江苏省居民自测血压行为及影响因素分析  

Self-monitoring blood pressure behavior and its influencing factors among residents in Jiangsu Province

作　　者：缪彩云 覃玉[2] 万亚男 陈路路 崔岚[2] 王小莉[2] MIAO Caiyun;QIN Yu;WAN Yanan;CHEN Lulu;CUI Lan;WANG Xiaoli(Huai'an District Center for Disease Control and Prevention(Huai'an District Health Supervision Institute),Huai'an,Jiangsu 223200,China;Jiangsu Provincial Center for Disease Control and Prevention,Nanjing,Jiangsu 210009,China)

机构地区：[1]淮安市淮安区疾病预防控制中心(淮安市淮安区卫生监督所),江苏淮安223200 [2]江苏省疾病预防控制中心,江苏南京210009

出　　处：《预防医学》2025年第3期223-227,共5页China Preventive Medicine Journal

基　　金：中央财政重大传染病防控补助项目。

摘　　要：目的了解江苏省居民自测血压行为及其影响因素,为加强居民血压主动监测提供依据。方法于2023年采用分层整群抽样方法抽取江苏省6个县(市、区)35~75岁常住居民为调查对象,调查基本信息、既往疾病史和自测血压行为等资料;测量身高和体重,计算体质指数(BMI);实验室检测血糖和血脂指标。以近3个月内至少主动测量过1次血压判定为有自测血压行为;采用多因素logistic回归模型分析自测血压行为的影响因素。结果调查12475人,男性5748人,女性6727人,男女比为1∶1.17。45~<55岁3855人,占30.90%。有自测血压行为5511人,占44.18%。多因素logistic回归分析结果显示,男性(OR=1.167,95%CI:1.081~1.261)、农村(OR=1.430,95%CI:1.321~1.547)、年龄为45~75岁(45~<55岁,OR=1.384,95%CI:1.241~1.543;55~<65岁,OR=1.397,95%CI:1.243~1.570;65~75岁,OR=1.196,95%CI:1.049~1.363)、家庭年收入≥3万元(3~<6万元,OR=1.190,95%CI:1.072~1.321;6~<11万元,OR=1.330,95%CI:1.191~1.485;≥11万元,OR=1.746,95%CI:1.536~1.984)、超重(OR=1.170,95%CI:1.070~1.280)或肥胖(OR=1.248,95%CI:1.120~1.391)、高血压未知患病(OR=1.221,95%CI:1.103~1.353)或已知患病(OR=3.937,95%CI:3.575~4.335)、糖尿病已知患病(OR=1.538,95%CI:1.354~1.749)和血脂异常已知患病(OR=1.265,95%CI:1.106~1.447)的居民更可能有自测血压行为。结论江苏省44.18%的35~75岁居民有自测血压行为,性别、居住地、年龄、家庭年收入、BMI、高血压、糖尿病和血脂异常是自测血压行为的影响因素。Objective To investigate the self-monitoring blood pressure behavior and its influencing factors among residents in Jiangsu Province,so as to provide the basis for strengthening proactive blood pressure monitoring among residents.Methods Permanent residents aged 35-75 years in six counties(cities,districts),Jiangsu Province,were selected using the stratified cluster sampling method in 2023.Data on basic information,disease history,and self-monitoring blood pressure behavior were collected,height and weight were measured to calculate the body mass index(BMI);and blood glucose and lipid levels were measured.Self-monitoring blood pressure behavior was defined as having measured blood pressure at least once in the past three months.Factors affecting self-monitoring blood pressure behavior were identified using a multivariable logistic regression model.Results A total of 12475 residents were surveyed,including 5748 males and 6727 females,with a male-to-female ratio of 1∶1.17.There were 3855 residents aged 45-<55 years(30.90%)and 5511 residents who had self-monitoring blood pressure behaviors(44.18%).Multivariable logistic regression analysis showed that the residents who were males(OR=1.167,95%CI:1.081-1.261),lived in rural areas(OR=1.430,95%CI:1.321-1.547),aged 45-75 years(45-<55 years,OR=1.384,95%CI:1.241-1.543;55-<65 years,OR=1.397,95%CI:1.243-1.570;65-75 years,OR=1.196,95%CI:1.049-1.363),had an annual household income≥30000 yuan(30000-<60000 yuan,OR=1.190,95%CI:1.072-1.321;60000-<110000 yuan,OR=1.330,95%CI:1.191-1.485;≥110000 yuan,OR=1.746,95%CI:1.536-1.984),were overweight(OR=1.170,95%CI:1.070-1.280)or obese(OR=1.248,95%CI:1.120-1.391),were unaware(OR=1.221,95%CI:1.103-1.353)or aware(OR=3.937,95%CI:3.575-4.335)of having hypertension,were aware of having diabetes(OR=1.538,95%CI:1.354-1.749),and aware of having dyslipidemia(OR=1.265,95%CI:1.106-1.447)were more likely to have self-monitoring blood pressure behaviors.Conclusions Among the residents aged 35-75 years in Jiangsu Province,44.18%had self-monitoring

关 键 词：自测血压行为 高血压 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病]