摘要
目的分析南京某化工企业职业人群高血压病流行现状及相关危险因素,为制定职业人群健康干预和健康促进措施提供理论依据。方法在南京某化工企业采用整群随机抽样的方法,抽取3个职业场所在职职工为调查对象,采用问卷调查和实验室检查相结合的方式搜集相关信息。单因素分析用χ2检验,多因素分析用二元logistic回归模型。结果共调查1 919例,平均年龄39.39岁,其中男性1 437例,女性482例。高血压病患病率33.51%,知晓率41.25%,治疗率20.37%。单因素分析表明:年龄、性别、体质指数(BMI)、受教育程度、高脂血症、高血糖、家族史、饮酒、吸烟、口味偏咸、精神压力与高血压病的发生相关(P均<0.01)。多因素非条件逐步logistic回归分析表明:超重/肥胖、高龄、口味偏咸、高血糖、高血脂、有家族史、精神压力大是高血压病发病的独立危险因素(OR=2.515/5.269、1.662、1.378、1.591、1.168、1.112、1.276),而在职业人群中女性是高血压的保护因素(OR=0.504)。结论化学工业园职工高血压患病率较高,超重/肥胖、高龄、口味偏咸、高脂血症、高血糖、家族史、精神压力可能是高血压病发生的主要危险因素。
Objective To analyze the epidemic situation and related risk factors of hypertension among occupational population in a chemical enterprise in Nanjing, so that to provide theoretical evidences for health intervention and health promotion measures for occupational population. Methods With random cluster sampling, all the employees in three workplaces in a chemical enterprise of Nanjing Chemical Industry Park were selected. Data were collected by questionnaire survey and laboratory examination was performed. Chi-square test was used for single factor analysis, and binary logistic regress mode was used for multivariate analysis. Results A total of 1 919 valid questionnaires were obtained from sent 1 948 questionnaires. The prevalence of hypertension was 33.51% in 1 919 subjects （average age： 39.39 years old, male： 1 437, female： 482）, and the awareness rate and treatment rate of hypertension were 41.25% and 20.37% respectively. Single factor analysis showed that age, sex, body mass index, educational level, hyperlipidaemia, hyperglycemia, family history, drinking, smoking, salty taste and high psychological pressure were closely related to occurrence of hypertension （ all P 〈 0.01 ）. Multiple factor stepwise logistic regression analysis showed that overweight/obesity, advanced age, salty taste, hyperglycemia, hyperlipidaemia, family history and psychological pressure were independent risk factors of hypertension （OR = 2. 515/5. 269, 1. 662, 1. 378, 1. 591, 1. 168, 1.112, 1. 276 respectively）. The female was a protective factor of hypertension in occupational population （ OR = 0. 504）. Condttsion The prevalence of hypertension is high among occupational population in the Chemical Industry Park. Overweight/ obesity, advanced age, salty taste, hyperglycemia, hyperlipidaemia, family history and high psychological pressure may be the main risk factors prone to hypertension.
出处
《中国临床研究》
CAS
2013年第12期1286-1288,共3页
Chinese Journal of Clinical Research
基金
十二五国家科技支撑计划(2011BA111B01)
江苏省卫生科技项目(H201224)
南京市科技发展计划(2011ZD014)
关键词
职业人群
化学工业
高血压
患病率
危险因素
Occupational population, chemical industry
Hypertension
Prevalence
Risk factors
作者简介
通信作者：向全永，Email：quanyongxiang@vip．sina．Com
