社会经济地位对中国9省(区)成年居民高血压患病率影响的研究

马玉霞; 张兵; 姜微波; 王惠君; 杜文雯; 苏畅; 翟凤英

Abstract

马玉霞,张兵,姜微波,王惠君,杜文雯,苏畅,翟凤英.社会经济地位对中国9省(区)成年居民高血压患病率影响的研究[J].Chinese journal of Epidemiology,2013,34(11):1051-1054

社会经济地位对中国9省(区)成年居民高血压患病率影响的研究

The impact of socioeconomic status on the prevalence of hypertension among adults in 9provinces of China,1991-2009

Received:July 29, 2013

DOI：10.3760/cma.j.issn.0254-6450.2013.011.001

KeyWord: 高血压患病率社会经济地位成年人

English Key Word: Prevalence of hypertension Socioeconomic status Adults

FundProject:美国国立卫生研究院科研项目(R01-HD30880，DK056350，R01-HD38700)

Author Name	Affiliation	E-mail
MA Yu-xia	School of Public Health, Hebei Medical University,Shijiozhuang 050017, China
ZHANG Bing	National Institrzte.for Nutrition and Safety, Chinese Center Disease Control and Prevention	zzhangb327@yahoo.com.cn
JIANG Wei-bo	College of Food Science and Nutritional Engineering, China Agricultural Uniuersity
WANG Hui-jun	National Institrzte.for Nutrition and Safety, Chinese Center Disease Control and Prevention
DU Wen-wen	National Institrzte.for Nutrition and Safety, Chinese Center Disease Control and Prevention
SU Chang	National Institrzte.for Nutrition and Safety, Chinese Center Disease Control and Prevention
ZHAI Feng-ying	National Institrzte.for Nutrition and Safety, Chinese Center Disease Control and Prevention

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Abstract:

目的了解1991--2009年中国9省(区)城乡居民高血压患病率变化趋势，探讨社会经济地位(SES)对高血压患病率的影响。方法资料来源于“中国居民健康与营养调查(cHNs)”1991、1993、1997、2000、2004、2006、2009年7轮调查数据。研究对象包括各轮调查中18～74岁成年居民。采用单因素和多因素分析方法，分析SES和9省(区)成年居民高血压患病率的关系。结果18年间男性高血压患病粗率从14.6%上升至28.7%，年龄调整患病率从14.6%上升至32.2%；女性高血压患病粗率从12.0%上升至24.6%，年龄调整患病率从12.0%上升至24.9%。前5轮调查结果显示，SES评分最高的男性，其高血压患病率均为最高；后2轮调查结果显示，SES评分最低的男性，其高血压患病率为最高。SES评分最高的女性，从1997年开始，其高血压患病率开始下降至最低；而SES评分最低的一组，其高血压患病率从1993年开始一直高于其他组。多因素分析结果表明，SES评分与女性高血压患病率呈负相关，与男性高血压率无显著相关。结论男女性高血压患病率随着年龄增长而逐渐升高；SES评分与女性高血压患病率呈负相关，而SES评分对男性高血压患病率的影响及其规律尚需要进一步研究。

English Abstract:

Objective To investigate the trends of hypertension prevalence among Chineseadults from 1 99 1 to 2009.To analysis the effects of socioeconomic status(SES)on hypertension rate.Methods This study was based on the data of China Health and Nutrition Survey which wasconducted in 1991,1993,1997。2000,2004,2006 and 2009.Adult subjects aged 18 to 74 years old ineach round were included.Statistical method of single factor and multi-factor analysis was used.Results During the eighteen—year follow up.from 1991 to 2009.the crude rate increased from 14.6%to 28.7%.and the adiusted rate by age increased from 14.6%to 32.2%among males.The crude rateincreased from 12.0%to 24.6%.and age adiusted rate from 12.0%to 24.9%among females.Hypertension prevalence was highest among the male group with highest SES score at 1 99 1,1 993,1 997,2000 and 2004.However,the lowest SES score with highest hypertension prevalence was foundamong the male group at 2006 and 2009.From 1 997.the hypertension prevalence of female withhighest SES score was lowest.and the group with lowest SES score was highest hypertensionprevalence in female group from 1993.Negative association was found between SES score and femalehypertension prevalence by the logistic regression analysis.No association was found between SESscore and male hypertension prevalence.Conclusion The prevalence of hypertension amongChinese adults had a continual increase with age during the period from 1991 to 2009.Negativeassociation was existed between SES and hypertension prevalence fur female.However,further studyshould be conducted between SES and male hypertension prevalence.

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