摘要
目的:了解潍坊市中小学生血压偏高现状并分析其影响因素,为当地制定卫生健康政策、慢性病干预措施提供参考依据。方法:研究为横断面调查,数据来源于山东省学生常见病监测数据管理平台。采用多阶段分层随机整群抽样的方法,抽取潍坊市12个县市区72所中小学校的8769名中小学生进行调查,采用标准方法对中小学生进行体格测量和问卷调查,采用多因素logistic分析中小学生血压偏高与地区、学段、性别、超重、肥胖等的相关性。结果:潍坊市中小学血压偏高检出率为14.92%。单因素分析结果显示,不同地区、学段、性别、体质指数(BMI)的中小学生血压偏高检出率比较,差异有统计学意义(P<0.01);BMI与收缩压及舒张压皆呈正相关(r=0.244、0.058,P<0.01);logistic回归分析结果显示,城市(OR=1.44)、初中(OR=1.43)、高中(OR=1.65)、超重(OR=1.26)、肥胖(OR=1.96)是中小学生血压偏高的影响因素。结论:潍坊市中小学生血压偏高水平较高且随年龄增长呈上升趋势,超重和肥胖是中小学生血压偏高的重要影响因素。
OBJECTIVE To investigate the current situation of high blood pressure in primary and secondary school students in Weifang,analyze its influencing factors,and provide reference for local health policies and intervention measures.METHODS It was a cross-sectional survey with data from the monitoring data management platform of students’common diseases in Shandong Prov⁃ince.Using multi-stage stratified random cluster sampling method,8769 primary and secondary school students from 72 primary and secondary schools in 12 counties and urban areas of Weifang were selected for investigation.Multivariate logistic regression anal⁃ysis was used to analyze the correlation between high blood pressure and region,school section,gender,overweight and obesity of pri⁃mary and secondary school students.RESULTS The detection rate of high blood pressure in primary and secondary schools in Wei⁃fang was 14.92%.Univariate analysis showed that different regions,study period,sex,BMI,the effect on high blood pressure was sta⁃tistically significant(P<0.01).BMI was positively correlated with systolic blood pressure and diastolic blood pressure(r=0.244,0.058,P<0.01).Multivariate Logistic regression analysis showed that urban(OR=1.44),middle school(OR=1.43),high school(OR=1.56),overweight(OR=1.26)and obesity(OR=1.96)were risk factors for high blood pressure in middle school students.CON⁃CLUSION The high blood pressure of primary and secondary school students in Weifang is relatively high,and it increases with age.Overweight and obesity are important factors affecting the high blood pressure of primary and secondary school students.
作者
牟小平
王晓威
赵忠俊
Mu Xiaoping;Wang Xiaowei;Zhao Zhongjun(Weifang Center for Disease Control and Prevention,Weifang,Shandong,261061,China)
出处
《中国初级卫生保健》
2024年第10期71-74,共4页
Chinese Primary Health Care
基金
潍坊市卫生健康委员会“健康潍坊之合理膳食行动监测评价指标调查与应用”(WFWSJK_2023_216)。
关键词
中小学生
血压偏高
超重
肥胖
primary and secondary school students
high blood pressure
overweight
obesity
