中国成人高血压发病的地域和城乡差异:基于CHNS纵向动态队列的研究  

Study on regional and urban-rural disparities in the hypertension incidence of Chinese adults:based on longitudinal dynamic cohort of CHNS

作　　者：罗云梅 曾智[1] 何文博 张伟[1] LUO Yunmei;ZENG Zhi;HE Wenbo;ZHANG Wei(Institute of Hospital Management,West China Hospital,Sichuan University,Chengdu 610041,P.R.China)

机构地区：[1]四川大学华西医院医院管理研究所,成都610041

出　　处：《中国循证医学杂志》2024年第4期414-422,共9页Chinese Journal of Evidence-based Medicine

基　　金：成都市科技局项目(编号:2019YF0900088SN)。

摘　　要：目的探索我国成人高血压的发病现状及其地域和城乡差异。方法基于中国健康与营养调查(CHNS)项目数据,以及国家统计局网站和政府官网的居民消费水平和海拔数据,根据动态队列研究设计及数据类型,采用稳健的多水平Poisson回归分析方法,探索高血压发病的地域和城乡差异。结果根据纳入和排除标准,筛选出符合要求的调查对象11579人,共计50957条数据。24年的随访结果表明,中国成人高血压粗发病密度为37.08/1000人年,其中男性为40.51/1000人年,女性为34.13/1000人年。稳健的多水平Poisson回归结果表明,在控制时间、社区主要从事农业劳动人口占比、居民消费水平等高水平因素,以及年龄、性别等社会人口学特征后,中部[RR=1.20,95%CI(1.04,1.39)]、东北部[RR=1.25,95%CI(1.03,1.52)]、东部[RR=1.25,95%CI(1.05,1.48)]人群的高血压发病风险高于西部;且城市人群的高血压发病风险低于农村[RR=0.87,95%CI(0.77,0.96)]。结论中国成人高血压的发病密度较高,且男性高于女性;西部的高血压发病风险低于中部、东北部和东部,且城市的高血压发病风险低于农村。Objective To explore the regional and urban-rural disparities in the hypertension incidence of Chinese adults.Methods Based on the data from the China Health and Nutrition Survey(CHNS),as well as the consumption level and altitude data from the National Bureau of Statistics and government official website,a robust multilevel Poisson regression was performed to explore the regional and urban-rural disparities in the hypertension incidence of Chinese adults,according to data and design types.Results According to the inclusion and exclusion criteria,11579 subjects and totaling 50957 lines of data were enrolled.The 24 years follow-up results indicated that the crude incidence density of hypertension was 37.08/1000 person years,with 40.51/1000 person years for males and 34.13/1000 person years for females.The robust multilevel Poisson regression results indicated that,by adjusting the high-level factors such as time,the proportion of the community mainly engaged in agricultural labor,and the consumption level of subjects,as well as sociodemographic characteristics such as age and gender,the Middle(RR=1.20,95%CI 1.04 to 1.39),Northeast(RR=1.25,95%CI 1.03 to 1.52),and Eastern(RR=1.25,95%CI 1.05 to 1.48)China had a higher risk of developing hypertension than the Western China.The risk of hypertension in urban area was lower than that in rural area(RR=0.87,95%CI 0.77 to 0.96).Conclusion The incidence density of hypertension in China is relatively high,and male is higher than female.The incidence of hypertension in the Western China is lower than that in the Middle,Northeast and Eastern China,and urban area is lower than rural area.

关 键 词：高血压 发病率 地域 城乡 中国成人 

分 类 号：R544.1[医药卫生—心血管疾病]