2020年云南省大理市儿童青少年血压现状分析  

Prevalence of blood pressure among children and adolescents in Dali City of Yunnan Province in 2020

作　　者：李芳 刘茁 杨云娟 戴璟[2] 张雪[2] 常利涛 刘宏[3] 王会宁[2] 刘玚 王宗玥 余琳 LI Fang;LIU Zhuo;YANG Yunjuan;DAI Jing;ZHANG Xue;CHANG Litao;LIU Hong;WANG Huining;LIU Yang;WANG Zongyue;YU Lin(School of Public Health,Dali University,Dali 671003,Yunnan Province,China;School of Management and Economics,Kunming University of Science and Technology,Kunming 650093,Yunnan Province,China;Yunnan Center for Disease Control and Prevention,Kunming 650022,Yunnan Province,China;Kunming Medical University,Kunming 650500,Yunnan Province,China)

机构地区：[1]大理大学公共卫生学院,云南大理671003 [2]昆明理工大学管理与经济学院,昆明650093 [3]云南省疾病预防控制中心,昆明650022 [4]昆明医科大学,昆明650500

出　　处：《预防医学情报杂志》2024年第5期539-549,共11页Journal of Preventive Medicine Information

基　　金：云南省医学学科带头人项目(项目编号:D-2018007);昆明市中青年技术和学术带头人项目(项目编号:KMRCD-2018011)。

摘　　要：目的探究云南省大理市儿童青少年血压偏高的流行现状及影响因素,为制定相关的干预措施和策略提供依据。方法2020年采用分层整群抽样方法对9~18岁常住于大理市的儿童青少年进行调查,在调查对象知情同意的原则下,对其身高、体重、血压及生活行为进行调查。数据采用t检验、χ^(2)检验、秩和检验和二元Logistic回归进行分析,检验水准为0.05。结果本研究共纳入3410名儿童青少年进行调查,2020年大理市儿童青少年血压偏高检出率为9.38%。二元Logistic回归分析显示,超重/肥胖(OR=2.370,95%CI:1.812~3.100)、白族(OR=1.346,95%CI:1.031~1.756)、有饮酒经历(OR=0.652,95%CI:0.492~0.865)和郊县地区(OR=0.701,95%CI:0.521~0.943)是血压偏高的影响因素。在小学生中,超重/肥胖(OR=2.494,95%CI:1.518~4.096)和郊县(OR=0.541,95%CI:0.351~0.834)是血压偏高的影响因素;在初中生中,超重/肥胖(OR=2.116,95%CI:1.327~3.376)和白族(OR=1.697,95%CI:1.020~2.824)是血压偏高的影响因素;在高中生中,超重/肥胖(OR=2.421,95%CI:1.560~3.757)和有饮酒经历(OR=0.575,95%CI:0.377~0.877)是血压偏高的影响因素。结论大理市应关注儿童青少年血压偏高问题,开展针对儿童血压偏高、超重/肥胖和饮酒相关的健康教育工作,以达到降低儿童青少年血压偏高检出率的目标。Objective To explore the prevalence and influencing factors of elevated blood pressure among children and adolescents in Dali,and to provide basis for formulating relevant intervention measures and strategies.Methods In 2020,a stratified cluster sampling method was used to investigate children and adolescents aged 9 to 18 years who were resident in Dali.Height,weight,blood pressure and lifestyle behaviors were investigated with the informed consent of the subjects.Data were analyzed by t-test,Chi-square test,rank sum test and binary Logistic regression analysis with an inspection level of 0.05.Results A total of 3410 children and adolescents were included in this study.The detection rate of elevated blood pressure of children and adolescents in Dali was9.38%.Binary logistic regression analysis showed that the overweight/obesity(OR=2.370,95%CI:1.812-3.100),Bai nationality(OR=1.346,95%CI:1.031-1.756),experience of drinking alcohol(OR=0.652,95%CI:0.492-0.865)and suburban areas(OR=0.701,95%CI:0.521-0.943)were influential factors for elevated blood pressure.Among elementary school students,overweight/obesity(OR=2.494,95%CI:1.518-4.096)and suburban areas(OR=0.541,95%CI:0.351-0.834)were influential factors for elevated blood pressure;Among middle school students,overweight/obesity(OR=2.116,95%CI:1.327-3.376)and Bai nationality(OR=1.697,95%CI:1.020-2.824)were influential factors for elevated blood pressure;Among high school students,overweight/obesity(OR=2.421,95%CI:1.560~3.757)and experience of drinking alcohol(OR=0.575,95%CI:0.377-0.877)were influential factors for high blood pressure.Conclusions The problem of elevated blood pressure in children and adolescents should be pay more attentionin Dali City.The next step is to carry out health education work related to elevated blood pressure,overweight/obesity and alcohol consumption in children,in order to achieve the goal of reducing the detection rate of elevated blood pressure in children and adolescents.

关 键 词：血压偏高 检出率 儿童 青少年 白族 

分 类 号：R179[医药卫生—妇幼卫生保健]