上海市闵行区35岁及以上人群H型高血压患病及影响因素分析

张金玲; 严玉洁; 郦伦强; 方红

doi:10.16462/j.cnki.zhjbkz.2016.10.004

上海市闵行区35岁及以上人群H型高血压患病及影响因素分析

doi: 10.16462/j.cnki.zhjbkz.2016.10.004

上海市闵行区疾病预防控制中心慢性病预防控制科, 上海 201101

基金项目:

上海市闵行区卫生和计划生育委员会基金（2013MW46）

详细信息

作者简介:
张金玲(1981-),女,山西运城人,主管医师,硕士。主要研究方向:慢性病防治工作。

中图分类号: R544.1;R181
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- 被引次数: 0
出版历程
- 收稿日期: 2016-04-21
- 修回日期: 2016-07-27

Prevalence of H-type hypertension and its risk factors among residents aged 35 years and older in Minhang District of Shanghai

Department of Chronic Disease Prevention and Control, Center for Disease Control and Prevention of Minhang District, Shanghai 201101, China

摘要

摘要: 目的了解上海市闵行区≥35岁人群H型高血压的患病情况及其影响因素。方法采用多阶段随机抽样的方法选择≥35岁的常住居民进行问卷调查、身体测量和实验室检查，用多因素Logistic回归分析H型高血压患病的影响因素。结果本研究获得有效数据3 059人。≥35岁人群的H型高血压患病率为47.04%，H型高血压占高血压患者的比例为87.95%。多因素分析结果显示，男性（OR=1.44，95% CI：1.21~1.73）、年龄≥45岁（OR=2.05，95% CI：1.46~2.88）、超重（OR=1.67，95% CI：1.40~2.00）和肥胖（OR=2.80，95% CI：2.13~3.70）、血压级别≥2级（OR=13.42，95% CI：8.97~20.06）、患有糖尿病（OR=1.66，95% CI：1.35~2.04）、血清肌酐升高（OR=2.84，95% CI：1.35~5.99）、血清叶酸偏低（OR=1.46，95% CI：1.23~1.73）、血清维生素B12偏低（OR=1.22，95% CI：1.03~1.45）是H型高血压的危险因素。结论上海市闵行区35岁及以上人群的H型高血压患病率高，有必要针对主要危险因素采取社区H型高血压的防控措施。
- 高血压 /
- 患病率 /
- 危险因素
Abstract: Objective To investigate the prevalence of H-type hypertension and its risk factors among residents aged 35 years and older in Minhang District of Shanghai. Methods A multistage randomized sampling method was used to select the participants. Questionnaires, physical measures and laboratory tests were conducted among all participants. Logistic regression model was used to analyze the influencing factors of H-type hypertension. Results A total of 3 059 valid data were obtained in the study. The prevalence of H-type hypertension was 47.04% in residents aged 35 years and older. Participants with H-type hypertension accounted for 87.95% of all patients with hypertension in Minhang District. Results of multivariate logistic regression analysis showed that male gender (OR=1.44, 95% CI:1.21-1.73), the age of 45 years and older (OR=2.05, 95% CI:1.46-2.88), overweight (OR=1.67, 95% CI:1.40-2.00) and fat (OR=2.80, 95% CI:2.13-3.70), hypertension grade 2 and 3 (OR=13.42, 95% CI:8.97-20.06), diabetes (OR=1.66, 95% CI:1.35-2.04), high creatinine (OR=2.84, 95% CI:1.35-5.99), low folic acid (OR=1.46, 95% CI:1.23-1.73) and low vitamin B12 levels (OR=1.22, 95% CI:1.03-1.45) were risk factors of H-type hypertension. Conclusions There was a high prevalence of H-type hypertension in residents of Minhang District. Intervention programs for risk factors should be carried out in community residents to prevent and control H-type hypertension.
- Hypertension /
- Prevalence /
- Risk factors

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