上海市浦东新区15岁以上常住人口高血压患病率及相关因素  

Prevalence and related factors of hypertension among residents aged above 15 years in Pudong New Area of Shanghai

作　　者：于思雨[1] 周先锋[1] 阮晓楠[1] 邱桦[1] 周弋[1] 芮欣忆[1] 肖林海[1] 吴抗[1] 王小楠[1] 毕文婕[1] 郝莉鹏 

机构地区：[1]上海市浦东新区疾病预防控制中心,上海200136

出　　处：《上海预防医学》2015年第10期593-597,共5页Shanghai Journal of Preventive Medicine

基　　金：浦东新区科技发展基金创新资金(PKJ2010-Y04)

摘　　要：目的了解上海市浦东新区15岁以上常住人口高血压患病率及其主要相关因素,为开展高血压预防与控制工作提供科学依据。方法采用多阶段分层随机抽样方法,抽取浦东新区常住居民10 657人,进行问卷调查、体格检查及空腹血糖、餐后2 h血糖及血脂等检测,分析高血压患病率及其相关因素。结果高血压粗患病率41.3%,男性高于女性(P<0.001);随着年龄的增大,人群高血压患病率呈逐步增高趋势;文化程度越高,高血压患病率越低;城乡之间高血压患病率无明显差异。多因素logistic回归分析结果显示,性别、年龄、高血压家族史、向心性肥胖、体质指数、C反应蛋白、餐后2 h血糖及尿白蛋白/肌酐比值均为高血压患病的相关因素(P均<0.05)。结论浦东新区15岁以上居民高血压患病率较高,体质指数和向心性肥胖是高血压可以改变的相关因素。Objective To investigate epidemic characteristics and risk factors of hypertension among residents aged above 15 years in Pudong New Area of Shanghai. Methods We selected the subjects through a multistage stratified cluster sampling procedure; all thirty towns of Pudong New Area were stratified into three levels according to their economic status and 10 657 people selected as survey subjcets from each economic level.A questionnaire survey was conducted in conjunction with measurements of body height and weight, fasting plasma glucose, 2-hour postprandial blood glucose, blood lipid and blood pressure among 10 657 inhabitants aged above 15 years.Multivariate unconditional regression model was employed to analyze the influence factors of hypertension. Results The crude prevalence rate of hypertension in the residents was 41.3%.The prevalence rates of male was high than female （P〈0.001）. With the increment of age, the hypertension prevalence rate of all residents were obviously elevated.The residents with lower education had a higher hypertension prevalence rate.There was no significant difference in hypertension prevalence between rural and urban.The results of logistic regresssion showed that the risk factors of hypertension were age,gender,educational level,family history of hypertension,central obesity, body mass index, C-reactive protein, 2-hour postprandial blood glucose and urinary albumin/creatinine ratio（P〈0.05）. Conclusion The results indicated that hypertension was highly prevalent in Pudong New Area.Body mass index （ BMI） and central obesity were related factors for hypertension which were changeable.

关 键 词：高血压 患病率 相关因素 

分 类 号：R544.1[医药卫生—心血管疾病]