上海市城郊居民高血压患病情况及影响因素的比较分析  

Urban-suburban Comparison on the Prevalence and Its Influencing Factors of Hypertension among Residents in Shanghai

作　　者：蒋绮蕴 谢臣晨 龚丹 周鹏[4] 袁红[5] 张一英[5] 汤伟琴 吕军[1,2] 夏庆华 李程跃[1,2] JIANG Qiyun;XIE Chenchen;GONG Dan;ZHOU Peng;YUAN Hong;ZHANG Yiying;TANG Weiqin;LV Jun;XIA Qinghua;LI Chengyue(Research Institute of Health Development Strategies,Fudan University,Shanghai,200032,China;不详)

机构地区：[1]复旦大学卫生发展战略研究中心,上海200032 [2]健康相关重大社会风险预警协同创新中心,上海200032 [3]上海市健康促进中心,上海200040 [4]上海市长宁区疾病预防控制中心,上海200051 [5]上海市嘉定区疾病预防控制中心,上海200032 [6]上海市嘉定区嘉定镇社区卫生服务中心,上海200032

出　　处：《中国社会医学杂志》2022年第6期689-692,共4页Chinese Journal of Social Medicine

基　　金：国家自然科学基金项目(71774031,72074048);“十二五”国家科技支撑计划子课题(2014BAI08 B01);上海市人才发展基金项目(2020128)。

摘　　要：目的探究上海市城郊居民高血压患病的影响因素及其差异,为针对性提出中心城区与郊区高血压预防干预重点提供依据。方法基于2013年上海市慢性病及其危险因素监测调查数据,纳入中心城区、郊区共5855人进行分析,使用卡方检验、Logistic回归分析探讨城郊高血压患病的影响因素。结果中心城区(30.34%)高血压患病率高于郊区(25.96%),差异有统计学意义(χ^(2)=13.84,P<0.001)。多因素分析显示,中心城区特有的影响因素是吸烟(OR=1.41,95%CI=1.00~1.97)和婚姻状况(OR=3.21,95%CI=1.17~8.82);郊区特有的影响因素是向心性肥胖(OR=1.66,95%CI=1.21~2.28);共性影响因素是年龄、高血压家族史、体质量指数、糖尿病和高血脂。结论上海市中心城区的高血压患病率高于郊区,并且影响因素存在差异,应根据特定的影响因素实施针对性的预防措施。Objective Our study aimed to identify the different disease characteristics of hypertension and its influencing factors among urban and suburban residents in Shanghai,and to provide evidences for making targeted prevention and intervention strategies in urban and suburban areas.Methods Based on the Shanghai Non-communicable and Chronic Disease(NCD)Surveillance in 2013,5855 individuals were selected for the anlysis the influencing factors of hypertension in urban and suburban areas by Chi-square test and logistic regression analysis.Results The prevalence of hypertension in urban and suburban areas were 30.34%and 25.96%respectively.And the prevalence of hypertension among urban residents was higher than that among suburban residents(χ^(2)=13.84,P<0.001).The multivariate Logistic regression showed that the influencing factors for residents in urban areas were smoking(OR=1.41,95%CI=1.00-1.97)and marital status(OR=3.21,95%CI=1.17-8.82);the influencing factor for residents in suburban areas was abdominal obesity(OR=1.66,95%CI=1.21-2.28);age,family history of hypertension,BMI,diabetes and dyslipidemia were common risk factors of hypertension among residents both in urban and suburban areas.Conclusion There were significant differences in the prevalence and risk factors of hypertension among residents between urban and suburban areas of Shanghai.Targeted prevention and control measures should be developed according to the different disease characteristics and correlates between urban and suburban areas.

关 键 词：高血压 患病率 影响因素 城郊 

分 类 号：R544.1[医药卫生—心血管疾病]