长春市居民正常高值血压现状及危险因素分析  

Prevalence of pre-hypertension and its risk factors among residents in Changchun city

作　　者：刘婷[1] 王云[1] 刘莹圆 孙平辉[1] 张秀敏[1] 刘红箭[1] 

机构地区：[1]吉林大学公共卫生学院流行病与卫生统计学教研室,吉林长春130021

出　　处：《中国公共卫生》2016年第6期728-731,共4页Chinese Journal of Public Health

基　　金：吉林省卫生厅项目(2012Z025)

摘　　要：目的了解吉林省长春市居民正常高值血压的流行现状及其危险因素,为预防或延迟高血压的发生提供参考依据。方法采用分层整群随机抽样方法对在长春市抽取的2 996名年龄≥18岁的常住居民进行问卷调查、体格检查和实验室检测,计算居民正常高值血压和高血压的检出率,并应用多因素logistic回归模型分析正常高值血压的影响因素。结果长春市居民高血压检出率为43.19%,正常高值血压检出率为40.75%;不同特征居民正常高值血压检出情况比较,不同性别、年龄、文化程度、婚姻状况、体质指数(BMI)、吸烟情况、高血糖、高脂血症和腹型肥胖居民的正常高值血压检出率差异均有统计学意义(均P<0.05);多因素非条件logistic回归分析结果显示,男性、年龄≥30岁、在婚、BMI≥24.0 kg/m^2和高脂血症是长春市居民正常高值血压的危险因素。结论长春市居民的正常高值血压检出率较高,受多种因素影响,应加强对正常高值血压人群的生活方式干预,预防或延迟高血压的发生。Objective To assess current status of pre-hypertension and its risk factors among residents in Chang- chun city and to provide references for prevention and control of hypertension. Methods With stratified cluster random sampling,296 residents aged ≥ 18 years were selected for a questionnaire survey, physical examination and laboratory tests. The prevalence rate of pre-hypertension and hypertension were calculated and the risk factors of pre-hypertension were analyzed with multivariate logistic regression analysis. Results The overall prevalence rate of hypertension was 43.19% and the prevalence rate of pre-hypertension was 40. 75%. There were significant differences in the prevalence rate of pre-hypertension among the residents of different gender, age, education level, marital status, body mass index （ BMI）, smoking status, status of hyperglycemia, hyperlipidemia, and abdominal obesity （ all P 〈 0. 05 ）. The results of multivariate logistic regression analysis indicated that male, at the age of ≥ 30 years, married, with a BMI of ≥ 24. 0 kg/m2 , and being hyperlipemia were risk factors for pre-hypertension among the residents. Conclusion The preva- lence rate of pre-hypertension is high and influenced by many factors among the residents in Changchun city, suggesting lifestyle intervention on pre-hypertension should be strengthened to prevent the occurrence of hypertension in the population.

关 键 词：正常高值血压 检出率 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]