北京城乡社区20～44岁居民高血压患病率及其危险因素  

Prevalence of Hypertension and Risk Factors among Young Adults Aged 20 to 44 Years in Beijing Community

作　　者：王劲松[1] 余金明[2] 胡大一[3] 孙艺红[3] 王芳[4] 王家宏[3] 管绯[3] 王桂莲[3] 

机构地区：[1]同济大学医学院流行病与卫生统计学教研室,上海200092 [2]复旦大学公共卫生学院卫生统计教研室,上海200032 [3]北京大学人民医院心脏中心,北京100044 [4]上海市杨浦区疾病预防控制中心,上海200090

出　　处：《中华高血压杂志》2009年第9期811-816,共6页Chinese Journal of Hypertension

基　　金：北京市科委科技项目(项目编号:D090600200091;课题编号:D0906002040191)

摘　　要：目的探讨北京城乡社区20～44岁居民高血压的患病情况及其危险因素。方法通过分层整群随机抽样,共抽取北京城乡社区20～44岁居民2788人,以问卷收集信息并进行体格检查。采用Logistic回归分析和递归分割分析判断该人群高血压的主要影响因素。结果北京市20～44岁居民的高血压患病率为22.8%,城市和农村社区分别为23.4%和22.5%,差别无统计学意义(χ2=0.314,P=0.575)。男性高血压患病率高于女性(30.0%比18.7%,χ2=47.123,P<0.01)。城乡结合部社区男性居民血压处于正常高值以及高血压的构成比例最高,达88.3%(χ2=29.106,P<0.01)。多因素Logistic回归分析得到年龄(OR=1.06,95%CI:1.04～1.08)、经常饮酒(OR=1.47,95%CI:1.10～1.99)、腰围超标(OR=2.06,95%CI:1.55～2.75)、三酰甘油高(OR=1.60,95%CI:1.24～2.06)、肥胖(OR=1.64,95%CI:1.23～2.18)为危险因素,女性(OR=0.71,95%CI:0.56～0.90)、中等受教育水平(OR=0.70,95%CI:0.51～0.97)、大专以上受教育水平(OR=0.60,95%CI:0.40～0.90)为保护性因素。递归分割分析显示腰围超标和高三酰甘油依次是影响高血压患病风险的节点。结论北京社区20～44岁居民高血压患病率较高,年龄、男性、受教育水平低、饮酒、肥胖、腰围超标、高三酰甘油、高胆固醇是危险因素。腰围较大和高三酰甘油可作为北京社区年轻人高血压的预测因素和早期干预目标。Objective To explore the prevalence of hypertension and risk factors among young adults （20- 44 years） in Beijing community. Methods A cross-sectional survey （n=2788） was conducted during 2007. Risk factors were analyzed by logistic regression model and recursive portioning analysis. Results The prevalence of hypertension is 23.4% in urban, 22.5% in rural and 22.8% in total （X^2 =0. 314, P=0. 575）. Men had higher prey alence than women （30.0% vs. 18.7%, P〈0.01）. In rural-urban junction part of the city, 88.3% of males subjects are hypertension or pre-hypertension （X^2=29. 106, P〈0.01 ）. Multivariate stepwise logistic regression analyses and the significant risk factors showed age （OR=1. 06, 95% CI： 1.04-1.08）, drinking （OR=1.47, 95% CI： 1.10-1.99）, elevated waist circumstances （OR=2.06, 95% CI： 1.55-2.75）, obesity （OR=1. 64, 95% CI： 1.23-2.18）, high triglycerides （OR=1.60, 95% CI： 1.24-2.06）, high total cholesterol （OR=1.38, 95% CI： 1.10-1.74）, female （OR=0.71, 95% CI： 0.56-0.90）, middle education （OR=0.70, 95% CI： 0.51-0.97） and up college education {OR=0.60, 95% CI： 0. 40-0.90） were the independent determinants for hypertension. Recursive portioning analysis showed the nodes for risk of hypertension were elevated waist circumstances and high triglyceridemia. Conclusion A high prevalence of hypertension and prehypertension among young adults aged 20-44 years in Beijing communities was shown. Age, male, obesity, elevated waist circumstances, high triglyceridesmia, high total cholesterol and lower education level are risk factors for hypertension. Prevention and aggressive treatment of obesity is strongly advised.

关 键 词：高血压 青年 危险因素 患病率 腰围 三酰甘油 

分 类 号：R544.1[医药卫生—心血管疾病]