|
Objective To investigate the Ningxia Hui Hui and Han nationality elderly patients with hypertension disease and related risk factors, and to provide a scientific basis for the further development of comprehensive prevention and control measures in the area of ??hypertension. The method of stratified cluster random sampling method, random sample survey is divided into four levels: the first level, according to Ningxia population distribution, the level of socio-economic development and geographical features, the elected representative of the counties (cities, districts) as defender third level, Haiyuan, Wuzhong, Lund, Guyuan, Shizuishan, Yinchuan, etc.; second level from the selected counties (cities, districts), in accordance with the principle of random sampling, taking a township (town) and the urban area; randomly selected villages from each township (town) and the urban area and a neighborhood; fourth level to elect a village brigade extracted from the villages, from neighborhood committees are drawn to elect a residential area take the census, sample the region 60 years of age and more than ordinarily resident in the relevant questionnaire, physical examination. Standardized disease prevalence is the age of Ningxia Hui Autonomous Region in 2005 Census data, the comparison between the different rate with Pearsonχ2 test Linear by the linearχ2 test, measurement data, T-test, Spearman rank correlation analysis, analysis of variance, risk factors study using single factor logistic regression model, multivariate Logistic regression model. The results of a general epidemiological characteristics of hypertension: (1) The survey collected a total of 3431 people, the actual survey of 3044 people, a response rate of 88.7% males and 1617 (53.1%) women and 1427 (46.9%). Average age for the males (70.1 ± 7.7) years old, the average age of the women (70.2 ± 8.4) years; survey population in 1931 (63.4%) Han, Hui 1113 (36.6%); urban residents in 1589 (52.2%), rural residents in 1455 (47.8%). (2) regions of Ningxia elderly average SBP and DBP were 140.39mmHg and 81.76mmHg with age, SBP gradually increased, DBP decreased gradually; SBP and DBP increased with the increase of body mass index and abdominal circumference . (3) areas of Ningxia elderly hypertension prevalence was 46.8% (47.2%) of the standardized rate, which older men hypertension prevalence was 42.3% (41.8%) of the standardized rate, elderly women hypertension prevalence rate 51.9% (standardized rate 52.3%), older women prevalence of hypertension was significantly higher than men (P lt; 0.01), with age, the prevalence of hypertension was significantly higher (P lt; 0.01); Han The prevalence of hypertension in the elderly 50.2% Hui 40.9% (P lt; 0.01); significantly higher than the urban elderly hypertension prevalence of 49.6% was significantly higher than that in rural areas 43.7% (P lt; 0.01). (4) regions of Ningxia elderly ISH prevalence was 21.8% (standard rate of 21.3%), older men ISH prevalence rate of 21.1% (19.8%) of the standardized rate, older women ISH prevalence was 22.6% (standard rate of 22.7%), men and women ISH prevalence of no significant differences (P gt; 0.01), increasing age, ISH prevalence was significantly higher (P lt; 0.01); ISH ??accounted for 46.7% of the total number of elderly patients with hypertension With age, the proportion gradually increased (P lt; 0.01). (5) The average Ningxia region elderly body mass index (BMI) 24.3 ± 3.5kg/m2, male and female were 24.3 ± 3.1kg/m2 24.3 ± 3.8kg/m2, men and women showed no differences (P gt; 0.05 ). Ningxia region elderly obesity rate of 14.0% (14.9%) of the standardized rate, which older men obesity rate of 10.2% (10.8%) of the standardized rate, older women obesity rate of 18.1% (18.7%) of the standardized rate, elderly female obesity rates significantly than men (P lt; 0.01). 2 the hypertension related factors: Multivariate Logistic regression analysis showed that age, a high-salt diet weekly intake of red meat more often, BMI, smoking, abdominal obesity, family history of hypertension, a high degree of cultural hypertension of risk factors, the Hui, the intensity of physical activity is a protective factor for hypertension. 3, the prevention and treatment of hypertension: the Ningxia elderly hypertension awareness, treatment and control rate were 52.6%, 45.3%, 26.4%, in which older men were 49.4%, 42.5%, 25.0%, and older women. control rate was 55.5%, 47.8%, 27.7%, women awareness, treatment than men (P lt; 0.05) and men no differences (P gt; 0.05). Complications: stroke in the survey population prevalence rate of 5.7%, the prevalence of coronary heart disease (7.1%), the prevalence of diabetes was 4.4%, the three diseases in the hypertensive population suffering The disease was significantly higher than normotensive groups (P lt; 0.01). Conclusion 1, Ningxia the area elderly SBP and DBP average is higher than the national average from 2004 to 2005, the the Ningxia elderly female SBP higher average than the older men, Hui Han nationality elderly in SBP and DBP were higher than average. 2, Ningxia elderly hypertension prevalence below the 2002 national prevalence of hypertension of 60 years of age or older; older women hypertension prevalence in male, Han nationality elderly hypertension prevalence in Hui. 3, age, high-salt diet, the weekly number of intake of red meat and more, BMI, smoking, abdominal obesity, family history of hypertension, high education level is a risk factor for hypertension, Hui, physical strength is the protection of high blood pressure factor. 4, patients with hypertension, stroke, diabetes, coronary heart disease, the prevalence of higher than normal blood pressure group.
|