青年育龄夫妇生活压力与高血压研究  

Research on the life stress and hypertension among young couples of childbearing age

作　　者：张远 张亚 蒋丽芳 伏旭东 蔺莉[4] 王媛媛 马旭 Zhang Yuan;Zhang Ya;Jiang Lifang;Fu Xudong;Lin Li;Wang Yuanyuan;Ma Xu(National Research Institute for Health and Family Planning,Beijing 100081,China;Henan Institute of Reproductive Health Science and Technology,Zhengzhou 450014,China;Family Planning Science and Technology Service Center of Gansu,Lanzhou 730030,China;Department of Obstetrics and Gynecology,Peking University of International Hospital,Beijing 102206,China)

机构地区：[1]国家卫生健康委科学技术研究所,北京100081 [2]河南省生殖健康科学技术研究院,郑州450014 [3]甘肃省计划生育科学技术服务中心,兰州730030 [4]北京大学国际医院,北京102206

出　　处：《中华心血管病杂志》2025年第1期42-48,共7页Chinese Journal of Cardiology

基　　金：国家重点研发计划(2018YFC1002201, 2016YFC1000301)。

摘　　要：目的调查我国不同省份及不同经济发展地区青年育龄夫妇生活压力和血压水平现状, 并分析影响青年育龄夫妇血压水平的相关因素。方法本研究为横断面研究。研究对象来自"基于孕前-产前-生后全链条的出生缺陷综合防控规范化体系研究"。入选2021年2—5月上述研究中来自我国东、中、西部地区(北京市、河南省、甘肃省)18~49岁之间的城市和农村的育龄夫妇, 分析总体人群的高血压检出率、认知及控制情况以及不同性别和地区的高血压检出率。根据血压是否≥140/90 mmHg(1 mmHg=0.133 kPa)将研究对象分为高血压组和非高血压组, 比较两组的一般临床资料。根据血压是否≥130/80 mmHg将研究对象分为高血压前期及高血压组和血压正常组, 比较两组的一般临床资料, 并根据性别进行亚组分析。应用多因素logistic回归模型分析男性及女性高血压前期及高血压的影响因素。结果纳入1 942 对育龄夫妇共3 884人, 年龄(29.8±5.2)岁, 男性1 942人(50.0%)。总体人群高血压检出率为6.3%(246/3 884), 男性高血压检出率为10.5%(203/1 942), 女性高血压检出率为2.2%(43/1 942)。北京市高血压检出率为6.2%(92/1 482), 河南省高血压检出率为11.6%(139/1 200), 甘肃省高血压检出率为1.2%(15/1 202)。总体人群高血压前期及高血压检出率为40.5%(1 574/3 884)。多因素logistic回归分析结果显示, 生活压力因素对女性血压水平无影响(P>0.05), 而比较大或很大的生活/工作压力是男性高血压前期及高血压的危险因素(OR=2.30, 95%CI 1.06~4.99, P<0.05)。结论我国青年育龄人群高血压前期及高血压检出率较高, 高血压认知和控制情况不佳。生活压力与血压水平之间的关系存在一定性别差异。在血压管理中需要更全面地考虑个体生活环境和心理健康因素, 采取措施来减轻生活压力和提高心理韧性。Objective:To investigate the current status of life stress and hypertension among couples of childbearing age across diverse economic regions in China,and to explore relevant influencing factors.Methods:This study was a cross-sectional study,with subjects from the“Research on the standardized system of comprehensive prevention and control of birth defects based on preconception-prenatal-postnatal whole chain”.From February to May 2021,urban and rural couples of childbearing age(18-49 years old)from Beijing,Henan,and Gansu provinces were enrolled,representing the eastern,central,and western regions of China,respectively.The detection rate,cognition and control of hypertension in the general population,as well as the detection rate of hypertension in different genders and regions were analyzed.Subjects were divided into hypertensive group and non-hypertensive group based on whether their blood pressure was≥140/90 mmHg(1 mmHg=0.133 kPa),and the general clinical data of the two groups were compared.Subjects were also divided into prehypertension and hypertension group and normal blood pressure group based on whether their blood pressure was≥130/80 mmHg,and the general clinical data of the two groups were compared,with subgroup analyses conducted by gender.Multifactorial logistic regression model was applied to identify factors associated with prehypertension and hypertension in both males and females.Results:A total of 1942 couples of childbearing age,comprising 3884 individuals,aged(29.8±5.2)years were enrolled,with 1942 males(50.0%).The overall hypertension detection rate was 6.3%(246/3884),with a detection rate of 10.5%(203/1942)in males and 2.2%(43/1942)in females.The hypertension detection rates in Beijing,Henan,and Gansu were 6.2%(92/1482),11.6%(139/1200),and 1.2%(15/1202),respectively.The overall detection rate of prehypertension and hypertension was 40.5%(1574/3884).Multifactorial logistic regression analysis showed that life pressure factors had no effect on female blood pressure levels(P>0.05),whil

关 键 词：高血压 青年 育龄 高血压前期 生活压力 

分 类 号：R544.1[医药卫生—心血管疾病]