上海市<b>35</b>岁及以上居民高血压、糖尿病共病流行现状分析

孙文岩; 王思源; 吴菲; 黎衍云; 汤佳秀; 严青华; 施燕

doi:10.19428/j.cnki.sjpm.2021.20544

上海市35岁及以上居民高血压、糖尿病共病流行现状分析

Epidemic status of patients with hypertension and diabetes among adults aged 35 years and older in Shanghai

摘要

摘要:
目的了解上海市35岁及以上常住居民高血压、糖尿病共病的流行现状。
方法使用2013年上海市慢性病及行为危险因素监测的资料进行分析，选择≥35岁常住居民作为研究对象，分析高血压、糖尿病共病患病情况及患病的知晓率、治疗率、控制率。
结果上海市年龄≥35岁常住居民中高血压、糖尿病共病患病率为11.25%（95%CI：10.29%～12.29%）。年龄越大，患病率越高；城市患病率最高、农村次之，城乡接合部最低；受教育水平高中及以上者患病率低于初中及以下者；非职业人群患病率最高，非农业职业人群最低；丧偶/分居/离婚人群患病率最高，在婚人群最低；体重指数中肥胖人群患病率最高，正常人群最低；睡眠≥6 h人群患病率低于睡眠<6 h人群，以上差异均具统计学意义（χ²=890.98、28.91、61.92、315.34、123.72、441.45、8.77，均P<0.05）。高血压、糖尿病共病知晓率为50.09%（95%CI：46.54%～53.64%），60～74岁年龄组最高，35～44岁年龄组最低；城市地区高于城乡接合部，农村最低。高血压、糖尿病共病治疗率为45.67%（95%CI：42.45%～48.92%），年龄与治疗率成正比；地区分布由高到低依次为城市、城乡接合部、农村。不同年龄、地区知晓率和治疗率差异具有统计学意义（χ²=43.27、35.19、37.59、37.56，均P<0.05）。高血压、糖尿病共病控制率为6.45%（95%CI：5.17%～8.01%），60～74岁年龄组最高，35～44岁年龄组最低，差异有统计学意义（χ²=20.35，P<0.05）。治疗控制率为14.11%（95%CI：11.54%～17.15%）。
结论上海市居民高血压、糖尿病共病患病率较高，知晓率、治疗率一般，控制率较低，进一步提升高血压、糖尿病共病综合防治水平尤为迫切。

Abstract:
ObjectiveTo understand the epidemic status of patients with hypertension and diabetes among residents aged ≥35 years in Shanghai.
MethodsThe data of "Monitoring of Chronic Diseases and Behavioral Risk Factors in Shanghai in 2013" were used for analysis. Residents aged ≥35 years were selected to analyze the prevalence， awareness， treatment and control in patients with hypertension and diabetes.
ResultsThe prevalence rate of patients with both hypertension and diabetes was 11.25% （95%CI：10.29%-12.29%） among residents aged ≥35 years in Shanghai. The older the age was， the higher the prevalence rated. The rate was the highest in urban area， second in rural area， and the lowest in urban-rural area. Education level of senior high school or above had lower rate than junior high school or below. The non-occupational group had the highest rate and the non-agricultural occupation group had the lowest. The widowed/separated/divorced groups had the highest rate and the married group had the lowest. The rate in obese people was the highest and normal people was the lowest. People with sleep time ≥6 h had a lower rate than those with sleep <6 h. All the above differences were statistically significant （χ²=890.98， 28.91， 61.92， 315.34， 123.72， 441.45， 8.77，all P<0.05）. The awareness rate was 50.09% （95%CI：46.54%-53.64%）， the highest in 60-74 years old group and the lowest in 35-44 years old group. The awareness rate in urban area was higher than that in the urban-rural junction， and the rural area was the lowest. The treatment rate was 45.67% （95%CI：42.45%-48.92%） and the age was proportional to the treatment rate. The treatment rate from high to low in order was city， urban and urban-rural junction， rural areas. The differences in age， region awareness rate and treatment rate were statistically significant （χ²=43.27， 35.19， 37.59， 37.56，all P<0.05）. Control rates was 6.45% （95%CI：5.17%-8.01%）， 60-74 age group had the highest， and the age group from 35 to 44 years old had the lowest， and the difference was statistically significant （χ²=20.35，P<0.05）. The treatment control rate was 14.11% （95%CI：11.54%-17.15%）.
ConclusionThe prevalence rate of patients with co-existing hypertension and diabetes in Shanghai residents is high， the awareness rate and treatment rate are general， and the control rate is low. It is urgent to improve the comprehensive prevention and treatment level of patients with hypertension and diabetes.

HTML全文

参考文献(24)

施引文献

资源附件(0)