四川省部分城乡居民高血压患病情况及影响因素分析  

The prevalence of hypertension and its influencing factors among residents in urban and rural areas in Sichuan province

作　　者：王青青 万绍平 武文博[2] 雍正平 裴姣 李雪纯[1] 王新 周维佳[2] WANG Qing-qing;WAN Shao-ping;WU Wen-bo;YONG Zheng-ping;PEI Jiao;LI Xue-chun;WANG Xin;ZHOU Wei-jia(Medical School,University of Electronic Science and Technology,Chengdu Sichuan 610054, China)

机构地区：[1]电子科技大学医学院,四川成都610054 [2]四川省肿瘤医院科技部 [3]四川省医学科学院,四川省人民医院科技部

出　　处：《中华高血压杂志》2019年第8期764-770,共7页Chinese Journal of Hypertension

基　　金：“十二五”国家科技支撑计划项目(2011BAI11B01);四川省科技支撑计划项目(2015SZ0030)

摘　　要：目的了解四川省城市和农村年龄≥15岁常住居民高血压流行情况及其影响因素,为下一步开展城乡高血压防控工作提供依据。方法 2015年11-12月,采用分层多阶段随机抽样的方法,分别在成都市成华区和达州市大竹县抽取4040人进行问卷调查和体格检查。结果调查资料完整3868人,其中城市居民1769人,农村居民2099人。城乡居民高血压患病率及其95%CI为23.32%(21.99%~24.65%),标化患病率为20.59%;农村居民高血压患病率高于城市居民(26.06%比20.07%,P<0.01)。城乡居民高血压患病率在<75岁呈上升趋势,≥75岁下降,患高血压高峰年龄段为65~<75岁。四川省城乡高血压总知晓率、治疗率和控制率分别为55.65%、48.67%、15.52%。城市居民高血压知晓率51.83%(95%CI 49.50%~54.16%),治疗率48.45%(95%CI 46.12%~50.78%),控制率20.56%(95%CI 18.68%~22.44%);农村居民高血压知晓率58.14%(95%CI 56.03%~60.25%),治疗率48.81%(95%CI 46.27%~50.55%),控制率12.25%(95%CI 10.85%~13.65%)。城乡居民高血压知晓率、治疗率差异无统计学意义,城市居民高血压控制率高于农村居民(P<0.01)。Logistic回归分析结果显示,城乡居民高血压患病的共同危险因素为年龄、体质量指数(BMI)和心血管病家族史;城市居民高血压患病的危险因素还包括吸烟和腹型肥胖。结论四川省城乡高血压患病率为23.32%;总知晓率、治疗率和控制率分别为55.65%、48.67%、15.52%,城乡居民高血压患病的主要危险因素为年龄、BMI和心血管病家族史。Objective To investigate the prevalence of hypertension and its influencing factors in urban and rural residents aged 15 years or older in Sichuan Province, and to provide evidence for the next step in the prevention and control of urban and rural hypertension. Methods From November to December 2015, 4040 subjects in Chenghua District of Chengdu City and Dazhu County of Dazhou City were selected for questionnaire survey and physical examination by stratified multi-stage random sampling method. Results A total of 3868 subjects with complete data were investigated, including 1769 urban residents and 2099 rural residents. The prevalence of hypertension and its 95% confidence interval were 23.32%(21.99%-24.65%) in urban and rural areas, and the standardized prevalence was 20.59%. The prevalence of hypertension among rural residents was higher than that of urban residents(26.06% vs 20.07%,P<0.01). The prevalence of hypertension in urban and rural residents increased before 75 years old and decreased after 75 years old. The peak age of hypertension was 65-<75 years old. The total awareness rate, treatment rate and control rate of hypertension among urban and rural residents in Sichuan Province were 55.65%, 48.67%, and 15.52%, respectively. The awareness rate of hypertension among urban residents was 51.83%(95%CI 49.50%-54.16%), the treatment rate was 48.45%(95%CI 46.12%-50.78%), and the control rate was 20.56%(95% CI 18.68%-22.44%). While the rates of awareness, treatment and control were 58.14%(95% CI 56.03%-60.25%), 48.81%(95%CI 46.27%-50.55%), 12.25%(95% CI 10.85%-13.65%) respectively among rural residents. There was no significant difference in the awareness rate and treatment rate of hypertension among urban and rural residents, however the control rate of hypertension among urban residents was higher than that among rural residents(P<0.01). Logistic regression analysis showed that age, body mass index(BMI) and family history of cardiovascular diseases were the common risk factors for hypertension in urban and rur

关 键 词：高血压 患病率 影响因素 城乡对比 

分 类 号：R544.1[医药卫生—心血管疾病]