天津市成年人正常高值血压流行病学调查及其影响因素分析  

The epidemiological investigation of high-normal blood pressure and analysis of influencing factors in the adult residents of Tianjin

作　　者：魏姝 李庆奎 周小梅 周登远[2] 姚慧[2] 文湖钧 陈东旭 焦振山[2] WEI Shu;LI Qing-kui;ZHOU Xiao-mei;ZHOU Deng-yuan;YAO Hui;WEN Hu-jun;CHEN Dong-xu;JIAO Zhen-shan(The Post-graduate School of Tianjin Medical University,Tianjin 300070,China)

机构地区：[1]天津医科大学研究生院,天津300070 [2]天津市中医药研究院附属医院

出　　处：《中国慢性病预防与控制》2018年第10期721-725,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金："十二五"国家科技支撑计划项目(2011BAI11B01)

摘　　要：目的了解天津市成年居民正常高值血压的流行情况及其影响因素,为制定防治策略提供基础资料及依据。方法于2015年采用分层多阶段随机抽样方法,在天津市3个城区、3个郊区抽取≥18岁的居民10 557人为研究对象。进行问卷调查(年龄、性别、城乡、婚姻状况、文化程度、吸烟情况和饮酒情况)和体格检查。采用SPSS 20.0软件进行独立样本t检验、χ~2检验、趋势χ~2检验和多因素logistic回归。结果天津市成年居民正常高值血压检出率为42.0%,标化率为43.0%;男性正常高值血压检出率(46.2%)高于女性(38.0%),农村居民检出率(49.6%)高于城市居民(34.8%),差异均有统计学意义(P<0.01);男性和女性不同年龄段居民的正常高值血压检出率差异均有统计学意义(P<0.01),45岁以前均呈上升趋势,45岁以后均呈下降趋势,均有统计学意义(P<0.01)。多因素logistic回归分析显示,年龄≥35岁(35～44岁OR=1.552,95%CI:1.265～1.903;45～54岁OR=1.614,95%CI:1.296～2.010;55～64岁OR=2.752,95%CI:2.135～3.547;65～74岁OR=3.267,95%CI:2.435～4.385),生活在农村(OR=2.215,95%CI:1.989～2.468),超重(OR=1.607,95%CI:1.421～1.816)、肥胖(OR=2.020,95%CI:1.657～2.462)、高内脏脂肪指数[内脏脂肪指数第2、3分位组:OR=1.238(95%CI:1.095～1.399),OR=1.414(95%CI:1.218～1.642)]、高血压家族史(OR=1.264,95%CI:1.073～1.489)均是正常高值血压的危险因素,未婚(OR=0.667,95%CI:0.556～0.800)和女性(OR=0.584,95%CI:0.528～0.645)是保护因素,均有统计学意义(P<0.01)。结论天津市18～74岁居民正常高值血压检出率较高,应将中青年、农村人口作为重点防治人群,着重控制体重和内脏脂肪含量。Objective To understand the epidemiological status of high-normal blood pressure and the influencing factors among adults in Tianjin city,and to provide the basic data and evidence for developing the effective prevention and control strategies against high-normal blood pressure. Methods In 2015,the multistage stratified random sampling method was used to select10 557 adult residents（≥18 years old） as the subjects. The investigation was performed with questionnaire（age,sex,location,marital status,education level,smoking and drinking） and physical examination. The t test,χ~2 test,trend χ~2 test and the multiple factors logistic regression were used to analyze the data and trend,the used software was SPSS 20.0. Results The crude morbidity and standard morbidity of high-normal blood pressure in Tianjin were 42.0% and 43.0%,respectively. The morbidity（46.2%） of high-normal blood pressure in males was significantly higher than that（38.0%） in females,the morbidity（49.6%） of high-normal blood pressure in rural area was significantly higher than that（34.8%） in urban area,P0.01.The high-normal blood pressure detection rates in male and female（≤45 years old） increased,but the high-normal blood pressure detection rates in male and female（45 years old） decreased（P0.01）. The multiple factors logistic regression analysis showed that the related risk factors of high-normal blood pressure included age（≥35 years old,35-44 years old OR=1.552,95%CI：1.265-1.903;45-54 years old OR=1.614,95%CI：1.296-2.010;55-64 years old OR=2.752,95%CI：2.135-3.547;65-74 years old OR=3.267,95%CI：2.435-4.385）;rural area（OR =2.215,95% CI：1.989-2.468）,overweight（OR =1.607,95% CI：1.421-1.816）,obesity（OR =2.020,95%CI：1.657-2.462）,high visceral fat index（the second and third tri-sectional quantile of visceral fat index： OR=1.238,95%CI：1.095-1.399;OR=1.414,95%CI：1.218-1.642）,family history（OR=1.264,95%CI：1.073-1.489）;but the unmarried（OR=0.667,95%CI：0.556-0.800） and

关 键 词：正常高值血压 成人 影响因素 

分 类 号：R181.3[医药卫生—流行病学]