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A Cross-sectional Study On Overweight, Obesity And Hypertension Among Population In Qianjiang District, Chongqing

Posted on:2014-05-28Degree:MasterType:Thesis
Country:ChinaCandidate:C X WuFull Text:PDF
GTID:2254330401968607Subject:Epidemiology
Abstract/Summary:PDF Full Text Request
Objective: To investigate the status of the prevalence and related risk factors ofoverweight, obesity and hypertension among inhabitants in Qianjiang district, and to providescientific evidence for determining the priority during diseases prevention and control,making strategies and inventions for prevention and control of overweight, obesity andhypertension, in order to create “healthy Chongqing”; to enhance the technique team and toimprove the fieldwork ability of professionals while exploring a method to establish the localdatabase of chronic diseases.Methods:600inhabitants who were≥18years and had been lived in Qianjiang Districtfor more than6months were selected by multi-stage stratified random cluster sampling. Withuniform questionnaire, the characteristics of society demology and mainly health behaviorswere collected. Health behavior characteristics include smoking, alcohol taking, diet, exerciseetc. In every village investigate, physical examinations consisting of stature, body weight,waistline and blood pressure were conducted concentratively.All the data were double entered by Epinfo3.5.1and analyzed by SPSS18.0. The mainlymethod of statistic analysis was Pearson’s Chi-Square Test, and definite probability methodwas used if Pearson’s Chi-Square Test was inapplicable. Variants with statistic significant forPearson’s Chi-Square Test were analyzed with Back method of multiple logistic regression todistinguish the effects of overweight, obesity and hypertension.Results: After eliminating the unqualified questionnaires,599questionnaires weredetermined qualified.(1)29.38%of the investigated population were overweight or obese,24.04%wereoverweight and5.34%were obese; the prevalence of overweight and obesity was higher inmale than that in female;24.0%of the investigated population had never taken their weight; only8.7%knew body mass index(BMI);89.1%of the investigated population had not madeany effort to lose, maintain or increase weight.(2)The prevalence of hypertension were17.94%and16.44%separately in male and infemale; awareness ratio of hypertension was44.66%;35.92%of patients with hypertensioncontrol their blood pressure with some methods account to their own words;26.21%tookmedicines correctly according to recipe;27.5%of the inhabitants older than35years hadnever measured their blood pressure.(3)Prevalence of smoking was28.21%;51.8%and4.4%in male and in femaleseparately, with significant statistic difference(χ2=166.57,P<0.05); obvious relationshipbetween smoking and age, occupation, education level and marriage status were observed;heavy smoker were all men, with a prevalence of11.7%; prevalence of passive smoking was42.68%.(4)Prevalence of alcohol taking was21.54%totally,37.54%in male and5.37%infemale with significant statistic difference(χ2=91.73, P<0.01); the rate of excessive drinkingis9.8%, while rate of hazardous drinking is4.0%, the rate of harmful drinking5.8%;1.17standard alcohol-drinking units of alcohol were taken by every drinker everyday in average.(5)The largest proportion of the investigated population had grains and vegetableseveryday,98.00%and95.16%separately; followed by livestock flesh68.28%, fruits31.89%,eggs14.19%, milk8.01%, bean products5.34%, aquatic production1.17%, poultry0.17%;65.1%of the population knew that intaking much salt would influence health;42.7%knewmuch salt would aggravate hypertension;81.6%would like to have less salt;41.6%werereducing salt intake.(6)24.87%investigated people had middle to high strength of occupational bodyexercise;49.25%had traffic body exercise;6.68%had entertainment body exercise.(7)The results of multiple logistic regression: being cadres and high frequency ofintaking pickles were risk factors of overweight and obesity, with ORs of3.121and1.335;compared with divorced or widowed, unmarried status was a protective factor of overweightand obesity, its OR was0.276; senility, smoking, high frequency of taking fried food,overweight and obesity were risk factors of hypertension, with ORs of3.985、1.742、3.428and2.083; high frequency of having vegetables were protective factor of hypertension, with ORof0.706. Conclusions: In the investigated population, compared with many other areas in China,the prevalences of overweigh and obesity were lower, while the prevalence of hypertensionwas at a high level. Unhealthy behaviors were common while even more common and worsein the group of≥60years old. Mainly risk factors of overweight and obesity were cadre asoccupation and high frequency of taking pickles; unmarried status was protective factor ofoverweight and obesity. Risk factors of hypertension were senility, frequency of having friedfood, overweight and obesity; protective factor of hypertension was high frequency of takingvegetables.
Keywords/Search Tags:overweight, obesity, hypertension, prevalence survey
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