文章摘要
费方荣,叶真,丛黎明,丁钢强,俞敏,张新卫,胡如英,王浩,张洁.浙江省成年居民高血压前期患病率及其危险因素的研究[J].中华流行病学杂志,2013,34(4):311-315
浙江省成年居民高血压前期患病率及其危险因素的研究
Prevalence and risk factors of pre-hypertension among adults of Zhejiang province
收稿日期:2012-11-26  出版日期:2014-09-03
DOI:
中文关键词: 高血压前期;患病率;危险因素
英文关键词: Prehypertension;Prevalence;Risk factor
基金项目:浙江省科技厅2011年度省重大科技专项(2011C13032-1)
作者单位E-mail
费方荣   
叶真  yez@zjwst.gov.ca 
丛黎明   
丁钢强   
俞敏   
张新卫   
胡如英   
王浩   
张洁   
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中文摘要:
      目的 <\b>探讨浙江省成年居民高血压前期患病率及其危险因素.方法 <\b>采用多阶段分层整群随机抽样方法,于2010年7-11月在浙江省15个县区选择年龄≥18周岁常住人口作为研究对象,进行问卷调查和体检并采集空腹静脉血标本.数据分析采用x2检验、t检验和logistic回归模型.结果 <\b>共调查成年居民17 437(男性8169、女性9268)人.高血压前期患病率为34.39%,其中男性患病率(38.57%)高于女性(30.70%)(x2=119.36,P<0.0001).≥25岁男性高血压前期患病率随年龄增加逐渐下降(x2=76.94,P<0.0001),≥45岁女性高血压前期患病率随年龄增加呈下降趋势(x2=114.66,P<0.0001).城市居民高血压前期患病率为32.39%,农村为35.60%,农村高于城市(x2=18.69,P<0.0001).多因素非条件logistic回归分析提示,男性、年龄(≥35岁)、腰围(男≥85 cm、女≥80 cm)、BMI(≥25.0 kg/m2)、TG≥1.7 mmol/L为高血压前期的危险因素,文化程度高是高血压前期的保护因素.结论 <\b>浙江省成年居民高血压前期患病率较高,主要影响因素有超重、肥胖、血脂异常等.
英文摘要:
      Objective <\b>To access the prevalence rates of pre-hypertensive patients at different stages and its associated risk factors among adults of Zhejiang province.Methods <\b>Study subjects were selected among local residents aged≥18 years from 15 counties by multi stage stratified cluster random sampling method,from July to November,2010.Each participant was required to complete questionnaire,physical examination and testing for ovemight fasting blood specimen.Results <\b>17 437 residents were surveyed including 8169 males and 9268 females.The overall prevalence of prehypertension was 34.39%.The prevalence of pre-hypertension appeared to be higher in males (38.57%) than in females (30.70%) (x2=119.36,P<0.0001).The prevalence of pre-hypertension decreased with the increase of age in males who were above 25 year olds (x2=76.94,P<0.0001) and in females who were above 45 year olds (x2=114.66,P<0.0001).The prevalence of pre-hypertension appeared to be higher in the rural (35.60%) than in the urban (32.39%) areas (x2=18.69,P<0.0001).Data from multivariable logistic regression showed that factors as being male,aged older than 35 years of age,with waist circumference as;85 cm for men and≥80 cm for women,body mass index≥25.0 kg/m2 and triglyoride≥1.7 mmol/L were risk factors of pre-hypertension while having had higher education was a protective factor.Conclusion <\b>Pre-hypertension was prevalent among adults residents in Zhejiang province.Factors as overweight,obesity,dyslipidemia appeared to be major risk factors for pre-hypertension.
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