| [Objective]The objective of the study is to explore the prevalence of Hypertension and its influencing factors in individuals with aged65years or older in a Fuzhou community; toassess the health conditions of the elderly community residents and explore its impactfactors.[Method]Designing cross-section study, two stage cluster and systematic random sampling toobtain the elderly sample of residents, surveyed through the questionnaires andaccessed to health records to get information, analysis the elderly hypertensiveprevalence; Application of SPSS, S-PLUS, and Clementine to build logistic regressionmodel and C&RT model, to calculate the POR values,95%CI, and interactions.WHOQOL-BREF scale and questionaire for quality of life and other information,collect blood pressure and other medical data, using the analytic hierarchy processand multi-linear regression comprehensive to evaluate hypertensive elderly patient`shealth level and influencing factors.[Results]1. The prevalence of elderly with hypertension in the community was49.9%(95%CI:46.5%-53.3%), the standardized prevalence was50.0%(95%CI:44.6%-55.5%).2. The average blood pressure of elderly community residents was134±16/79±9mmHg, pulse pressure was55±14mmHg.Systolic, diastolic and pulse pressure inhypertensive patients were higher than the normal (P<0.05).Pulse pressure of aged,women and low educational level of eldly were higher (P<0.05).3. Treatment rate was89.9%(95%CI:86.9%-92.7%); control rate was69.5%(95%CI:65.3%-73.3%), isolated systolic hypertension accounted for80.8%(95%CI:73.8%-87.7%). 4. Prevalence of Hypertensive patients with coronary heart disease, stroke anddiabetes was20.1%(95%CI:16.4%-24.1%),5.9%(95%CI:3.7%-8.2%),28.8%(95%CI:24.6%-33.3%).Ischemic cardiovascular diseases10-year risk of moderateand above was46.4%.5. Impact factors in the community included: Lacking of exercise(POR=8.48,95%CI:5.67-12.68); halophilism (POR=4.98,95%CI:3.39-7.32); drinking(POR=3.83,95%CI:1.90-7.70); family history of Hypertension (POR=3.87,95%CI:2.34-6.40);type A personality (POR=1.71,95%CI:1.14-2.57).There were interactions amonglacking of exercise, halophilism and family history of Hypertension.6. The incidence of one and above influencing factors was79.3%.Do not exerciseregularly incidence was60.4%. The incidence of two and above influencingfactors in the hypertensive eldly was76.9%7. The health level of the elderly hypertensive patients is lower than normal (P<0.05),the main influencing factors were age, gender, education level, the number ofcomorbidity, exercise and halophilism.[Conclusion]1. The prevalence of hypertension of the elderly residents in the region was49.9%,it should pay attention to primary prevention in elderly hypertensive.Lacking ofexercise, alcohol consumption, halophilic, family history of hypertension andType A personality can increase the risk of community hypertension, the inter-action and aggregation should take it seriously.2. Treatment rate was89.9%, control rate was69.5%, but the incidence of isolatedsystolic hypertension was high, it should adhere to the monitoring of bloodpressure and pulse pressure, regularly follow-up medication and drug adversereactions, emphasis on the comprehensive prevention and treatment of multiplecardiovascular risk factors, to help reduce the cardiovascular risk of isolatedsystolic hypertension.3. The prevalence of hypertension in patients with coronary heart disease, stroke dia-betes, and10-year risk of the ischemic cerebrovascular diseases are high. Need toestablish cardiovascular disease and diabetes`monitoring and risk assessment sys- tem, strength the cardiovascular influencing factors comprehensive prevention.4. Evaluation of community health of elderly hypertensive patients requires acombination of metabolic objective indicators and subjective perception. Thehealth level of the hypertensive patients is lower than normal; the maininfluencing factors were age, gender, education level, the number of comorbidity,exercise and halophilism. |
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