深圳市H型高血压患病现况调查及相关因素分析  

The Prevalence and Related Factors of H-type Hypertension in Shenzhen

作　　者：林颖慧 吕德良[2] 吴肖冰[2] 刘子惠 谢尉 谢凤珠[2] 虞静雯 赵志广[2] LIN Yinghui;LV Deliang;WU Xiaobing;LIU Zihui;XIE Wei;XIE Fengzhu;YU Jingwen;ZHAO Zhiguang(Medical College of Shantou University,Shantou,Guangdong,515041,China;不详)

机构地区：[1]汕头大学医学院,广东汕头515041 [2]深圳市慢性病防治中心,广东深圳518020

出　　处：《中国社会医学杂志》2023年第3期320-323,共4页Chinese Journal of Social Medicine

基　　金：深圳市医疗卫生三名工程项目(SZSM-201811093);深圳市医学重点学科建设经费项目(SZXK065);深圳市科技计划项目(JCYJ20210324121600003)。

摘　　要：目的了解深圳市居民H型高血压患病情况及相关因素,为制定深圳市H型高血压的防控策略提供理论依据。方法2021年在深圳市10个行政区采用多阶段分层随机抽样方法抽取18岁及以上常住居民进行相关问卷调查及体格检查、实验室检测,运用Logistic回归模型分析H型高血压患病相关因素。结果6256名调查对象中,H型高血压的患病率为21.76%。单因素分析结果显示,不同性别、年龄、吸烟、高血压家族史、BMI的H型高血压患病率差异均有统计学意义(P<0.05)。多因素分析结果表明,男性(OR=2.79,95%CI:2.36~3.30)、年龄较高(以18~<35岁为参照,35~<65岁的OR=3.68,95%CI:3.11~4.36;65岁及以上OR=27.67,95%CI:21.55~35.52)、有高血压家族史(OR=1.66,95%CI:1.44~1.91)、超重肥胖(以18.5~<24.0 kg/m 2为参照,24.0~<28.0 kg/m 2的OR=2.47,95%CI:2.11~2.90;≥28.0 kg/m^(2)的OR=4.89,95%CI:4.00~5.98)的居民更容易患H型高血压(P<0.05)。结论深圳市H型高血压患病率虽低于全国平均水平,但情况不容乐观。需加强对男性、年龄较高、有高血压家族史、BMI高的居民的血压监测以及同型半胱氨酸的早期检测。Objective To understand the prevalence and related factors of H-type hypertension in Shenzhen and provide theoretical support for the formulation of prevention and control strategy of H-type hypertension.Methods In 2021,the multi-stage stratified random sampling method was used in 10 administrative districts of Shenzhen to select permanent residents aged 18 years and above for related questionnaire survey,physical examination and labora-tory testing.Logistic regression was used to analyze the related factors of H-type hypertension.Results Amony the 6256 respendents,the prevalence rate of H-type hypertension was 21.76%.Univariate analysis showed that there were statistically significant differences in the prevalence of H-type hypertension among different gender,age,smo-king status,family history of hypertension and BMI(P<0.05).The results of multivariate analysis showed that males(OR=2.79,95%CI:2.36-3.30),older individuals(compared with 18 to<35 years,35 to<65 years:OR=3.68,95%CI:3.11-4.36;≥65 years:OR=27.67,95%CI:21.55-35.52),those with a family history of hypertension(OR=1.66,95%CI:1.44-1.91),overweight and obese residents(compared with 18.5-<24.0 kg/m 2,24.0-<28.0 kg/m 2,OR=2.47,95%CI:2.11-2.90;≥28.0 kg/m 2:OR=4.89,95%CI:4.00-5.98)were more likely to develop H-type hypertension(P<0.05).Conclusion The prevalence rate of H-type hypertension in Shen-zhen was lower than the national average,but the situation was not optimistic.It is necessary to strengthen blood pressure monitoring and early detection of Hcy in high-risk groups such as male,older,family history of hypertension and high BMI.

关 键 词：H型高血压 患病率 相关因素 

分 类 号：R544.15[医药卫生—心血管疾病]