天津市居民不同亚型高血压患病率及其相关危险因素分析

杨晶; 王建华; 职心乐; 朱红; 刘新民

Abstract

杨晶,王建华,职心乐,朱红,刘新民.天津市居民不同亚型高血压患病率及其相关危险因素分析[J].Chinese journal of Epidemiology,2011,32(3):239-243

天津市居民不同亚型高血压患病率及其相关危险因素分析

Prevalence rate of hypertension and related risk factors in populations of Tianjin

Received:November 01, 2010

DOI：

KeyWord: 高血压收缩期舒张期患病率危险因素

English Key Word: ertension Isolated systolic Isolated diastolic Prevalence Risk factors

FundProject:

Author Name	Affiliation	E-mail
YANG jin	Department of Epidemiology and Heath Statistics, Tianjin Medical University, Tianjin 300070, China
WANG jianhua	Department of Epidemiology and Heath Statistics, Tianjin Medical University, Tianjin 300070, China	wzhzy2002@yahoo．Cn
ZHI xinle	Department of Epidemiology and Heath Statistics, Tianjin Medical University, Tianjin 300070, China
ZHU hong	Department of Epidemiology and Heath Statistics, Tianjin Medical University, Tianjin 300070, China
LIU jinmin	Department of Epidemiology and Heath Statistics, Tianjin Medical University, Tianjin 300070, China

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Abstract:

目的了解天津市居民不同亚型高血压患病率及其相关危险因素.方法按照2005年<中国高血压防治指南>推荐标准,于2006年采用分层整群随机抽样方法,对天津市3个城区、3个郊区共20 346名≥18岁且居住5年以上的常住人口进行调查.分析单纯收缩期高血压(ISH)、单纯舒张期高血压(IDH)和收缩期舒张期高血压(SDH)的患病率及其相关危险因素.采用SPSS 17.0软件进行统计学分析.结果天津市≥18岁居民高血压实际调查患病率,ISH为7.16%(标化患病率为5.33%),IDH为7.09%(标化患病率为6.50%),SDH为13.61%(标化患病率为9.94%),其中ISH患病率低于全国成年人ISH患病率(7.6%),但IDH和SDH的患病率高于全国IDH患病率(4.4%)和SDH患病率(7.4%).经logistic回归分析显示,ISH、IDH和SDH三种类型高血压共同可疑危险因素的OR值及95%CI,农村分别为1.291(1.114～1.497)、1.790(1.533～2.091)和2.117(1.879～2.386),年龄分别为1.080(1.073～1.086)、1.015(1.010～1.020)和1.055(1.050～1.060),饮酒分别为1.244(1.036～1.492)、1.199(1.024～1.404)和1.532(1.345～1.744),超重分别为1.560(1.358～1.792)、1.634(1.429～1.869)和2.104(1.890～2.342),肥胖分别为2.216(1.861～2.640)、3.125(2.658～3.674)和3.852(3.383～4.385),空腹血糖受损分别为1.666(1.327～2.092)、1.440(1.126～1.841)和1.872(1.572～2.230)及文化程度较低.结论天津市居民各亚型高血压患病率较高,应针对不同亚型高血压患者采取不同的预防和治疗措施.

English Abstract:

Objective To investigate the prevalence rates of the different subtypes of hypertension and related risk factors in adults from Tianjin.Methods With multi-stage randomized cluster sampling method,20 346 people aged 18 years and over were selected from both urban and rural areas of six geographical regions in Tianjin in 2006.A cross-sectional study was conducted.The prevalence rate of isolated systolic hypertension (ISH),isolated diastolic hypertension (IDH),systolic and diastolic hypertension (SDH) and associated risk factors were analyzed with SPSS 17.0 software.Results The prevalence rates of hypertension in adults of Tianjin were 7.16% for ISH (standardized rate was 5.33%),7.09% for IDH (standardized rate was 6.50%),and 13.61% for SDH (standardized rate was 9.94%) respectively.The ISH prevalence rate was lower than that of national rate of 7.6%,but the prevalence rates of IDH and SDH were higher than that of national rates of 4.4% and 7.4% respectively.The results from logistic regression model analyses indicated that the odds ratio (ORs) for combined risk factors of ISH,IDH and SDH in Tianjin that associated with factors as:lower level of education,living in rural areas were 1.291 (95%CI:1.114-1.497),1.790 (95%CI:1.533-2.091) and 2.117(95%CI:1.879-2.386) respectively;ageing were 1.080(95%CI:1.073-1.086),1.015(95%CI:1.010-1.020) and 1.055(95%CI:1.050-1.060) respectively;alcohol assumption were 1.244(95%CI:1.036-1.492),1.199(95%CI:1.024-1.404) and 1.532(95%CI:1.345-1.744) respectively;overweight were 1.560 (95% CI:1.358-1.792),1.634 (95% CI:1.429-1.869) and 2.104 (95% CI:1.890-2.342) respectively;obesity were 2.216 (95%CI:1.861-2.640),3.125 (95%CI:2.658-3.674) and 3.852 (95% CI:3.383-4.385) respectively;impaired fasting glucose were 1.666 (95% CI:1.327-2.092),1.440 (95% CI:1.126-1.841) and 1.872 (95% CI:1.572-2.230) respectively.Conclusion The prevalence rate of the different subtypes of hypertension was quite high in the population of Tianjin city and different measurements on prevention and treatment should be taken according to different subtypes of hypertension.

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