摘要
目的了解江苏省居民血压水平变化趋势及其与危险因素相关关系,为高血压防制提供参考依据。方法采用多阶段整群随机抽样方法,按照地区、人口及各地国民生产总值的不同抽取江苏省14个县(市、区)内的4 202名(2007年)和7 283名(2010年)18～69岁居民进行问卷调查和体格检查。结果与2007年比较,2010年江苏省居民高血压自报率[17.7%(1 287/7 283)VS 13.8%(581/4 202),χ2=28.974,P=0.000]、高血压发病率[32.4%(1 940/5 996)VS 22.8%(826/3 621),χ2=104.828,P=0.000]和高血压患病率[44.3%(3 287/7 283)VS 33.5%(1 407/4 202),χ2=75.400,P=0.000]均升高;2010年血压水平和男性腰围平均水平均高于2007年(P<0.05),而女性腰围[(80.4±10.2)cm VS(79.6±8.8)cm]总体水平下降了0.8 cm;相关分析结果显示,血压水平与体质指数(BMI)和腰围均呈正相关;多因素logistic回归分析表明,年龄、BMI和腰围均是高血压的独立危险因素,BMI(OR=1.085,95%CI=1.062～1.107,P=0.000)对高血压风险的贡献最大。结论江苏省居民高血压患病率及其独立危险因素水平不断升高;BMI对高血压风险的贡献相对较大;女性腰围水平有所下降。
Objective To explore the change trend of blood pressure level and its relationship with risk factors of hypertension for the prevention and control of hypertension in Jiangsu province.Methods Based on differences in geographic location,population distribution and gross national product（GDP）,we selected 14 surveillance sites with multi-stage cluster random sampling and two investigations including questionnaire survey and physical examination were carried out among 4 202 and 7 283 residents aged 18-69 years selected with Kish table method from the 14 sites in 2007 and 2011.Results Compared with 2007,the prevalence of self-reported hypertension（17.7% [1 287/7 283]vs 13.8% [581/4 203],χ^2=28.974,P=0.000）,incidence of hypertension（32.4% [1 940/5 996] vs 22.8% [826/3 621],χ2=104.828,P=0.000） and prevalence of hypertension（44.3% [3 287/7 283] vs 33.5% [1 407/4 203],χ^2=75.400,P=0.000） in 2010 were significantly higher（P〈0.05 for all）.The average systolic blood pressure（SBP）,diastolic blood pressure（DBP）,body mass index（BMI） in male and femal and waist circumference in male were significant higher in 2010 than those in 2007（P〈0.05 for all）,but female waist circumference（80.3±10.2 cm vs 79.6±8.8 cm,t=2.555;P=0.011） was lower in 2010 than that in 2007（P〈0.05）.The results of correlation analysis showed that blood pressure was positively correlated with BMI and waist circumference.The results of logistic regression analysis showed that age,BMI,and waist circumference were independent risk factors to hypertension（BMI：Exp[B]=1.085,95% confidence interval：1.062-1.107,P=0.000）.Conclusion The prevalence rate of hypertension and its independent risk factors significantly increased among adult residents in Jiangsu province from 2007 to 2010 and BMI is a major contributor to hypertension.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2013年第6期792-795,共4页
Chinese Journal of Public Health
基金
卫生部卫生行业科研专项(200902001)
江苏省卫生科技项目(H201224)
