中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2013年
4期
311-315
,共5页
费方荣%叶真%丛黎明%丁钢强%俞敏%张新卫%胡如英%王浩%张洁
費方榮%葉真%叢黎明%丁鋼彊%俞敏%張新衛%鬍如英%王浩%張潔
비방영%협진%총려명%정강강%유민%장신위%호여영%왕호%장길
高血压前期%患病率%危险因素
高血壓前期%患病率%危險因素
고혈압전기%환병솔%위험인소
Prehypertension%Prevalence%Risk factor
目的 探讨浙江省成年居民高血压前期患病率及其危险因素.方法 采用多阶段分层整群随机抽样方法,于2010年7-11月在浙江省15个县区选择年龄≥18周岁常住人口作为研究对象,进行问卷调查和体检并采集空腹静脉血标本.数据分析采用x2检验、t检验和logistic回归模型.结果 共调查成年居民17 437(男性8169、女性9268)人.高血压前期患病率为34.39％,其中男性患病率(38.57％)高于女性(30.70％)(x2=119.36,P＜0.0001).≥25岁男性高血压前期患病率随年龄增加逐渐下降(x2=76.94,P＜0.0001),≥45岁女性高血压前期患病率随年龄增加呈下降趋势(x2=114.66,P＜0.0001).城市居民高血压前期患病率为32.39％,农村为35.60％,农村高于城市(x2=18.69,P＜0.0001).多因素非条件logistic回归分析提示,男性、年龄(≥35岁)、腰围(男≥85 cm、女≥80 cm)、BMI(≥25.0 kg/m2)、TG≥1.7 mmol/L为高血压前期的危险因素,文化程度高是高血压前期的保护因素.结论 浙江省成年居民高血压前期患病率较高,主要影响因素有超重、肥胖、血脂异常等.
目的 探討浙江省成年居民高血壓前期患病率及其危險因素.方法 採用多階段分層整群隨機抽樣方法,于2010年7-11月在浙江省15箇縣區選擇年齡≥18週歲常住人口作為研究對象,進行問捲調查和體檢併採集空腹靜脈血標本.數據分析採用x2檢驗、t檢驗和logistic迴歸模型.結果 共調查成年居民17 437(男性8169、女性9268)人.高血壓前期患病率為34.39％,其中男性患病率(38.57％)高于女性(30.70％)(x2=119.36,P＜0.0001).≥25歲男性高血壓前期患病率隨年齡增加逐漸下降(x2=76.94,P＜0.0001),≥45歲女性高血壓前期患病率隨年齡增加呈下降趨勢(x2=114.66,P＜0.0001).城市居民高血壓前期患病率為32.39％,農村為35.60％,農村高于城市(x2=18.69,P＜0.0001).多因素非條件logistic迴歸分析提示,男性、年齡(≥35歲)、腰圍(男≥85 cm、女≥80 cm)、BMI(≥25.0 kg/m2)、TG≥1.7 mmol/L為高血壓前期的危險因素,文化程度高是高血壓前期的保護因素.結論 浙江省成年居民高血壓前期患病率較高,主要影響因素有超重、肥胖、血脂異常等.
목적 탐토절강성성년거민고혈압전기환병솔급기위험인소.방법 채용다계단분층정군수궤추양방법,우2010년7-11월재절강성15개현구선택년령≥18주세상주인구작위연구대상,진행문권조사화체검병채집공복정맥혈표본.수거분석채용x2검험、t검험화logistic회귀모형.결과 공조사성년거민17 437(남성8169、녀성9268)인.고혈압전기환병솔위34.39％,기중남성환병솔(38.57％)고우녀성(30.70％)(x2=119.36,P＜0.0001).≥25세남성고혈압전기환병솔수년령증가축점하강(x2=76.94,P＜0.0001),≥45세녀성고혈압전기환병솔수년령증가정하강추세(x2=114.66,P＜0.0001).성시거민고혈압전기환병솔위32.39％,농촌위35.60％,농촌고우성시(x2=18.69,P＜0.0001).다인소비조건logistic회귀분석제시,남성、년령(≥35세)、요위(남≥85 cm、녀≥80 cm)、BMI(≥25.0 kg/m2)、TG≥1.7 mmol/L위고혈압전기적위험인소,문화정도고시고혈압전기적보호인소.결론 절강성성년거민고혈압전기환병솔교고,주요영향인소유초중、비반、혈지이상등.
Objective To access the prevalence rates of pre-hypertensive patients at different stages and its associated risk factors among adults of Zhejiang province.Methods Study subjects were selected among local residents aged≥18 years from 15 counties by multi stage stratified cluster random sampling method,from July to November,2010.Each participant was required to complete questionnaire,physical examination and testing for ovemight fasting blood specimen.Results 17 437 residents were surveyed including 8169 males and 9268 females.The overall prevalence of prehypertension was 34.39％.The prevalence of pre-hypertension appeared to be higher in males (38.57％) than in females (30.70％) (x2=119.36,P＜0.0001).The prevalence of pre-hypertension decreased with the increase of age in males who were above 25 year olds (x2=76.94,P＜0.0001) and in females who were above 45 year olds (x2=114.66,P＜0.0001).The prevalence of pre-hypertension appeared to be higher in the rural (35.60％) than in the urban (32.39％) areas (x2=18.69,P＜0.0001).Data from multivariable logistic regression showed that factors as being male,aged older than 35 years of age,with waist circumference as；85 cm for men and≥80 cm for women,body mass index≥25.0 kg/m2 and triglyoride≥1.7 mmol/L were risk factors of pre-hypertension while having had higher education was a protective factor.Conclusion Pre-hypertension was prevalent among adults residents in Zhejiang province.Factors as overweight,obesity,dyslipidemia appeared to be major risk factors for pre-hypertension.
