河北唐山地区40～<70岁女性血压水平分布现况调查  

A cross-sectional study on blood pressure distribution among 40-<70 years old women in Tangshan district, Hebei Province

作　　者：刘丹[1] 张志坤[1] 何金奎[1] 杨梅[1] 张晓慧[1] 高庆华[1] 项东[1] 张绍文[1] 

机构地区：[1]唐山市疾病预防控制中心,河北唐山063000

出　　处：《中华高血压杂志》2013年第1期61-66,共6页Chinese Journal of Hypertension

基　　金：唐山地区科学技术研究与发展指导计划课题(09130235a)

摘　　要：目的了解唐山地区女性血压水平状况及高血压相关危险因素。方法于2009-03-04选取唐山地区40～<70岁女性居民4384人进行血压检测;高血压定义为收缩压≥140mmHg和(或)舒张压≥90mmHg,或近期服用降压药。结果有效调查4293人,年龄(54.7±6.7)岁,收缩压(136.3±22.5)mmHg,舒张压为(85.3±11.9)mmHg,血压水平农村高于城市且随体质量指数(BMI)的升高而升高(均P<0.01);高血压粗患病率为56.0%,年龄标化患病率为52.9%,高血压患病率随年龄和BMI的增加而增加,且农村高于城市(57.4%比52.6%,P<0.01);超重/肥胖、老龄、糖尿病、农村居民和高盐饮食是高血压的重要危险因素,OR值分别为1.871、1.813、1.715、1.529和1.256(均P<0.01);高血压知晓率为46.3%,且随年龄和BMI的增加而增加。结论河北唐山地区中高龄女性血压水平及高血压患病率较高,高血压患病率农村高于城市,应及时制定相应的公共卫生策略以改进农村女性高血压预防和诊疗状况。Objective To investigate the distribution of blood pressure （BP） and risk factors related to hypertension in Tangshan district. Methods From March to April in 2009, a total of 4384 40-〈70 years old females in Tang- shan were recruited using cluster sampling and the BP were examined. Hypertension was defined as systolic BP （SBP）≥140 mm Hg, and（or） diastolic BP （DBP）≥90 mm Hg, or current treatment with antihypertensive medi- cine. Results The average age of 4293 female population was （54.7±6.8） years. The mean SBP was （136.3± 22.5） mm Hg and DBP was （85.3±11.9Jmm Hg. Both SBP and DBP were higher in rural women than in urban women, and increased with body mass index （BMI）. The overall prevalence of hypertension was 56.0% ,after age- adjusted , the prevalence was 52.9%, the prevalence of hypertension was higher in rural than urban areas （57.4 % vs 52.6 % ; P〈0.01 ） and was increased with increasing age and BMI. Overweight/obesity （OR= 1. 8711 , older age （OR=1. 813）, diabetes （OR=1. 715）, rural recidents （OR=1. 529）, and higher salt intake （OR=1. 256） were im- portant risk factors for hypertension （all P〈0.01 ）. The awareness rate was 46.3% and increased with age and BMI. Conclusion These results indicate that blood pressure level and prevalence of hypertension were highly in middle-aged and elder female population of Tangshan district, Hebei Province. whitch suggest that urgent strategies for prevention, diagnosis, and effective treatment hould be made.

关 键 词：血压 女性 危险因素 现况调查 

分 类 号：R544.1[医药卫生—心血管疾病]