文章摘要
刘国琴,饶文博,刘志军,李宓,楚亚林.贵州省15岁及以上人群高血压患病率及分布调查[J].中华流行病学杂志,2018,39(5):614-618
贵州省15岁及以上人群高血压患病率及分布调查
Prevalence and distribution of hypertension in population aged 15 years and over in Guizhou province
收稿日期:2017-09-23  出版日期:2018-05-24
DOI:10.3760/cma.j.issn.0254-6450.2018.05.014
中文关键词: 高血压  患病率  危险因素
英文关键词: Hypertension  Prevalence  Risk factor
基金项目:国家科技支撑计划(2011BAI11B01)
作者单位E-mail
刘国琴 563000 遵义医学院管理学院 liuguoqin1970@126.com 
饶文博 610041 成都市疾病预防控制中心  
刘志军 563000 遵义医学院管理学院  
李宓 遵义医学院第一临床学院  
楚亚林 563000 遵义医学院管理学院  
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中文摘要:
      目的 了解贵州省≥15岁人群高血压患病及分布情况,为贵州省高血压防治工作提供依据。方法 2014年9月至2015年10月采用分层多阶段随机抽样方法确定研究对象,采用全国统一的调查问卷进行面对面访谈式调查,血压测量采用欧姆龙HEM-1300电子血压计。采用SPSS 19.0软件进行分析,率的比较采用χ2检验,高血压患病影响因素分析采用多因素logistic回归分析。结果 共调查13 480人,男性5 509人(40.8%),女性7 971人(59.2%);城市6 558人(48.6%),农村6 922人(51.4%);吸烟3 232人(23.9%),饮酒2 412人(17.9%),肥胖和超重4 859人(36.0%)。高血压患者3 937人(29.2%),高血压标化患病率分别为18.97%(全国)和21.16%(贵州省)。男、女性高血压患病率分别为29.8%和28.8%;农村和城市人群高血压患病率分别为35.8%和22.2%,差异有统计学意义(P<0.001)。≥65岁老年人群高血压患病率为56.2%。吸烟人群和不吸烟人群高血压患病率分别为34.3%和27.6%。饮酒人群和不饮酒人群高血压患病率分别为39.2%和27.0%。肥胖和超重人群及正常体重和体重较轻人群高血压患病率为40.7%及22.7%。不同城乡、年龄、文化程度、吸烟情况、饮酒情况及BMI人群的高血压患病率的差异有统计学意义(P<0.001)。结论 贵州省高血压患病率处于较高水平,农村人群高血压患病率高于城市人群。高血压患病率随年龄增长呈显著上升,总体显示文化程度越高,高血压患病率降低。高龄、居住农村、吸烟、饮酒、肥胖为高血压危险因素。
英文摘要:
      Objective To understand the prevalence and distribution of hypertension in population aged 15 years and over in Guizhou province and provide evidence for the prevention and management of hypertension. Methods Face to face interviews using national standard questionnaire were conducted among the study subjects selected in Guizhou through multi-stage random sampling. Blood pressure measurement for them was done with Omron HEM-1300 professional portable blood pressure monitor. SPSS 19.0 software was used for statistical analysis. The ratio was compared by the χ2 test. The influencing factors of hypertension was analyzed by multivariate logistic regression analysis. Results A total of 13 480 participants were investigated, including 5 509 (40.8%) men and 7 971 (59.2%) women; 6 558 (48.6%) urban residents and 6 922 (51.4%) rural residents. Among the subjects surveyed, 3 232 (23.9%) were smokers, 2 412 (17.9%) were alcoholic and 4 859 (36.0%) were obese or overweight. A total of 3 937 (29.2%) hypertension patients were found. The prevalence of hypertension was 29.2%. The standardized prevalence of hypertension were 18.97% (compared with national population composition) and 21.16% (compared with Guizhou province population composition), respectively. The hypertension prevalence in men and women were 29.8% and 28.8%, respectively. The hypertension prevalence in rural population (35.8%) was higher than that in urban population (22.2%). The difference was statistically significant (P<0.001). The hypertension prevalence in people aged 65 years and over was 56.2%. The prevalence of hypertension were 34.3% and 27.6% in smokers and non-smokers, 39.2% and 27.0% in alcoholic and non-alcoholic and 40.7% and 22.7% in obese or overweight group and normal or less weight group, respectively. There were significant statistical differences in prevalence of hypertension among the population in urban area and rural area, with different age, education levels, smoking status, drinking status and BMI (P<0.001). Conclusions The prevalence of hypertension in Guizhou was at a high level. The hypertension prevalence in rural area was higher than that in urban area. Hypertension prevalence increased significantly with age. The prevalence of hypertension was negatively associated with the education level of the people. Older age, living in rural area, smoking, drinking, obesity were the risk factors for hypertension.
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