江苏省成年人高血压患病现状及影响因素分析  

Investigation of the prevalence and risk factors of hypertension among adults in Jiangsu Province

作　　者：徐文华 刘晋 王增武[3] 高润霖 陆艳 桂鸣 孔祥清 XU Wen-hua;LIU Jin;WANG Zeng-wu;GAO Run-lin;LU Yan;GUI Ming;KONG Xiang-qing(Deparment of Technology,Jiangsu Province People's Hospital(the First Afiliated Hospital of Nanjing Medical Universiry),Nanjing 210029,China;Department of Cardiology,Jiangsu Province People's Hospital(the First Afiliated Hospital of Nanjing Medical Universiry),Nanjing 210029,China;Jiangsu Province People's Hospital(the First Afiliated Hospital of Nanjing Medical Universiry),Nanjing 210029,China;Department of Prevention and Community Health,National Center for Cardiovascular Diseases and Frnwai Hospital,CAMS and PUMC,Beiing 100037,China LCoronary Heart Disease Center,National Center for Cardiovascular Diseases and Frnwai Hospital,CAMS and PUMC,Beiing 100037,China)

机构地区：[1]江苏省人民医院(南京医科大学第一附属医院)科技处,江苏省南京市210029 [2]中国医学科学院北京协和医学院国家心血管病中心阜外医院社区防治部 [3]中国医学科学院北京协和医学院冠心病中心 [4]江苏省人民医院(南京医科大学第一附属医院)心内科,江苏省南京市210029

出　　处：《中国心血管病研究》2020年第9期775-782,共8页Chinese Journal of Cardiovascular Research

基　　金：“十二五”国家科技支撑计划课题“中国重要心血管病患病率调查及关键技术研究”(2011BAI11B00)。

摘　　要：目的调研江苏省年龄≥18岁人群高血压患病现状及其主要危险因素,为制定高血压防控策略提供理论依据.方法采用多阶段分层随机抽样方法,从江苏省的10个城市、农村地区≥18岁的常住居民中抽取18084人,于2013年10月至2015年7月开展心血管病患病现况调查,分析高血压患病现状及其相关影响因素.结果江苏省成年人高血压患病率及95%置信区间为31.6%(0.301~0.323),男女患病率分别为34.3%(0.333~0.353)、29.2%(0.283~0.301),男性高于女性(χ2=54.746,P<0.001).城市和农村地区患病率分别为32.6%(0.317~0.336)、30.7%(0.297~0.317),城市高于农村(χ2=7.115,P=0.008).高血压患病率均有随年龄增长而增加的趋势(χ2趋势检验,P<0.001).江苏省不同地区的高血压患病率不全相等(P<0.001),沭阳地区患病率最高为44.4%,兴化地区患病率最低为19.8%.单因素分析显示,性别、年龄、城乡、文化程度、心血管病家族史、吸烟、饮酒、体重指数以及腹型肥胖和高血压的发生存在关联(P均<0.05).Logistic多因素回归分析结果显示,男性、增龄、城市、文化程度低、有心血管疾病家族史、每日吸烟、饮酒、高体重指数及腹型肥胖是高血压的独立危险因素.结论应加强对江苏省居民尤其是男性、中老年、城市、文化程度低、吸烟、饮酒、有心血管疾病家族史、高体重指数及腹型肥胖的居民的血压监测及自我管理,积极开展高血压患者及高危人群健康教育与生活方式干预.Objective To investigate the prevalence and the risk factors of hypertension among population aged over 18 years in Jiangsu Province and provide the theoretical basis for the prevention and treatment of hypertension.Methods Multistage stratifed random sampling was used to sample 10 urban and rural areas in Jiangsu Province and 18084 subjects no less than 18 years old were selected for the study since October 2013 to July 2015.The prevalence and the related risk factors of hypertension were analyzed.Results The prevalence and 95%confidence interal of hypertension among adults in Jiangsu Province was 31.6%(0.301-0.323).The prevalence of hypertension in male was higher than in the female[34.3%0333-0.353)vs.29.2%(0.283-0.301),x^2=54.746,P<0.001]and also higher in the urban than in the rural[32.6%(0.317-0.336)vs.30.7%(0.297-0.317),x^2=7.115,P=0.008].The prevalence of hypertension increased with age and the difference was statistically significant(P<0.001)by X^2 trend test.The prevalence of hypertension in different areas of Jiangsu Province was heterogeneity(P<0.001)and it's highest in Shuyang and the lowest in Xinghua,44.4%and 19.8%respeetively.Univarlate analysts showed that gender,age.urban and rural areas.education level.smoking.drinking,family history of cardiovascular disease,body mass index and and abdominal obesity were related to hypertension(P<0.05).Lngistie regression analysis showed that men,aging.eity.low education level,daily smoking,drinking,family history of cardiovascular disease,higher body mass index and abdominal obesity were independent risk factors of hypertension.Conclusion It is needed to strengthen the blood pressure monitoring and self-management of male,middle and old age,urban,low education level,smoking,drinking,family history of cardiovascular disease,higher body mass index and abdominal obesity adults in Jiangsu Province and strengthen the health education and lifestyle interventions in patients and high-risk groups.

关 键 词：江苏省 高血压 患病率 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病]