彭州市居民饮酒行为与高血压患病率的关系探讨  

Relationship Between Drinking Behavior and Prevalence of Hypertension Among Residents in Pengzhou City

作　　者：王建[1] 孙强[1] 陈小芳[1] 罗国金[1] 郭彧[2] 卞铮[2] 吴先萍[3] 陈晓芳[3] 张宁梅[3] 李立明[4] WANG Jian;SUN Qiang;CHEN Xiaofang;LUO Guojin;GUO yu;BIAN Zheng;WU Xianping;CHEN Xiaofang;ZHANG Ningmei;LI Liming(Pengzhou Center for Disease Control andprevention, Pengzhou 611930, Sichuan Province, China;Chinese Academy of Medical Sciences, Bering 100000, China;Sichuan Provincial Center for Disease Control and prevention, Chengdu 610041, Sichuan Province, Chin;School of public health, Peking University, Beijing 100000, China.)

机构地区：[1]彭州市疾病预防控制中心,四川彭州611930 [2]中国医学科学院,北京100000 [3]四川省疾病预防控制中心,成都610041 [4]北京大学公共卫生学院,北京100000

出　　处：《预防医学情报杂志》2018年第6期711-717,共7页Journal of Preventive Medicine Information

基　　金：国家自然科学基金(编号:81390540;81390544;81390541);国家重点研发计划精准医学研究重点专项(编号:2016YFC0900500;2016YFC0900501;2016YFC0900504);重大慢性非传染性疾病防控研究重点专项(编号:2016YFC1303904);香港Kadoorie Charitable基金;英国Wellcome Trust(编号:202922/Z/16/Z;088158/Z/09/Z;104085/Z/14/Z)

摘　　要：目的探讨不同饮酒行为与高血压患病率的关系。方法利用"中国慢性病前瞻性研究项目"彭州市基线调查数据,描述当地居民饮酒情况和高血压患病情况,分析研究饮酒状况、每周饮酒天数、通常每天饮酒量及早上饮酒情况与高血压患病率的关系。结果调查52 228人中,每周饮酒率为23.6%,男女分别为51.5%和6.4%。男性高血压患病率为23.8%,标化率为20.1%,女性高血压患病率为18.0%,标化率为15.5%,男女间差异有统计学意义(P<0.01)。二分类Logistic回归分析显示:男女每周饮酒患高血压几率分别比从不饮酒人群高62%和25%。男女每周饮酒6~7 d患高血压几率分别比不饮酒人群高68%和31%。通常每天高风险饮酒男女人群患高血压几率分别比不饮酒人群高80%和28%。男性每天或几乎每天早上饮酒人群中患高血压几率比不饮酒人群高67%。结论男女每周饮酒及饮酒天数增加、饮酒量增多,其高血压患病率呈上升趋势,应加强饮酒人群高血压防治知识宣传,戒酒或少量饮酒,以降低高血压的患病率。Objective To explore the relationship between different drinking behavior and the prevalence of hypertension. Methods The baseline survey data of＂Chinese chronic disease research projects＂ of Pengzhou city was using, describing the local residents drinking situation and analysis of the prevalence of hypertension,weekly drinking days,the relationship between the usually amount of everyday alcohol drinking and drinking in the morning and hypertension prevalence rate. Results Among the survey of the 52 228 people, the weekly drinking rate was 23. 6%,51. 5% and 6. 4% respectively for men and women. The male prevalence rate of hypertension was 23. 8%, the standardized rate was20. 1%,the female prevalence rate of hypertension was18%,and the standardized rate was 15. 5%, the difference between male and female was statistically significant（ P〈0. 01）. Two categories of logistic regression analysis showed that men and women who were drinking every week had 62% and 25% higher risk of hypertension than those who never drank alcohol,respectively. Men and women drinking 6-7 d per week had 68% and 31% more incidence of hypertension than those who did not drink alcohol. The risk of hypertension was 80% and 28% higher in people who have high risk of drinking every day than those who do not drink. Men who drink alcohol daily or nearly every morning were 67% more incidence of hypertension than those who do not drink alcohol. Conclusion Men and women were weekly drinking alcohol,and with the drinking day increased,the prevalence rate of hypertension was increased,then should be strengthen the prevention knowledge of hypertension among drinking people,about stop drinking or drinking less,to reduce the prevalence of hypertension.

关 键 词：饮酒 高血压 患病率 

分 类 号：R544.1[医药卫生—心血管疾病]