| 王璇,张梅,王志会,张笑,赵振平,黄正京,齐士格,李纯,徐晓慧,王丽敏.高血压“标签”与我国成年居民自评健康的相关关系[J].Chinese journal of Epidemiology,2020,41(3):379-384 |
| 高血压“标签”与我国成年居民自评健康的相关关系 |
| Correlation between hypertension label and self-rated health in adult residents in China |
| Received:August 30, 2019 |
| DOI：10.3760/cma.j.issn.0254-6450.2020.03.019 |
| KeyWord: 高血压“标签” 自评健康 累积比数logit模型 |
| English Key Word: Hypertension label Self-rated health Cumulative odds logit model |
| FundProject:国家重点研发计划（2018YFC1311706） |
| Author Name | Affiliation | E-mail | | Wang Xuan | Division of Non-communicable Disease Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhang Mei | Division of Non-communicable Disease Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Wang Zhihui | Division of Elderly Health, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhang Xiao | Division of Non-communicable Disease Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhao Zhenping | Division of Non-communicable Disease Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Huang Zhengjing | Division of Non-communicable Disease Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Qi Shige | Division of Elderly Health, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Li Chun | Division of Non-communicable Disease Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Xu Xiaohui | Division of Vital Statistics and Death Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Wang Limin | Division of Non-communicable Disease Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | wanglimin@ncncd.chinacdc.cn |
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| Abstract: |
| 目的 了解高血压"标签"与我国≥ 18岁成年居民自评健康状况的相关关系。方法 本研究利用2013年中国慢性病及其危险因素监测数据。该监测采用多阶段分层整群抽样法进行抽样、面对面问卷调查和现场身体测量进行相关信息收集，其中自评健康状况问题参考美国行为危险因素调查，血压测量统一使用欧姆龙HBP-1300电子血压计。使用累积比数logit模型分析高血压"标签"与中国成年居民自评健康的相关关系（检验水准α=0.05）。结果 本研究共纳入173 008人。高血压患者自评健康较差的比例是未患高血压者的1.29倍（95%CI：1.22~1.35，P<0.001），调整高血压"标签"之后差异无统计学意义（P=0.670）。有高血压"标签"者自评健康较差的比例是无"标签"者的2.09倍（95%CI：1.96~2.23，P<0.001），调整实际高血压患病状况之后差异有统计学意义（OR=2.08，95%CI：1.94~2.23，P<0.001）。高血压组中，有高血压"标签"者自评健康较差的比例是无"标签"者的2.18倍（95%CI：2.02~2.36，P<0.001）；血压正常组中，有高血压"标签"者自评健康较差的比例是无"标签"者的1.89倍（95%CI：1.64~2.18，P<0.001）。男性自评健康更容易受高血压"标签"效应的影响，尤其是在高血压组（OR=2.20，95%CI：1.98~2.45，P<0.001）。以上结果均调整了人口学因素、吸烟、饮酒、身体活动及慢性病患病情况。结论 高血压"标签"与我国成年居民自评健康独立相关。确诊高血压应严格遵守最新指南的相关要求。 |
| English Abstract: |
| Objective To study the correlation between hypertension label and self-rated health (SRH) in adults aged ≥ 18 years in China. Methods Data were from 2013 Chronic Non-communicable Disease and Risk Factor Surveillance Project. The project collected the information through multi stage stratified cluster sampling, face-to-face questionnaire survey and on-site body measurement. The SRH status of the adults was inquired according to the recommendation of Behavioral Risk Factor Surveillance System (BRFSS) in the United States. Blood pressure measurement was performed by using OMRON HBP-1300 electronic sphygmomanometer. Surveymeans and surveyfreq processes were used to describe the general characteristics of the sample population. The cumulative odds logit model was implemented by the processes of surveylogistic to analyze the association between hypertension label and self-rated health in adults in China. Results A total of 173 008 subjects were included in this study. Hypertension was associated with poorer SRH (OR=1.29, 95%CI:1.22-1.35, P<0.001), but this association was eliminated by adjustment for hypertension label (P=0.670). Hypertension label was associated with poorer SRH (OR=2.09, 95%CI:1.96-2.23, P<0.001) and the association was still significant even after adjusting for actual hypertension status (OR=2.08, 95%CI:1.94-2.23, P<0.001). In hypertension group, those with hypertension label had poorer SRH than those without hypertension label (OR=2.18, 95%CI:2.02-2.36, P<0.001). In normal blood pressure group, those with hypertension label had poorer SRH than those without hypertension label (OR=1.89, 95%CI:1.64-2.18, P<0.001). Men's SRH was more sensitive to hypertension label, especially in hypertension group (OR=2.20, 95%CI:1.98-2.45, P<0.001). The results were all adjusted for demographic factors, smoking status, alcohol consumption, physical activity and chronic diseases. Conclusions Hypertension label is associated with self-rated health independently in adults in China. The diagnosis of hypertension should strictly follow the latest guidelines. |
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