中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
6期
775-777
,共3页
陈阳%张维%王姣锋%谈中茹%焦青萍%郭新贵%张煜
陳暘%張維%王姣鋒%談中茹%焦青萍%郭新貴%張煜
진양%장유%왕교봉%담중여%초청평%곽신귀%장욱
高血压%患病率%知晓率%治疗率%危险因素
高血壓%患病率%知曉率%治療率%危險因素
고혈압%환병솔%지효솔%치료솔%위험인소
Hypertension%Prevalence rate%Awareness rate%Treatment rate%Risk factos
目的 通过对上海市部分社区老年人群的抽样调查,了解其高血压的患病率、知晓率和治疗率,并分析与高血压相关联的主要危险因素.方法 采取整群抽样的方法,随机抽取4个社区,对其中≥65岁且排除继发性高血压的自然人群8767例(男性3824例,女性4943例)进行调查分析.结果 ①高血压患病率为61.5％ (5391/8767),其中男女高血压患病率分别为60.7％ (2323/3824)和62.1％(3068/4943),高血压患病率的性别差异无统计学意义(P＞0.05).高血压知晓率为87.4％(4712/5391),其中男女知晓率分别为85.5％(1986/2323)和88.9％(2726/3068),知晓率的性别差异有统计学意义(P＜0.01).高血压治疗率为49.9％ (2689/5391),其中男女高血压患者治疗率分别为48.4％(1124/2323)和51.0％(1565/3068),治疗率的性别差异无统计学意义(P＞0.05).②高血压组和非高血压组年龄、BMI、食盐摄入量、高血压家族史、高脂血症的差异均有统计学意义[年龄:(78±7)岁比(77±8)岁,BMI:(24±3)kg/m2比(23±3) kg/m2,食盐摄入量≥6 g/d:42.2％比31.0％,高血压家族史:27.8％比11.7％,高脂血症:6.9％比3.4％,均P＜0.01].Logistic多元回归分析结果显示,年龄(≥65岁)、BMI(24 kg/m2)、食盐摄入量(≥6 g/d)、高血压家族史及高脂血症为发生高血压的危险因素[年龄(≥65岁):比值比(OR)=1.044,95％置信区间(CI)为1.036 ～1.052；BMI(24 kg/m2):OR=1.115,95％ CI为1.099 ～1.132；食盐摄入量6～12 g/d:OR=1.433,95％ CI为1.284～ 1.600,＞12 g/d:OR=1.461,95％ CI为1.195～1.786；高血压家族史:OR =3.064,95％ CI为2.644～ 3.550；患有高脂血症者:OR=1.580,95％ CI为1.260 ～ 1.980,不确定自身是否患高脂血症者:OR =0.789,95％ CI为0.683 ～0.911,均P＜0.05].结论 上海市部分社区老年人群高血压的患病率较高,男性高血压的知晓率低于女性.年龄(≥65岁)、BMI(24 kg/m2)、食盐摄入量(≥6 g/d)、家族史及高脂血症为高血压患病的主要危险因素.
目的 通過對上海市部分社區老年人群的抽樣調查,瞭解其高血壓的患病率、知曉率和治療率,併分析與高血壓相關聯的主要危險因素.方法 採取整群抽樣的方法,隨機抽取4箇社區,對其中≥65歲且排除繼髮性高血壓的自然人群8767例(男性3824例,女性4943例)進行調查分析.結果 ①高血壓患病率為61.5％ (5391/8767),其中男女高血壓患病率分彆為60.7％ (2323/3824)和62.1％(3068/4943),高血壓患病率的性彆差異無統計學意義(P＞0.05).高血壓知曉率為87.4％(4712/5391),其中男女知曉率分彆為85.5％(1986/2323)和88.9％(2726/3068),知曉率的性彆差異有統計學意義(P＜0.01).高血壓治療率為49.9％ (2689/5391),其中男女高血壓患者治療率分彆為48.4％(1124/2323)和51.0％(1565/3068),治療率的性彆差異無統計學意義(P＞0.05).②高血壓組和非高血壓組年齡、BMI、食鹽攝入量、高血壓傢族史、高脂血癥的差異均有統計學意義[年齡:(78±7)歲比(77±8)歲,BMI:(24±3)kg/m2比(23±3) kg/m2,食鹽攝入量≥6 g/d:42.2％比31.0％,高血壓傢族史:27.8％比11.7％,高脂血癥:6.9％比3.4％,均P＜0.01].Logistic多元迴歸分析結果顯示,年齡(≥65歲)、BMI(24 kg/m2)、食鹽攝入量(≥6 g/d)、高血壓傢族史及高脂血癥為髮生高血壓的危險因素[年齡(≥65歲):比值比(OR)=1.044,95％置信區間(CI)為1.036 ～1.052；BMI(24 kg/m2):OR=1.115,95％ CI為1.099 ～1.132；食鹽攝入量6～12 g/d:OR=1.433,95％ CI為1.284～ 1.600,＞12 g/d:OR=1.461,95％ CI為1.195～1.786；高血壓傢族史:OR =3.064,95％ CI為2.644～ 3.550；患有高脂血癥者:OR=1.580,95％ CI為1.260 ～ 1.980,不確定自身是否患高脂血癥者:OR =0.789,95％ CI為0.683 ～0.911,均P＜0.05].結論 上海市部分社區老年人群高血壓的患病率較高,男性高血壓的知曉率低于女性.年齡(≥65歲)、BMI(24 kg/m2)、食鹽攝入量(≥6 g/d)、傢族史及高脂血癥為高血壓患病的主要危險因素.
목적 통과대상해시부분사구노년인군적추양조사,료해기고혈압적환병솔、지효솔화치료솔,병분석여고혈압상관련적주요위험인소.방법 채취정군추양적방법,수궤추취4개사구,대기중≥65세차배제계발성고혈압적자연인군8767례(남성3824례,녀성4943례)진행조사분석.결과 ①고혈압환병솔위61.5％ (5391/8767),기중남녀고혈압환병솔분별위60.7％ (2323/3824)화62.1％(3068/4943),고혈압환병솔적성별차이무통계학의의(P＞0.05).고혈압지효솔위87.4％(4712/5391),기중남녀지효솔분별위85.5％(1986/2323)화88.9％(2726/3068),지효솔적성별차이유통계학의의(P＜0.01).고혈압치료솔위49.9％ (2689/5391),기중남녀고혈압환자치료솔분별위48.4％(1124/2323)화51.0％(1565/3068),치료솔적성별차이무통계학의의(P＞0.05).②고혈압조화비고혈압조년령、BMI、식염섭입량、고혈압가족사、고지혈증적차이균유통계학의의[년령:(78±7)세비(77±8)세,BMI:(24±3)kg/m2비(23±3) kg/m2,식염섭입량≥6 g/d:42.2％비31.0％,고혈압가족사:27.8％비11.7％,고지혈증:6.9％비3.4％,균P＜0.01].Logistic다원회귀분석결과현시,년령(≥65세)、BMI(24 kg/m2)、식염섭입량(≥6 g/d)、고혈압가족사급고지혈증위발생고혈압적위험인소[년령(≥65세):비치비(OR)=1.044,95％치신구간(CI)위1.036 ～1.052；BMI(24 kg/m2):OR=1.115,95％ CI위1.099 ～1.132；식염섭입량6～12 g/d:OR=1.433,95％ CI위1.284～ 1.600,＞12 g/d:OR=1.461,95％ CI위1.195～1.786；고혈압가족사:OR =3.064,95％ CI위2.644～ 3.550；환유고지혈증자:OR=1.580,95％ CI위1.260 ～ 1.980,불학정자신시부환고지혈증자:OR =0.789,95％ CI위0.683 ～0.911,균P＜0.05].결론 상해시부분사구노년인군고혈압적환병솔교고,남성고혈압적지효솔저우녀성.년령(≥65세)、BMI(24 kg/m2)、식염섭입량(≥6 g/d)、가족사급고지혈증위고혈압환병적주요위험인소.
Objective To investigate prevalence and risk factors of primary hypertension in an old population in Shanghai community.Methods Participants from four communities of Changning district were surveyed by randomly cluster sampling.The data of 8767 persons (male 3824,female 4943) aged 65 years and older were obtained and analyzed.Results ①The rates of prevalence,awareness and treatment were 61.5％ (5391/8767),87.4％ (4712/5391) and 49.9％ (2689/5391).The rates of awareness were higher in females than in males (88.9％ vs 85.5％,P ＜ 0.05).②Multiple logistic regression analysis showed that age,body mass index (BMI),salt intake,hypertensive family history and history of hyperlipidemia were significantly related to hypertension (P ＜0.001).The odds ratios (95％ CI) of age,BMI,hypertensive family history and history of hypedipidemia were1.044(1.036-1.052),1.115(1.099-1.132),3.064(2.644-3.550) and 1.580(1.260-1.980),respectively.Compared with the group of 6 g/d to 12 g/d salt intake,the odds ratios (95％ CI) of group over 12 g/d were 1.433 (1.284-1.600) and 1.461 (1.195-1.786).Conclusions The prevalence rate of hypertension is high in the old population of Shanghai community.The rates of awareness of hypertension were higher in females than in males.The main risk factors of hypertension include age(≥65 years),BMI(24 kg/m2),salt intake (≥6 g/day),hypertensive family history and history of hyperlipidemia.
