福建省35~59岁居民单纯收缩期高血压患病现状及影响因素  

Prevalence and influencing factors of isolated systolic hypertension in adults aged 35 to 59 in Fujian province

作　　者：章叶发[1] 林熙[1] 陈铁晖[1] 方欣[1] 杨泽 钟文玲 ZHANG Ye-fa;LIN Xi;CHEN Tie-hui;FANG Xin;YANG Ze;ZHONG Wen-ling(Fujian Provincial Center for Disease Control and Prevention,Department of Chronic and Non-Communicable Disease Prevention and Control,Fuzhou,Fujian 350001,China)

机构地区：[1]福建省疾病预防控制中心慢性病防治科,福建福州350001

出　　处：《中华高血压杂志》2022年第7期652-656,共5页Chinese Journal of Hypertension

基　　金：福建省科技创新平台建设项目(2019Y2001);福建省科技厅引导性项目(2020Y0060)。

摘　　要：目的 了解福建省35~59岁居民单纯收缩期高血压(ISH)的患病情况及影响因素,为中青年高血压的防治提供科学依据。方法 2017-2020年在福建省10个项目点选取35~75岁居民参与心血管病筛查项目,本研究将35~59岁居民纳入为研究对象,分析不同特征人群的ISH的患病情况,并用多因素logistic回归模型分析其影响因素。结果 69 321名35~59岁调查对象中共有22 018例(31.8%)患有高血压,其中ISH患者有7 050例(占全部调查对象的10.2%,占高血压患者的32.0%),高血压标化患病率为27.1%,ISH的标化患病率为7.3%。不同的血压分型在不同的居住地、性别、年龄、文化程度、职业、家庭年收入、是否吸烟、饮酒、血脂异常、糖尿病、肥胖人群中差异有统计学意义(均P<0.05)。多因素logistic回归分析显示,与其他血压亚型比较,女性、较大年龄组、糖尿病与ISH高风险相关(均P<0.05),高中及以上文化程度、家庭年收入≥5万元与ISH低风险相关(均P<0.05)。结论 福建省中青年ISH患病率不容乐观,应针对女性、较大年龄组、低文化程度、低收入、糖尿病人群加强ISH的日常监测和针对性干预。Objective To understand the prevalence and influencing factors of isolated systolic hypertension(ISH) in adults aged 35 to 59 in Fujian Province, and to provide scientific basis for the prevention and treatment of hypertension. Methods A cardiovascular disease screening project was conducted during 2017 to 2020 in Fujian Province. Residents aged 35-75 years were selected in 10 project sites. Among them, those aged 35 to 59 were enrolled in this study. The prevalence of ISH in different characteristic population was analyzed, and the influencing factors were analyzed by multiple logistic regression model. Results Among the 69 321 subjects, 22 018(31.8%) suffered from hypertension, 7 050(10.2% of all subjects, or 32.0% of those with hypertension) had ISH, and the standardized prevalence rate of hypertension and ISH in young and middle-aged adults were 27.1% and 7.3% respectively. Significant differences were observed among different blood pressure types in subjects with different residence, gender, age, education, occupation, family income, smoking, drinking, dyslipidemia, diabetes and obesity(all P<0.05). Multiple logistic regression analysis showed that women, older age group and diabetes were associated with a high risk of ISH(all P<0.05), high school education and above, annual household income≥50 000 yuan were associated with the low risk of ISH(all P<0.05). Conclusions The prevalence of ISH among young and middle-aged adults in Fujian province is not optimistic. The daily monitoring and targeted intervention for ISH should be strengthened for women, older age groups, individuals with low educational level, low income and diabetes.

关 键 词：单纯收缩期高血压 患病率 影响因素 福建省 中青年 

分 类 号：R544.1[医药卫生—心血管疾病]