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The Analysis Of The Hypertension Morbidity And Risk Factors Of Tianjin Police

Posted on:2014-01-24Degree:MasterType:Thesis
Country:ChinaCandidate:Y LiFull Text:PDF
GTID:2254330401961112Subject:Internal medicine
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Objective1. Through the research on the current situation and influencing factors of the prevalence of hypertension on Tianjin police, to analysis the similarities and differences of the risk factors of hypertension of Tianjin police grouped by age, and to provide scientific basis for the measures of preventing and controlling hypertension for Tianjin police.2. Through the analysis of the risk factors of hypertension of Tianjin police, to have a good understanding on the risk factors of hypertension of Tianjin police.MethodsTo calculate the morbidity of hypertension of all police and of each category of police and to analyze the relationship of hypertension and possible relevant factors, by making the police who have done physical examination in Tianjin Public Security Hospital in the year of2010as the research object, using random cluster sampling method, taking the questionnaire, physical examination and biochemical tests and other medical approaches, using SPSS16.0software to establish a database and to key in the data entries to do statistical analysis.Results1. The study involved Tianjin police. The quantity of samples is3244. Age is from21to60years old with the average of (38.90±9.49) years old, including3096men and148women.1402persons contracted hypertension. The morbidity is43.22%.698persons are newly found with hypertension, about49.79%of the total.2. There’s statistical significance for the morbidity difference of hypertension of different age groups (χ2=255.22,p<0.001), and the morbidity of hypertension increases with age; there’s statistical difference for the hypertension morbidity of each category of police (χ2=19.703, p=0.003); the hypertension morbidity of married police is higher than that of the single (χ2=41.369, p<0.001); the police with family history of hypertension (χ2=52.399, p<0.001), family history of dyslipidemia (χ2=7.381, p=0.007), family history of coronary heart disease (χ2=13.089, p<0.001), family history of cerebrovascular disease (χ2=19.692, p<0.001) have higher hypertension morbidity. Family history of diabetes has no statistical significance with hypertension morbidity (χ2=0.015, p=0.904); the police with dyslipidemia history (χ2=236.717, p<0.001), diabetes history (χ2=116.045, p<0.001) are with higher hypertension morbidity; the police with smoking history (χ2=15.990, p<0.001), alcohol consuming history (χ2=9.353, p=0.002), salty diet(χ2=30.856, p<0.001), poor sleep quality (χ2=13.465, p <0.001) are with higher hypertension morbidity; whether the intensity of work is more than8hours, whether the sitting time is more than8hours, whether he/she is working in government sectors and other relevant occupational factors do not have statistical difference with hypertension morbidity. Categorizing police into hypertensive and non-hypertensive group, there’s no statistical difference of creatinine, uric acid (p=0.081, p=0.533), and there’s statistical difference of fasting blood glucose, cholesterol and triglyceride levels (p<0.001).3. By means of single factor Logistic regression analysis, the factors relating to prevalence of hypertension are age, marital status, family history of hypertension, family history of dyslipidemia, history of cerebrovascular disease, family history of coronary heart disease, history of dyslipidemia, history of diabetes, history of smoking, history of alcohol consuming, salty diet, poor sleep quality, total cholesterol, creatinine, uric acid, blood glucose, total cholesterol, triglycerides, while being single is a protective factor of hypertension. Family history of diabetes, the intensity of work, sitting time and working for government sectors have no relationship with the prevalence of hypertension.4. The independent variables are the factors relating to statistical significance of single factor Logistic regression analysis. The research applies unconditioned Logistic regression analysis. The results shows that, excluding confounding and interaction, age, family history of hypertension, history of dyslipidemia, history of diabetes, history of smoking, history of alcohol consuming, salty diet, blood glucose, total cholesterol and triglycerides are independent risk factors of hypertension of Tianjin police.Conclusion1. The morbidity of hypertension of Tianjin police is43.22%, which is significantly higher than the national morbidity of18.8%in2002and the morbidity of Tianjin resident over18years old which is27.75%.2. The morbidity of hypertension increased with age. The morbidity of hypertension of different category of police is different. Probably the morbidity of hypertension of different marital status is different. The police with family history of hypertension, family history of dyslipidemia, family history of coronary heart disease and family history of cerebrovascular have higher hypertension morbidity; the police with history of dyslipidemia, history of diabetes, history of smoking, history of alcohol consuming, salty diet, poor sleep quality have higher hypertension morbidity.3. The hypertensive group of police has higher level of fasting blood glucose, cholesterol, triglycerides than those of non-hypertensive group.4. Age, family history of hypertension, history of dyslipidemia, history of diabetes, history of smoking, history of alcohol consuming, salty diet, blood glucose, total cholesterol and triglycerides are independent risk factors of hypertension of Tianjin police.
Keywords/Search Tags:hypertension, prevalence, risk factors, police, TIANJIN
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