吴毅凌, 李静, 王伟, 关颖, 姜永根, 赵根明. 上海市松江区居民高血压流行现状及相关因素分析:基于队列的横断面研究[J]. 上海预防医学, 2022, 34(4): 371-375. DOI: 10.19428/j.cnki.sjpm.2022.21141
引用本文: 吴毅凌, 李静, 王伟, 关颖, 姜永根, 赵根明. 上海市松江区居民高血压流行现状及相关因素分析:基于队列的横断面研究[J]. 上海预防医学, 2022, 34(4): 371-375. DOI: 10.19428/j.cnki.sjpm.2022.21141
WU Yiling, LI Jing, WANG Wei, GUAN Ying, JIANG Yonggen, ZHAO Genming. Epidemiological characteristics and risk factors of hypertension in residents in Songjiang DistrictShanghaia cohort based cross-sectional study[J]. Shanghai Journal of Preventive Medicine, 2022, 34(4): 371-375. DOI: 10.19428/j.cnki.sjpm.2022.21141
Citation: WU Yiling, LI Jing, WANG Wei, GUAN Ying, JIANG Yonggen, ZHAO Genming. Epidemiological characteristics and risk factors of hypertension in residents in Songjiang DistrictShanghaia cohort based cross-sectional study[J]. Shanghai Journal of Preventive Medicine, 2022, 34(4): 371-375. DOI: 10.19428/j.cnki.sjpm.2022.21141

上海市松江区居民高血压流行现状及相关因素分析:基于队列的横断面研究

Epidemiological characteristics and risk factors of hypertension in residents in Songjiang DistrictShanghaia cohort based cross-sectional study

  • 摘要:
    目的 描述上海市松江区社区人群高血压流行现状,为防治高血压提供依据。
    方法 2016—2017年,在松江区4个街镇采用多阶段随机整群抽样方法招募20~74岁的居民进行问卷调查、体格检查和血压、血糖、血脂检测,采用SPSS 16.0软件进行数据分析,采用χ2检验进行率的比较,采用二分类logistic回归进行相关因素分析。
    结果 纳入调查的35 759名社区居民年龄中位数为58岁,男性占40.67%,高血压粗患病率为54.24%(19 395/35 759),标化患病率为31.69%。高血压患者的知晓率为61.09%,其中男性患者知晓率为63.67%,女性患者知晓率为59.10%。高血压治疗率为49.00%,其中男性患者治疗率为50.91%,女性患者治疗率为47.51%。采取治疗措施的高血压患者中,血压治疗控制率为40.50%,其中男性患者治疗控制率为44.46%,女性患者治疗控制率为37.21%。多因素分析显示,男性(OR=1.272)、大年龄组(40~59岁组的OR=4.353,60~74岁组的OR=9.802)、超重(OR=1.823)、肥胖(OR=3.070)、中心性肥胖(OR=1.380)、并发糖尿病(OR=1.923)、血脂异常(OR=1.452)、饮酒(OR=1.338)是高血压患病的主要危险因素。
    结论 上海市松江区居民的高血压患病率较高,治疗率、治疗控制率较低,应进一步加强高血压综合防治。

     

    Abstract:
    Objective To determine the epidemiological characteristics and risk factors of hypertension in residents in Songjiang District of Shanghai, and provide evidence for prevention and control of hypertension.
    Methods Local residents aged between 20 and 74 years were recruited from four towns in Songjiang District from 2016 to 2017 by using a multistage sampling strategy. Questionnaire surveys were conducted, and then physical examination, blood pressure measurement, glucose test and lipid test were performed. The data was analyzed by SPSS 16.0 software. Chi-square test was used to compare the differences in the prevalence of hypertension in residents, stratified by demographics and health conditions. Risk factors were determined by multivariate logistic regression.
    Results Among 35 759 residents with a median age of 58 years and the proportion of male being 40.67%, crude prevalence of hypertension was 54.24% (19 395/35 759) and standardized prevalence was 31.69%. In the hypertensive patients, proportion of hypertension awareness was 61.09%, with 63.67% in male and 59.10% in female. Proportion of receiving treatment was 49.00%, with 50.91% in male and 47.51% in female. Furthermore, in the hypertensive patients with treatment, proportion of effectively controlling hypertension was 40.50%, with 44.46% in male and 37.21% in female. Multivariate logistic regression showed that male (OR=1.272), senior age (40‒59 years old: OR=4.353, 60‒74 years old: OR=9.802), overweight (OR=1.823), obesity (OR=3.070), central obesity (OR=1.380), diabetes (OR=1.923), dyslipidemia (OR=1.452), and drinking (OR=1.338) were risk factors associated with hypertension.
    Conclusion Prevalence of hypertension is high, while the proportions of receiving treatment and effective control remain low in residents in Songjiang District. It warrants strengthening prevention and control of hypertension in targeted and young residents.

     

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