西藏日喀则市居民高血压患病率及影响因素研究

李靖; 冯丹鸿; 吴国秀; 王颖婷; 康龙丽

doi:10.16462/j.cnki.zhjbkz.2019.09.026

西藏日喀则市居民高血压患病率及影响因素研究

doi: 10.16462/j.cnki.zhjbkz.2019.09.026

李靖^{1, 2},
冯丹鸿¹,
吴国秀¹,
王颖婷^{1, 2},
康龙丽^{1, 2, ,}

1.
712082 咸阳, 西藏民族大学医学部基础医学院
2.
712082 咸阳, 西藏民族大学西藏高原相关疾病分子遗传机制与干预研究省级重点实验室、高原环境与疾病相关机理研究高校重点实验室、中央与地方共建高校重点实验室生命科学基础研究实验室

基金项目:

西藏自治区自然科学基金 XZ2017ZRG-52(Z)

西藏民族大学基金 17MDQ05

详细信息

通讯作者:
康龙丽, E-mail: longli_kang@163.com

中图分类号: R181.3
计量
- 文章访问数: 402
- HTML全文浏览量: 138
- PDF下载量: 35
- 被引次数: 0
出版历程
- 收稿日期: 2019-05-04
- 修回日期: 2019-07-25
- 刊出日期: 2019-09-10

Prevalence of hypertension and its influencing factors in Shigatse area of Tibet

LI Jing^{1, 2},
FENG Dan-hong¹,
WU Guo-xiu¹,
WANG Ying-ting^{1, 2},
KANG Long-li^{1, 2
, ,}

1.
Basic Medical College, Department of Medicine, Xizang Minzu University, Xianyang 712082, China
2.
Key Laboratory for Molecular Genetic Mechanisms and Intervention Research on High Altitude Disease of Tibet Autonomous Region, School of Medicine, Xizang Minzu University; Key Laboratory of High Altitude Environment and Genes Related to Diseases of Tibet Autonomous Region, School of Medicine Key Laboratory for Basic Life Science Research of Tibet Autonomous Region, School of Medicine, Xianyang 712082, China

Funds:

Natural Science Foundation of Tibet Autonomous Region XZ2017ZRG-52(Z)

Xizang Minzu University Fund 17MDQ05

More Information

Corresponding author: KANG Long-li, E-mail: longli_kang@163.com

摘要

摘要: 目的调查西藏日喀则市18岁以上世居居民高血压患病率，探究不同影响因素与高血压发病率之间的关联程度。方法采用问卷调查和实地血压测量的方法收集到日喀则市391位居民的年龄、文化程度、职业、吸烟、饮酒、体重指数（body mass index，BMI）、盐摄入量等信息。数据分析采用SPSS的Logistic回归分析模型进行统计处理。结果 391份调查问卷显示，高血压患病率为38.36%，其中男性患病率为39.91%，女性患病率为36.52%。多因素Logistic回归模型分析结果显示，与日喀则居民高血压相关的危险因素包括年龄、BMI、吸烟、饮酒，其中年龄、BMI、吸烟与高血压成正相关，饮酒与高血压呈负相关。结论在日喀则地区世居居民中，年龄、BMI、吸烟这三种因素均为高血压的危险因素，饮酒则为高血压的保护因素。
- 西藏 /
- 日喀则 /
- 高血压 /
- 患病率 /
- 危险因素
Abstract: Objective To investigate the prevalence of hypertension among residents over 18 years of age in Shigatse, Tibet, and to explore the correlation between different influencing factors and the incidence of hypertension. Methods A questionnaire survey and field blood pressure measurements were used to collect the information of age, education, occupation, smoking, drinking, body mass index (BMI) and salt intake were collected from 391 residents in Shigatse area. Logistic regression analysis of SPSS was used for statistical analysis. Results 391 questionnaires showed that the prevalence of hypertension was 38.36%, of which 39.91% was male and 36.52% was female. The results of multivariate Logistic regression analysis showed that the factors associated with hypertension in Shigatse residents included age, BMI, smoking and drinking, in which age and BMI, smoking were positively correlated with hypertension. Alcohol consumption was negatively correlated with hypertension. Conclusion In Shigatse area, age, BMI and smoking were the risk factors of hypertension, while drinking alcohol was protective factor of hypertension.
- Tibet /
- Shigatse /
- Hypertension /
- Prevalence /
- Risk factors

HTML全文

表 1 日喀则被调查人群特征及血压情况

Table 1. Characteristics and prevalence of population investigated in Shigatse

因素	被调查人数	患病人数	患病率(%)
性别
男	213	85	39.91
女	178	65	36.52
年龄
青年组	130	27	20.77
中年组	153	69	45.10
老年组	108	54	50.00
职业
无	122	41	33.61
农牧民	181	74	40.88
上班族	84	35	41.67
其他	4	0	0
文化程度
小学及以下	280	111	39.64
初高中	68	24	35.29
大学及以上	43	15	34.88
体重指数(BMI)
偏低	29	6	20.69
正常	203	65	32.02
超重	124	60	48.39
肥胖	35	19	54.29
食盐摄入量
轻	121	53	43.8
中	162	57	35.19
重	108	40	37.04
饮酒
是	148	21	14.19
否	243	129	53.09
吸烟
是	135	90	66.67
否	256	60	23.44

下载: 导出CSV

表 2 血压值偏高的相关因素多元Logistic回归分析

Table 2. Multivariate Logistic regression analysis of hypertension related factors

相关因素	β值	sx值	Wald值	P值	OR(95% CI)值
年龄	0.882	0.194	20.664	< 0.001	1.189(0.640~2.208)
BMI	0.612	0.177	12.020	0.001	1.844(1.305~2.607)
吸烟	2.159	0.284	57.908	< 0.001	8.661(4.967~15.102)
饮酒	-2.209	0.314	49.356	< 0.001	0.110(0.059~0.203)

下载: 导出CSV

参考文献(14)

[1]	陈伟伟, 高润霖, 刘力生, 等. 《中国心血管病报告2017》概要[J]. 中国循环杂志, 2018, 33(1): 1-8. DOI: 10.3969/j.issn.1000-3614.2018.01.001. Chen WW, Gao RL, Liu LS, et al. Summary of Chinese cardiovascular disease report 2017[J]. Chinese Journal of Circulation, 2018, 33(1): 1-8. DOI: 10.3969/j.issn.1000-3614.2018.01.001.
[2]	彭叶, 泽仁拉姆, 石威, 等. 西藏昌都市藏族人群高血压患病率及危险因素分析[J]. 重庆医科大学学报: 2019, 1-4. DOI: 10.13406/j.cnki.cyxb.001841. Peng Y, Zeren LM, Shi W, et al. Analysis of prevalence and risk factors of hypertension in Tibetan population in Changdu, Tibet[J]. Journal of Chongqing Medical University: 2019, 1-4. DOI: 10.13406/j.cnki.cyxb.001841.
[3]	潘峰, 王惠君, 王志宏, 等. 2011年中国中老年人群高血压医疗费用评估[J]. 卫生研究, 2017, 46(2): 246-250 Pan F, Wang HJ, Wang ZH, et al. Medical cost assessment of hypertension in Chinese middle-aged people in 2011[J]. Health Research, 2017, 46(2): 246-250
[4]	胡以松, 姚崇华, 王文志, 等. 2002年中国部分民族高血压患病情况[J]. 卫生研究, 2006(5): 573-575. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ200605013.htm Hu YS, Yao CH, Wang WZ et al. Hypertension in some ethnic groups in China in 2002[J]. Health research, 2006(5): 573-575. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ200605013.htm
[5]	Dong GH, Wang D, Liu MM, et al. Sex difference of the prevalence and risk factors associated with prehypertension among urban Chinese adults from 33 communities of China: the CHPSNE study[J]. J Hypertens, 2012, 30(3): 485-491. DOI: 10.1097/HJH.0b013e32834f9dd3.
[6]	Zheng X, Yao DK, Zhuo-Ma CR, et al. Prevalence, self-awareness, treatment, and control of hypertension in Lhasa, Tibet[J]. Clin Exp Hypertens, 2012, 34(5): 328-333. doi: 10.3109/10641963.2011.649930
[7]	徐绍鹏. 西藏昌都地区藏汉族成人高血压患病率及危险因素调查[D]. 天津医科大学, 2013. Xu SP. Investigation on prevalence and risk factors of hypertension in Tibetan and Han adults in Changdu area, Tibet[D]. Tianjin Medical University, 2013
[8]	张高辉, 巴桑片多, 巴桑诺布, 等. 日喀则市桑珠孜区成年居民高血压流行状况[J]. 中华疾病控制杂志, 2018, 22(05): 529-531. DOI: 10.16462/j.cnki.zhjbkz.2018.05.022. Zhang GH, BaSang PD, BaSang NB, et al. Prevalence of hypertension among adult residents in Sangzhizi District, Xigaze City[J]. Chin J Dis Control Prev, 2018, 22(05): 529-531. DOI: 10.16462/j.cnki.zhjbkz.2018.05.022.
[9]	洪令瑶, 刘庆华, 陈崴, 等. 西藏地区成年居民高血压患病情况及其影响因素分析[J]. 中国公共卫生, 2017, 33(3): 380-383. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201703010.htm Hong Linyao, Liu Qinghua, Chen Wei, et al. Analysis of prevalence and influencing factors of hypertension in adult residents in Tibet[J]. Chinese Journal of Public Health, 2017, 33(3): 380-383. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201703010.htm
[10]	Wang J, Zhang L, Wang F, et al. Prevalence, awareness, treatment, and control of hypertension in China: results from a national survey[J]. Am J Hypertens, 2014, 27(11): 1355-1361. DOI: 10.1016/j.jash.2018.01.013.
[11]	凌雅琴. 吸烟对高血压病人影响的研究进展[J]. 全科护理, 2015, 13(30): 3001-3003. doi: 10.3969/J.ISSN.1674-4748.2015.30.00 Ling YQ. Research progress on the effect of smoking on patients with hypertension[J]. General nursing, 2015, 13(30): 3001-3003. DOI: 10.3969/J.ISSN.1674-4748.2015.30.00.
[12]	颜穗珺, 李会芳. 中国少数民族高血压患病率及其危险因素[J]. 中华临床医师杂志(电子版), 2017, 11(7): 1171-1174. DOI: 10.3877/cma.j.issn.1674-0785.2017.07.024. Yan SJ, Li HF. Prevalence of Chinese minority hypertension and its risk factors[J]. Chinese Journal of Clinicians(Electronic Version), 2017, 11(7): 1171-1174. DOI: 10.3877/cma.j.issn.1674-0785.2017.07.024.
[13]	Holmes MV, Dale CE, Zuccolo L, et al. Association between alcohol and cardio-vascular disease: Mendelian randomisation analysis based on individual partici-pant data[J]. BMJ, 2014, 349: g4164. DOI: 10.1136/bmj.g4164.
[14]	2010年我国成年人高血压流行病学调查[J]. 中国循环杂志, 2013, 28(1): 16. Epidemiological investigation of hypertension in adults in China in 2010[J]. Chinese Circulation Journal, 2013, 28(1): 16.