关键词: 高血压, 患病率, 血压控制

Abstract: Objective　To investigate the prevalence，control situation and influencing factors of hypertension among community residents in Tongzhou District of Beijing，and to analyze the relationship between the control of blood pressure and the utilization of community health services among patients with hypertension.Methods　A total of 7 008 residents aged 18 and older were selected within the service area of community health service centers in Tongzhou District of Beijing from July to September in 2015.Questionnaire on Health Status and Health Service Demand among Community Residents in Tongzhou District was adopted to conduct questionnaire survey，and physical examinations were conducted to examine height，weight，waistline and blood pressure.Multiple Logistic regression was used to analyze factors affecting blood pressure control among patients with hypertension.Results　The prevalence of hypertension in the investigated population was 30.66%（2 149/7 008）．The prevalence of hypertension in male was 34.01%（1 191/3 502），which was higher than 27.32%（958/3 506） in female（χ2=36.820，P<0.001）．The awareness rate of hypertension was 61.47%（1 321/2 149）．The awareness rate of hypertension in male was 54.58%（650/1 191），which was lower than 70.04%（671/958） in female（χ2=53.620，P<0.001）．And the blood pressure control rate of patients with hypertension was 43.38%（573/1 321）．There was a significant difference in the control rate among hypertension patients with different medical insurance（χ2=60.195，P<0.05），having the health examination or not in half a year（χ2=4.319，P<0.05），and having blood pressure measurements provided by primary care doctors or not in a year（χ2=11.014，P<0.05）．Multiple Logistic regression analysis showed that the total monthly household income〔OR=1.087，95%CI（1.022，1.157） 〕，new rural cooperative medical scheme〔OR=1.775，95%CI（1.185，2.659）〕 and having blood pressure measured by primary care doctors in a year〔OR=1.383，95%CI（1.095，1.745）〕 were protective factors of blood pressure control（P<0.05），while urban employees basic medical insurance〔OR=0.654，95%CI（0.431，0.993）〕 was the risk factor（P<0.05）．Conclusion　The prevalence of hypertension in residents aged 18 and older of Tongzhou District is high and the control of blood pressure in patients with hypertension is not good.Comprehensive measures should be taken to strengthen the control of blood pressure，such as providing regular blood pressure measurements and physical examination，and improving residents' economic condition.For patients with socialized medicine and urban employees basic medical insurance，more attention and further studies should be given to deal with the control of their blood pressure.

Key words: Hypertension, Prevalence, Control of blood pressure