)、胆固醇高(OR=1.764)为高血压危险因子,文化程度高(OR=0.783)为保护因子.控制增龄因素后,体质指数、咸菜摄入、胆固醇、糖化血红蛋白、血糖与收缩压有一定的线性相关,差异均有统计学意义；收缩压、舒张压与文化程度Spearmen等级相关系数分别为-0.27和-0.11,差异有统计学意义.结论 应加强对江西省居民尤其是农村人群的血压、血糖和体重监测,开展患者及高危人群健康教育与干预.%Objective To understand prevalence of hypertension and its influencing factors in urban and rural residents in Jiangxi Province, and provide evidence for the prevention strategies. Methods A multi-stage stratified sampling method was carried out, residents aged 18 and above were selected and investigated for chronic disease epidemic situation. Prevalence situation of hypertension and related influencing factors were analyzed. Results The prevalence rate of hypertension was 30. 67% , standardized rate was 24. 46%. The prevalence rate were higher in male than in female (x2 = 4. 23, P < 0. 05), the difference showed statistical significance. The prevalence rate were higher in rural than in the city (X2 =8. 00, P < 0. 05) , the difference showed statistical significance. Age ( OR = 2. 361), body mass index ( OR = 1. 170), eating salted vegetables (OR - 1. 089) and high cholesterol level ( OR = 1. 764) were risk factors of hypertension. High education level ( OR = 0. 783 ) was protective factor of hypertension, the difference showed statistical significance. Body mass index, intake of salt vegetables, cholesterol, glycated hemoglobin, blood glucose had linear correlation with systolic pressure after adjusted by age. The spearmen rank correlation coefficients of systolic pressure and diastolic pressure with education level were - 0. 27 and - 0. 11 respectively, the difference also showed statistical significance. Conclusion Blood pressure, blood glucose and weight monitoring should be strengthened in residents especially in the rural area. Health education and intervention should be carried out in hypertension patients and high risk population.
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