| Objective:The study comparatively analyzed the prevalence of hypertension at the national surveillance sites of Jilin province in 2010 and 2013 to find the main risk group of hypertension,and formulate the policy and measure of the prevention and cure of hypertension.Methods:With multi-stage stratified clusters sampling 2966 people and 2925 people were selected respectively,in the surveillance sites of Jilin province in 2010 and 2013.The investigation included questionnaire,physical and laboratory examinations.SPSS ver22.0 was used to analyze data.The description of quantitative data that accord with the normal distribution was±S.The statistical analysis of the comparison the quantitative data between the two groups was the two independent sample t test.The description of qualitative variables was the composition ratio and rate.The statistical analysis of qualitative variables was chi square test.The statistical analysis of multiple factor was multivariate logistic regression analysis.Results:1.In 2010 and 2013,there was statistically significant difference in the the rates of measuring blood pressure between 2010 and 2013(χ~2=117.274,p<0.001).In 2013,t the proportion of people who monitor blood pressure during the 7 days,during the1month and during the 6 months is higher than the 2010.The rates of awareness,treatment and control were 35.7%,28.9%,4.1%and 30.2%,38.4%,8.4%,respectively.There was statistically significant difference in the awareness rates of hypertension recognition between 2010 and 2013(χ~2=58.968,p<0.001),and the awareness rates of hypertension was lower in 2013 than in 2010.There was notstatistically significant difference in the treatment rates and control rates of hypertension between 2010 and 2013.2.In the surveillance sites of Jilin province in 2010 and 2013,the prevalence of hypertension was respectively 42.8%and 32.5%,the difference between two groups was statistically significant(χ~2=58.875,p<0.031).Compared with 2010,the groups of which the prevalence of hypertension decreased in 2013:male(χ~2=9.628,p=0.002),female(χ~2=58.875,p<0.001),Nanguan district(χ~2=70.567,p<0.001),Dehui city(χ~2=23.125,p<0.001),Longjin city(χ~2=43.475,p<0.001),age 18-24 years(χ~2=4.935,p=0.026),age 25-34 years(χ~2=19.461,p<0.001),age 35-44years(χ~2=31.628 p<0.001),city(χ~2=65.550,p<0.001),town(χ~2=11.516,p=0.001),Han(χ~2=61.460,p<0.001),other nations(χ~2=5.095,p=0.024),primary school or below l(χ~2=25.095,p<0.001),Junior high school(χ~2=13.890,p<0.001),High school/secondary school/technical school(χ~2=8.892,p=0.003),Junior college or above(χ~2=17.844,p<0.001),married/cohabiting(χ~2=64.705,p<0.001),divorce/widowed/separated(χ~2=6.622,p=0.010),manual labour(χ~2=22.552,p<0.001),brain work(χ~2=22.228,p<0.001),retirement and other(χ~2=22.565,p<0.001),medical insurance(χ~2=68.654,p<0.001),smokers(χ~2=5.51,p=0.019),nonsmokers(χ~2=64.430,p<0.001),passive smoking(χ~2=37.621,p<0.001),drinkers(χ~2=61.009,p<0.001),not alcohol drinkers(χ~2=10.586,p=0.001),regular physical activity(χ~2=9.155,p=0.002),sometimes(χ~2=40.990,p<0.001),never or seldom(χ~2=32.778,p<0.001),excessive red meat intake(χ~2=11.752,p=0.001),normal red meat intake(χ~2=55.232,p<0.001),inadequate fruit and vegetable intake(χ~2=29.596,p<0.001),normal fruit and vegetable intake(χ~2=31.273,p<0.001),BMI<24.0kg/m~2(χ~2=18.453,p<0.001),24.0~27.9kg/m~2(χ~2=33.099,p<0.001),24.0~27.9kg/m~2(χ~2=16.703,p<0.001),central obesity(χ~2=60.175,p<0.001),nocentralobesity(χ~2=41.516,p<0.001),dyslipidemia(χ~2=109.490,p<0.001).In other population,there was no statistically significant difference in the prevalence of hypertension between 2010 and 2013.3.Influence factors of hypertension in the surveillance sites of Jilin provin ce in 2010 were Longjin City(OR=1.588,95%CI:1.232~2.047),25-34 years ol d(OR=2.304,95%CI:1.441~3.684),35-44 years old(OR=3.277,95%CI:2.123~5.057),45-54 years old(OR=4.964,95%CI:3.216~7.664),55-64 years old(OR=8.834,95%CI:5.689~13.720),more than 65 years old(OR=13.787,95%CI:8.662~21.944),BMI:24-27.99 kg/m~2(OR=1.762,95%CI:1.464~2.120),BMI≥28 kg/m~2(OR=2.823,95%CI:2.123~3.753),central obesity(OR=1.447,95%CI:1.166~1.795),hyper glycemia(OR==1.689,95%CI:1.400~2.038),were risk factors;female(OR=0.777,95%CI:0.661~0.914)were protective factor.Influence factors of hypertension in the surveillance sites of Jilin province in2013 were Ji’an City(OR=1.788,95%CI:1.351~2.366),25-34 years old(OR=2.728,95%CI:1.041~7.150),35-44 years old(OR=4.858,95%CI:1.908~12.370),45-54years old(OR=9.453,95%CI:3.753~23.808),55-64 years old(OR=17.518,95%CI:6.953~44.138),more than 65 years old(OR=25.327,95%CI:9.897~64.816),BMI:24-27.99kg/m~2(OR=1.762,95%CI:1.169~1.808),BMI≥28kg/m~2(OR=2.823,95%CI:1.785~3.3763),central obesity(OR=1.388,95%CI:1.105~1.744),hyperglycemia(OR=1.746,95%CI:1.430~2.131),were risk factors;female(OR=0.674,95%CI:0.565~0.804)were protective factor.Conclusion:1.In the surveillance sites of Jilin province,the prevalence of hypertension in2013 was lower than that in 2010.2.Compared with 2010,the awareness of measurement of blood pressure increased in 2013,but the awareness rates of hypertension had been declining.3.In 2010 and 2013,the main influence factors of hypertension were gender region,age,BMI,central obesity,hyperglycemia and dyslipidemia. |
PDF Full Text Request