中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2013年
11期
1059-1062
,共4页
俞蔚%杨丽%严静%章一丰%高峻%方顺源%徐小玲%罗建勇%唐新华
俞蔚%楊麗%嚴靜%章一豐%高峻%方順源%徐小玲%囉建勇%唐新華
유위%양려%엄정%장일봉%고준%방순원%서소령%라건용%당신화
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 rate%Risk factors
目的 了解浙江省社区人群高血压前期患病率及危险因素分布特征.方法 采用分层整群随机抽样方法,2011年4-7月抽取杭州、绍兴、嘉兴市≥35岁常住人口3200人,运用SAS 9.0统计软件进行x2检验、单因素及多因素logistic回归分析.结果 共调查3017人,应答率为94.3％.≥35岁人群高血压前期粗患病率为45.9％,标化患病率为39.8％.男性患病率高于女性(49.0％vs.48.0％,P＜0.05),城镇人群高于农村(59.31％vs.44.15％,P＜0.05).多因素非条件logistic回归分析显示,高血压前期的危险因素有高龄、职业类型(脑力劳动)、文化程度低、城乡区域(城镇)、BMI分组(肥胖、超重)、甘油三酯水平高以及高血压家族史,OR值及95％CI分别为0.99(0.98～0.99)、1.28(1.07～1.28)、1.31(1.10～ 1.56)、1.50(1.11 ～2.02)、1.33(0.98 ～ 1.81)、1.60(1.19～2.16)以及1.18(1.00 ～ 1.39).结论 浙江省杭州、绍兴、嘉兴市社区人群高血压前期患病率高,尤其是老年、城镇居民、低文化程度、脑力劳动职业、肥胖和高甘油三酯血症人群.
目的 瞭解浙江省社區人群高血壓前期患病率及危險因素分佈特徵.方法 採用分層整群隨機抽樣方法,2011年4-7月抽取杭州、紹興、嘉興市≥35歲常住人口3200人,運用SAS 9.0統計軟件進行x2檢驗、單因素及多因素logistic迴歸分析.結果 共調查3017人,應答率為94.3％.≥35歲人群高血壓前期粗患病率為45.9％,標化患病率為39.8％.男性患病率高于女性(49.0％vs.48.0％,P＜0.05),城鎮人群高于農村(59.31％vs.44.15％,P＜0.05).多因素非條件logistic迴歸分析顯示,高血壓前期的危險因素有高齡、職業類型(腦力勞動)、文化程度低、城鄉區域(城鎮)、BMI分組(肥胖、超重)、甘油三酯水平高以及高血壓傢族史,OR值及95％CI分彆為0.99(0.98～0.99)、1.28(1.07～1.28)、1.31(1.10～ 1.56)、1.50(1.11 ～2.02)、1.33(0.98 ～ 1.81)、1.60(1.19～2.16)以及1.18(1.00 ～ 1.39).結論 浙江省杭州、紹興、嘉興市社區人群高血壓前期患病率高,尤其是老年、城鎮居民、低文化程度、腦力勞動職業、肥胖和高甘油三酯血癥人群.
목적 료해절강성사구인군고혈압전기환병솔급위험인소분포특정.방법 채용분층정군수궤추양방법,2011년4-7월추취항주、소흥、가흥시≥35세상주인구3200인,운용SAS 9.0통계연건진행x2검험、단인소급다인소logistic회귀분석.결과 공조사3017인,응답솔위94.3％.≥35세인군고혈압전기조환병솔위45.9％,표화환병솔위39.8％.남성환병솔고우녀성(49.0％vs.48.0％,P＜0.05),성진인군고우농촌(59.31％vs.44.15％,P＜0.05).다인소비조건logistic회귀분석현시,고혈압전기적위험인소유고령、직업류형(뇌력노동)、문화정도저、성향구역(성진)、BMI분조(비반、초중)、감유삼지수평고이급고혈압가족사,OR치급95％CI분별위0.99(0.98～0.99)、1.28(1.07～1.28)、1.31(1.10～ 1.56)、1.50(1.11 ～2.02)、1.33(0.98 ～ 1.81)、1.60(1.19～2.16)이급1.18(1.00 ～ 1.39).결론 절강성항주、소흥、가흥시사구인군고혈압전기환병솔고,우기시노년、성진거민、저문화정도、뇌력노동직업、비반화고감유삼지혈증인군.
Objective To investigate the prevalence and related risk factors of prehypertension in Hangzhou,Shaoxing,Jiaxing city,Zhejiang province.Methods 3200 people were selected by stratified cluster random sampling method,and statistical methods including chi-square test,and logistic regression through SAS 9.0 were used.Results The prevalence of pre-hypertension was 45.9％,higher for males and urban population,with significant differences seen between males and female (49.0％ vs.48.0％,P＜0.05),urban and rural areas (59.31％ vs.44.15％,P＜0.05).Data from the multiple factor logistic analysis showed that risk factors of prehypertension would include:older age,types of profession,under low education level,being urban residents,overweight and obesive,hypertriglyceride,and family history of hypertension,with ORs and 95％ CI as 0.99 (0.98-0.99),1.28 (1.07-1.28),1.31 (1.10-1.56),1.50 (1.11-2.02),1.33 (0.98-1.81),1.60 (1.19-2.16) and 1.18 (1.00-1.39),respectively.Conclusion Prehypertension prevalence was found high in the studied district,especially in urban residents with low education level.Strategies including reduction on risk factors as obesity and hypertriglyceride through health education as well as lifestyle modification should be taken to hold back the increasing trend on prehypertension in Zhejiang.
