南京市城市居民自我报告高血压患病与家庭月人均收入水平关系  

Correlation between family monthly income per capita and self-reported hypertension among adults in urban Nanjing

作　　者：董易苹 何静 马雨杨 金玲玲 叶青[4] 秦真真[4] 王志勇[4] 沈孝兵[1] 徐斐[1,3,4] DONG Yi-ping;HE Jing;MA Yu-yang(School of Public Health,Southeast University,Nanjing,Jiangsu Province 210003,China)

机构地区：[1]东南大学公共卫生学院,江苏南京210009 [2]厦门大学附属第一医院 [3]南京医科大学公共卫生学院流行病与卫生统计学系 [4]南京市疾病预防控制中心慢病防制科

出　　处：《中国公共卫生》2019年第10期1317-1320,共4页Chinese Journal of Public Health

基　　金：南京市科技发展基金(201503054)

摘　　要：目的了解江苏省南京市城市居民自我报告高血压患病与家庭人均月收入水平的关系,为特定人群高血压的预防控制提供参考依据。方法于2011年8-9月采用多阶段整群随机抽样方法在南京市玄武、建邺、浦口、大厂4个城区抽取7824名≥35岁常住居民进行问卷调查和体格检查。结果南京市7824名城市居民中,自我报告患高血压者2163例,自我报告高血压患病率为27.6%;家庭月人均收入低收入者(<1111.1元)2954人(37.8%),中等收入者(1111.1~1666.6元)2380人(30.4%),高收入者(≥1666.7元)2490人(31.8%);家庭月人均收入低、中等、高者自我报告高血压患病率分别为23.4%、27.7%、32.7%,与家庭月人均收入低收入者相比,家庭月人均收入中等和高收入者自我报告高血压的患病风险分别增加26%(OR=1.26,95%CI=1.11~1.42)和59%(OR=1.59,95%CI=1.41~1.79);在调整了性别、年龄、受教育年限、职业类型、吸烟情况、饮酒情况、医疗保险情况、体力活动情况、红肉摄入频次、体质指数(BMI)等混杂因素后,南京市城市居民自我报告高血压患病与家庭月人均收入水平无统计学关联。结论南京市城市居民家庭月人均收入水平与自我报告高血压患病无关。Objective To examine the relationship between self-reported hypertension and monthly family income per capita among urban residents in Nanjing, Jiangsu province, and to provide evidences for developing population-specific hypertension prevention strategies. Methods Using multi-stage random cluster sampling, we conducted a questionnaire survey and physical examination among 7 824 residents aged 35 years and above and living in four of six urban districts of Nanjing city for at least 5 years from August to September, 2011. Results Among all the participants, 2 163 hypertensives were identified and the self-reported hypertension prevalence rate was 27.6%. Of the participants, 2 954 (37.8%), 2 380 (30.4%), and 2 490 people (31.8%) reported low (< 1 111.1 RMB yuan), middle (1 111.1-1 666.6 yuan), high (≥1 666.7 yuan) monthly family income per capita, respectively. The self-reported hypertension prevalence rate was 23.4%, 27.7%, and 32.7% among the participants with low, middle, and high monthly family income per capita. The results of univariate logistic regression analysis indicated that compared to those with low monthly family income, the participants with middle and high monthly family income had an increased risk of hypertension, with the odds ratio (95% confidence interval) of 1.26 (1.11-1.42) and 1.59 (1.41-1.79);however, the correlation between the self-reported hypertension prevalence rate and monthly family income per capita was not significant after adjusting for confounding factors including gender, age, years of education, type of occupation, smoking, alcohol drinking, medical insurance, physical activity, frequency of red meat intake, and body mass index. Conclusion Monthly family income per capita is not statistically related to self-reported hypertension prevalence rate among urban residents in Nanjing city.

关 键 词：高血压 患病 城市居民 家庭月人均收入水平 关系 

分 类 号：R544.1[医药卫生—心血管疾病]