北京市城乡中年人高血压流行情况及危险因素分析  

Prevalence and risk factors for hypertension in middle-aged adults of Beijing

作　　者：胡泊[1] 李卫[1] 刘冰[1] 陈涛[1] 孙毅[1] 

机构地区：[1]中国医学科学院北京协和医学院阜外心血管病医院防治中心生物统计部,北京100037

出　　处：《基础医学与临床》2010年第7期759-762,共4页Basic and Clinical Medicine

摘　　要：目的对比研究北京市城市和农村高血压的流行情况及其危险因素。方法于2005年采用整群抽样的方法,在北京市城市和农村的40～65岁人群中,对3 268人中进行问卷和体检。诊断标准依据2005年中国高血压防治指南。多因素分析采用Logistic回归方法。结果农村高血压的患病率为55.58%,显著高于城市的42.91%(P<0.05)。城市男性和女性高血压的患病率分别为49.54%和38.52%,显著低于农村男性和女性的57.68%和54.17%(均P<0.05)。不同性别多因素分析显示,年龄、BMI、腰围、空腹血糖、文化程度为男性的危险因素,年龄、BMI、腰围、职业、三酰甘油为女性的危险因素。结论农村人群高血压患病率快速上升。主要危险因素有体重指数和腰围。Objective To determine the prevalence of hypertension and to find the risk factors in the urban and rural area of Beijing.Methods A cluster sampling was used to establish a study population of inhabitants aged from 40 to 65.Totally 3 268 middle-aged participants were enrolled in the investigation.The definition of hypertension was determined by National Revision Committee of the Guidelines of Hypertension Prevention and Control in 2005.Logistic regression model was used to define the risk factors of hypertension.Results The prevalence in urban area was significantly lower than in rural area（42.91% vs 55.58%,P0.05）.In urban area,the prevalence of hypertension in male and female were 49.54% and 38.52% which were significantly lower than the prevalence in rural area 57.68% and 54.17%.（all P0.05）.Multivariate logistic analysis showed that age,BMI,waist,high density lipoprotein cholesterol,fasting blood glucose and education were the risk factors of hypertension in male.Age,BMI,waist,occupation and triglyceride were the risk factors of hypertension in female.Conclusion The data indicated that the prevalence of hypertension in rural area is higher than that in urban cities located in developed area of China.The most important risk factors are BMI and waist.

关 键 词：高血压 患病率 LOGISTIC回归 整群抽样 城乡 

分 类 号：R544.1[医药卫生—心血管疾病]