2018年新疆成人高血压患病情况及影响因素分析  

Analysis of the prevalence and influencing factors of hypertension among adults in Xinjiang in 2018

作　　者：张仕杰 王雯雷 孙静轩 阿迪拉·苏力旦 夏木斯叶·木依都力 张俊[2] 者炜[2] 张荣[2] 赵俊岭[1] ZHANG Shijie;WANG Wenlei;SUN Jingxuan;ADILA Sulidan;XIAMUSIYE Muyiduli;ZHANG Jun;ZHE Wei;ZHANG Rong;ZHAO Junling(School of Public Health,Xinjiang Medical University,Urumqi,Xinjiang 830000,China;不详)

机构地区：[1]新疆医科大学公共卫生学院,新疆乌鲁木齐830000 [2]新疆维吾尔自治区疾病预防控制中心慢性非传染性疾病防治所,新疆乌鲁木齐830000

出　　处：《中国慢性病预防与控制》2023年第5期349-353,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：新疆维吾尔自治区自然科学基金资助项目(2020D01C082)。

摘　　要：目的了解新疆成人高血压的流行特征及影响因素,为制定和完善高血压的防控策略和措施提供科学依据。方法数据来源于2018年中国成人慢性病与营养监测新疆维吾尔自治区8个监测县(区)的调查资料,采用多阶段整群随机抽样方法抽取新疆18岁及以上常住居民4866名作为研究对象。进行问卷调查和体格检查。采用SPSS 22.0进行χ^(2)检验、χ^(2)趋势检验、多因素logistic回归和决策树分析。结果经过加权调整后,2018年新疆维吾尔自治区成年居民高血压患病率为21.5%(95%CI:20.3%~22.7%),其中男性为24.1%(95%CI:22.3%~25.9%),高于女性[19.4%(95%CI:18.0%~20.9%)],差异有统计学意义(P<0.05)。多因素logistic回归分析显示,男性(OR=1.366)、较高年龄(与18~<40岁组相比,40~<60岁组和60~90岁组的OR值分别为3.640和7.442)、初中及以下学历(OR值为1.446~2.196)、高血压家族史(OR=1.484)、中心性肥胖(OR=1.662)、超重肥胖(OR=1.860)、未采取减盐措施(OR=1.211)、睡眠障碍(OR=1.249)均与高血压患病高风险相关,而吸烟与高血压患病低风险相关(OR=0.606),均有统计学意义(P<0.05,P<0.01)。决策树分析结果显示,对高血压有影响的变量主要是年龄、中心性肥胖、超重肥胖、性别、吸烟,其中年龄与高血压关联性最强,其次为超重肥胖、中心性肥胖。结论2018年新疆居民高血压患病率较高,应针对高年龄、超重肥胖、中心性肥胖、男性、有高血压家族史等重点人群,采取相应措施来进一步降低高血压患病率。Objective To understand the prevalence characteristics and influencing factors of hypertension in adults in Xinjiang,and provide the scientific basis for the development and improvement of hypertension prevention and control strategies or measures.Methods Data were from eight monitoring counties(districts)in Xinjiang Uygur Autonomous Region in the 2018 China Adult Chronic Disease and Nutrition Surveillance,and the multistage whole-group random sampling method was used to select 4866 permanent residents(≥18 years old)in Xinjiang as the subjects.The investigation was conducted with the questionnaires and physical examination.Theχ^(2) test,χ^(2) trend test,multi-factor logistic regression and decision tree analysis were performed,the used software was SPSS 22.0.Results After weighting adjustment,the morbidity of hypertension among adult residents of Xinjiang Uygur Autonomous Region in 2018 was 21.5%(95%CI:20.3%-22.7%),the hypertension morbidity(24.1%,95%CI:22.3%-25.9%)in males was significantly higher than that(19.4%,95%CI:18.0%-20.9%)in females(P<0.05).Multi-factor logistic regression analysis showed that males(OR=1.366),higher age(as compared with the 18-<40 years old group,OR values were 3.640 and 7.442 in the 40-<60 years old group and 60-90 years old group,respectively),educational level≤junior high school(OR values were 1.446-2.196),family history of hypertension(OR=1.484),central obesity(OR=1.662),overweight obesity(OR=1.860),failure to take salt reduction measures(OR=1.211),and sleep disorders(OR=1.249)were associated with a high risk of developing hypertension,whereas smoking was associated with a low risk of developing hypertension(OR=0.606),P<0.05 or P<0.01.The results of the decision tree analysis showed that the mainly variables influencing hypertension were age,central obesity,overweight or obesity,gender,and smoking,the age was most strongly associated with hypertension,then overweight or obesity and central obesity were strongly associated with hypertension.Conclusion The morbidity of hypertens

关 键 词：高血压 患病情况 影响因素 成年人 

分 类 号：R544.1[医药卫生—心血管疾病]