土耳其西部半农村地区50岁及以上人群的高血压患病率及其对健康相关生活质量的影响。

Prevalence of hypertension among individuals aged 50 years and over and its impact on health related quality of life in a semi-rural area of western Turkey.

作者信息

Arslantas Didem, Ayranci Unal, Unsal Alaettin, Tozun Mustafa

机构信息

Osmangazi University, Medical Faculty, Public Health Department, 26480 Meselik-Eskisehir, Turkey.

出版信息

Chin Med J (Engl). 2008 Aug 20;121(16):1524-31.

PMID:18982863

Abstract

BACKGROUND

Hypertension is common, especially in individuals aged 40 years and over, and it affects about half of the population aged 60 years and over. This study aimed to determine the frequency and risk factors of hypertension among individuals aged 50 years and over, and to examine its effect on the health related quality of life (HRQOL).

METHODS

This population-based cross-sectional study was conducted in two settlements in a region of western Turkey between March 1 and April 30, 2007. A questionnaire concerning life habits associated with hypertension, medical histories, and demographic characteristics was filled in by a face to face interview. The SF-36 scale was used to assess HRQOL. Body mass index (BMI) was calculated by measuring the weight and length of the body.

RESULTS

Of 1599 individuals living in the region, 1193 participated in the survey (48.3% men and 51.7% women). The overall prevalence rate of hypertension was 59.5% (n=710), being 58.0% in men and 60.9% in women (P > 0.05). The variables that most positively influenced hypertension (P < 0.05, for each one) were older age (especially the age group of those aged 60 and over), single, no health insurance, consumption of animal fat in meals, and family history of hypertension. The HRQOL of the patients with hypertension was lower than that of those without hypertension (P < or = 0.05). The HRQOL was better in hypertensive patients whose blood pressure was under control, whereas it was worse in those with at least one chronic disorder accompanying hypertension (P < 0.05, for each one).

CONCLUSIONS

Great emphasis should be placed on the need for a public health program for the detection, prevention, and control of hypertension, including other risk factors, as well as for the modification of foods and life habits, specifically in individuals who are most likely to be at risk of hypertension.

摘要

背景

高血压很常见，尤其是在40岁及以上的人群中，并且它影响着约一半的60岁及以上的人口。本研究旨在确定50岁及以上人群中高血压的发生率和危险因素，并考察其对健康相关生活质量（HRQOL）的影响。

方法

这项基于人群的横断面研究于2007年3月1日至4月30日在土耳其西部一个地区的两个定居点进行。通过面对面访谈填写一份关于与高血压相关的生活习惯、病史和人口统计学特征的问卷。使用SF - 36量表评估健康相关生活质量。通过测量体重和身高来计算体重指数（BMI）。

结果

在该地区居住的1599人中，1193人参与了调查（男性占48.3%，女性占51.7%）。高血压的总体患病率为59.5%（n = 710），男性为58.0%，女性为60.9%（P > 0.05）。对高血压影响最显著的变量（每个变量P < 0.05）是年龄较大（尤其是60岁及以上年龄组）、单身、无健康保险、饮食中食用动物脂肪以及有高血压家族史。高血压患者的健康相关生活质量低于无高血压患者（P ≤ 0.05）。血压得到控制的高血压患者健康相关生活质量较好，而伴有至少一种慢性疾病的高血压患者健康相关生活质量较差（每个情况P < 0.05）。