| 董彦会,邹志勇,王政和,王烁,杨忠平,陈妍君,马军.中国2014年7~18岁儿童青少年血压偏高流行的区域分析[J].中华流行病学杂志,2017,38(7):931-937 |
| 中国2014年7~18岁儿童青少年血压偏高流行的区域分析 |
| Analysis on geographic distribution of high blood pressure prevalence in children and adolescents aged 7-18 years in China, 2014 |
| 收稿日期:2016-11-10 出版日期:2017-07-15 |
| DOI：10.3760/cma.j.issn.0254-6450.2017.07.017 |
| 中文关键词: 血压 检出率 区域分布 儿童青少年 |
| 英文关键词: Blood pressure Detection rate Geographic distribution Children adolescents |
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| 中文摘要: |
| 目的 分析2014年我国7~18岁儿童青少年血压偏高流行的地域分布特点，为制定儿童高血压防控策略和措施提供依据。方法 收集2014年"全国学生体质与健康调研"资料中31个省、自治区和直辖市（除我国香港、澳门、台弯地区外）的数据，选择血压数据记录完整的7~18岁216 299名学生作为研究对象。以血压偏高检出率<4%为低流行区，4%~7%为中等流行区，>7%为高流行区，分析儿童青少年血压偏高流行的地域分布特点。收集2014年全国31个省会城市的环境数据，分析儿童青少年血压Z评分与环境指标的相关性。结果 2014年全国7~18岁儿童青少年血压偏高平均检出率为6.4%（1.5%~14.2%），血压偏高的高流行区主要分布在东部和沿海地区，尤其是环渤海地区，低流行区主要分布在中西部地区以及东部部分省份。关联性分析显示，2014年年均气温、年均气湿以及当地的海拔高度与血压（SBP和DBP）Z评分均呈负相关，男女生呈现相同趋势；年均日照时间、年均PM2.5和PM10浓度以及SO2含量与血压Z评分均呈正相关，男女生呈现相同趋势。结论 2014年全国7~18岁儿童青少年血压偏高检出率存在较大差异，应重视高流行区域，并了解影响其血压的环境因素。 |
| 英文摘要: |
| Objective To understand and evaluate the characteristics of geographic distribution of high blood pressure prevalence in children and adolescents aged 7-18 years in China in 2014, and provide evidence for the prevention of hypertension in children and adolescents. Methods The data of 2014 Chinese National Surveys on Students Constitution and Health conducting 31 provinces (except Hong Kong, Macao and Taiwan) were collected. A total of 216 299 children and adolescents who had complete blood pressure records were selected as study subjects. The low, middle and high prevalence areas were identified according to their high blood pressure detection rates in the children and adolescents,<4%, 4%-7% and >7%, to analyze the geographic distribution of high blood pressure prevalence in the children and adolescents. The environmental data in the capitals of 31 provinces in 2014 were collected to analyze the correlation between environmental factors and blood pressure Z score in the children and adolescents. Results The average detection rates of high blood pressure was 6.4% in 31 provinces (1.5%-14.2%). The high prevalence areas were mainly distributed in the eastern China, especially the Circum-Bohai sea area, low prevalence areas were mainly distributed in the central and western areas of China and some provinces in the east. Correlation analysis results showed that the annual average temperature, annual average air humidity and local altitude were negatively correlated with blood pressure Z score, including diastolic and systolic blood pressure, in both boys and girls. The annual average sunshine time, PM2.5 and PM10 concentrations, content of SO2 were positively correlated with blood pressure Z score in both boys and girls. Conclusions There was a significant difference in high blood pressure of children and adolescents among 31 provinces. More attention should be paid to the children and adolescents living high prevalence area. And it is necessary to understand environmental factors which can affect the blood pressure of children and adolescents. |
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