中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2014年
3期
246-249
,共4页
武海滨%胡如英%方乐%张洁%王浩%何青芳%王立新%苏丹婷%赵鸣
武海濱%鬍如英%方樂%張潔%王浩%何青芳%王立新%囌丹婷%趙鳴
무해빈%호여영%방악%장길%왕호%하청방%왕립신%소단정%조명
血压%危险因素%多水平模型%地区聚集性
血壓%危險因素%多水平模型%地區聚集性
혈압%위험인소%다수평모형%지구취집성
Blood pressure%Risk factors%Multilevel analysis model%Region cluster
目的 应用多水平模型分析浙江省成年居民血压水平的区域聚集性和危险因素.方法 采用多阶段整群随机方法抽取浙江省60个街道/乡镇共17 437名成年人作为研究对象,使用2水平模型分别分析SBP和DBP.结果 男性SBP为(125.14±17.90) mmHg、DBP (80.02±10.07)mmHg,女性SBP为(123.36±20.20)mmHg、DBP(77.42±10.09) mmHg;城市人群SBP为(126.29±19.46) mmHg、DBP(79.64±10.20)mmHg,农村人群SBP为(122.82±18.86)mmHg、DBP(77.99±10.08) mmHg,差异均有统计学意义(P＜0.001)；SBP和DBP与年龄的Pearson相关系数分别为0.44和0.21(P＜0.001)；在SBP和DBP的变异中,环境因素分别占5.24％和4.96％；个体水平的年龄、性别、高血压家族史、服用降压药、体育锻炼、吸烟、饮酒、BM1、WC、FPG、TG和TC对SBP和DBP均有影响(P＜0.05),家庭经济收入对SBP有影响(P＜0.05),文化程度、限盐摄人、职业强度对DBP有影响(P＜0.05)；FPG和TC水平与SBP之间的数量关系以及TC水平与DBP之间的数量关系在街道/乡镇间存在变化(P＜0.05).结论 浙江省成年居民血压分布具有地区聚集性,高血压的预防既需要考虑年龄、BMI、FPG、TG和TC等个体因素,还应考虑地区因素以及不同地区人群对危险因素的敏感性,从而制定针对不同区域的预防策略.
目的 應用多水平模型分析浙江省成年居民血壓水平的區域聚集性和危險因素.方法 採用多階段整群隨機方法抽取浙江省60箇街道/鄉鎮共17 437名成年人作為研究對象,使用2水平模型分彆分析SBP和DBP.結果 男性SBP為(125.14±17.90) mmHg、DBP (80.02±10.07)mmHg,女性SBP為(123.36±20.20)mmHg、DBP(77.42±10.09) mmHg;城市人群SBP為(126.29±19.46) mmHg、DBP(79.64±10.20)mmHg,農村人群SBP為(122.82±18.86)mmHg、DBP(77.99±10.08) mmHg,差異均有統計學意義(P＜0.001)；SBP和DBP與年齡的Pearson相關繫數分彆為0.44和0.21(P＜0.001)；在SBP和DBP的變異中,環境因素分彆佔5.24％和4.96％；箇體水平的年齡、性彆、高血壓傢族史、服用降壓藥、體育鍛煉、吸煙、飲酒、BM1、WC、FPG、TG和TC對SBP和DBP均有影響(P＜0.05),傢庭經濟收入對SBP有影響(P＜0.05),文化程度、限鹽攝人、職業彊度對DBP有影響(P＜0.05)；FPG和TC水平與SBP之間的數量關繫以及TC水平與DBP之間的數量關繫在街道/鄉鎮間存在變化(P＜0.05).結論 浙江省成年居民血壓分佈具有地區聚集性,高血壓的預防既需要攷慮年齡、BMI、FPG、TG和TC等箇體因素,還應攷慮地區因素以及不同地區人群對危險因素的敏感性,從而製定針對不同區域的預防策略.
목적 응용다수평모형분석절강성성년거민혈압수평적구역취집성화위험인소.방법 채용다계단정군수궤방법추취절강성60개가도/향진공17 437명성년인작위연구대상,사용2수평모형분별분석SBP화DBP.결과 남성SBP위(125.14±17.90) mmHg、DBP (80.02±10.07)mmHg,녀성SBP위(123.36±20.20)mmHg、DBP(77.42±10.09) mmHg;성시인군SBP위(126.29±19.46) mmHg、DBP(79.64±10.20)mmHg,농촌인군SBP위(122.82±18.86)mmHg、DBP(77.99±10.08) mmHg,차이균유통계학의의(P＜0.001)；SBP화DBP여년령적Pearson상관계수분별위0.44화0.21(P＜0.001)；재SBP화DBP적변이중,배경인소분별점5.24％화4.96％；개체수평적년령、성별、고혈압가족사、복용강압약、체육단련、흡연、음주、BM1、WC、FPG、TG화TC대SBP화DBP균유영향(P＜0.05),가정경제수입대SBP유영향(P＜0.05),문화정도、한염섭인、직업강도대DBP유영향(P＜0.05)；FPG화TC수평여SBP지간적수량관계이급TC수평여DBP지간적수량관계재가도/향진간존재변화(P＜0.05).결론 절강성성년거민혈압분포구유지구취집성,고혈압적예방기수요고필년령、BMI、FPG、TG화TC등개체인소,환응고필지구인소이급불동지구인군대위험인소적민감성,종이제정침대불동구역적예방책략.
Objective Using multilevel analysis model to analyze the regional-cluster and risk factors of blood pressure among adult residents in Zhejiang province.Methods Totally,17 437 residents were studied through a multi-stage cluster random sampling method from 60 streets/ townships.Risk factors on SBP and DBP were analyzed through a two-level regression model,respectively.Results The average blood pressure in males appeared as:SBP (125.14± 17.90)mmHg,DBP (80.02 ± 10.07) mmHg,conpared with SBP(123.36 ± 20.20)mmHg,DBP(77.42 ± 1 0.09) mmHg in females.The average blood pressure in urban areas were SBP (126.29 ± 19.46) mmHg,DBP (79.64 ± 10.20)mmHg,compared with SBP (122.82 ± 18.86) rnmHg,DBP (77.99 ± 10.08) mmHg in rural areas,with differences statistically significant (P＜0.001),between the two areas.Pearson corrclation coefficients between SBP,SDP and age were 0.44 and 0.21 (P＜0.001),respectively.5.24％ variation of the SBP and 4.96％ variation of the DBP were attributed to the environmental factors.Factors as age,gender,hypertension in family history,taking medication for blood pressure,physical exercise,smoking,alcohol drinking,BMI,waist,FPG,TG and TC at the individual level.were associated with both SBP and SDP (P＜0.05).Family income seemed to be related to SBP.Education,reducing salt intake,intensity of occupation would affect on DBP.Influence of FPG and TC on SBP varied among streets/townships while relation between TC and DBP also varied.Conclusion The distribution of blood pressure showed regional-cluster phenomenon.Strategies for different regions dirccted to prevent hypertension should consider the individual factors such as age,BMI,FPG,TG,TC,the regional factors and the sensitivity of different population to factors.
