文章摘要
陈志华,张梅,李镒冲,赵振平,张笑,黄正京,李纯,王丽敏.我国成年人血压水平与心脑血管疾病行为危险因素及其聚集关系分析[J].中华流行病学杂志,2018,39(5):640-645
我国成年人血压水平与心脑血管疾病行为危险因素及其聚集关系分析
Study on relationship between prevalence or co-prevalence of risk factors for cardiovascular disease and blood pressure level in adults in China
收稿日期:2017-09-14  出版日期:2018-05-24
DOI:10.3760/cma.j.issn.0254-6450.2018.05.019
中文关键词: 高血压  血压水平  行为危险因素  聚集
英文关键词: Hypertension  Blood pressure level  Behavioral risk factor  Clustering
基金项目:国家重大公共卫生服务项目(中国慢性病及其危险因素监测2013)
作者单位E-mail
陈志华 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心监测室  
张梅 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心监测室  
李镒冲 100191 北京大学临床研究所数据管理部  
赵振平 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心监测室  
张笑 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心监测室  
黄正京 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心监测室  
李纯 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心监测室  
王丽敏 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心监测室 wlm65@126.com 
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中文摘要:
      目的 探讨中国成年人血压水平与心脑血管疾病主要行为危险因素流行及聚集的关系。方法 采用2013年中国慢性病及其危险因素监测数据。源自31个省(自治区、直辖市)298个监测点,采用面对面询问调查和身体测量收集心脑血管疾病行为危险因素及高血压患病等信息,将其中179 347名≥18岁成年人作为研究对象。血压水平分为理想血压、正常血压、正常高值及高血压Ⅰ、Ⅱ、Ⅲ期6个水平,分析不同血压水平人群心脑血管疾病行为危险因素的流行及聚集情况。结果 样本人群中血压6个水平分别占36.14%、22.77%、16.22%、16.43%、5.97%、2.48%。不同人口学特征亚组间血压水平比较,以男性、汉族、有伴侣者血压水平更高;年龄越大、经济收入越低、文化程度越低者血压水平越高,差异均有统计学意义(P<0.05)。无论是否服用降压药,不分性别人群血压水平均随危险因素聚集数量增加而升高(P<0.05),其中未服药组血压水平受危险因素数量聚集影响更大。经多因素logistic分析发现,具有1、2、≥3个危险因素者血压水平升高的风险分别是具有0个危险因素者的1.36、1.79、2.38倍。结论 我国成年人心脑血管疾病行为危险因素聚集越多,血压水平越高;采用≥2种的行为危险因素联合干预可更好控制人群血压水平。
英文摘要:
      Objective To study the relationship between blood pressure level and major risk factors for cardiovascular diseases in adults in China. Methods A total of 179 347 adults aged ≥ 18 years were recruited from 298 surveillance points in 31 provinces in China in 2013 through complex multistage stratified sampling. The survey included face to face interview and physical examination to collect information about risk factors, such as smoking, drinking, diet pattern, physical activity, overweight or obesity, and the prevalence of hypertension. The blood pressure was classified into 6 levels (ideal blood pressure, normal blood pressure, normal high blood pressure and hypertension phase Ⅰ, Ⅱ and Ⅲ). The relationship between the prevalence or co-prevalence of risk factors for cardiovascular disease and blood pressure was analyzed. Results The adults with ideal blood pressure, normal blood pressure, normal high pressure, hypertension phase Ⅰ, Ⅱ and Ⅲ accounted for 36.14%, 22.77%, 16.22%, 16.43%, 5.97% and 2.48%, respectively. Among them, the blood pressure was higher in men, people in Han ethnic group and those married, and the blood pressure was higher in those with older age, lower income level and lower education level, the differences were all significant (P<0.05). Whether taking antihypertensive drug or not, co-prevalence of risk factors influenced the blood pressure levels of both sexes (P<0.05), and the blood pressure levels of those taking no antihypertensive drug was influenced more by the co-prevalence of risk factors. Finally, multiple logistic analysis showed that the risks for high blood pressure in adults with 1, 2 and ≥ 3 risk factors were 1.36, 1.79 and 2.38 times higher, respectively, than that of the adults without risk factor. Conclusion The more the risk factors for cardiovascular disease in adults, the higher their blood pressure were. It is necessary to conduct comprehensive behavior intervention targeting ≥ 2 risk factors for the better control of blood pressure in general population.
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