阮晓楠, 张鸿, 赵根明, 傅筱瑾, 徐望红, 杨黎明, 白云, 孙乔, 吴红岩, 朱秋莉, 周弋, 邱桦, 顾建钧. 上海市浦东新区社区居民高血压现况调查及危险因素分析[J]. 上海预防医学, 2010, 22(4): 173-178.
引用本文: 阮晓楠, 张鸿, 赵根明, 傅筱瑾, 徐望红, 杨黎明, 白云, 孙乔, 吴红岩, 朱秋莉, 周弋, 邱桦, 顾建钧. 上海市浦东新区社区居民高血压现况调查及危险因素分析[J]. 上海预防医学, 2010, 22(4): 173-178.
RUAN Xiao-nan, ZHANG Hong, ZHAO Gen-ming, FU Xiao-jin, XU Wang-hong, YANG Li-ming, BAI Yun, SUN Qiao, WU Hong-yan, ZHU Qiu-li, ZHOU Yi, QIU Hua, GU Jian-jun. Hypertension among residents in Pudong New Area of Shanghai:Its status quo investigation and risk factor analysis[J]. Shanghai Journal of Preventive Medicine, 2010, 22(4): 173-178.
Citation: RUAN Xiao-nan, ZHANG Hong, ZHAO Gen-ming, FU Xiao-jin, XU Wang-hong, YANG Li-ming, BAI Yun, SUN Qiao, WU Hong-yan, ZHU Qiu-li, ZHOU Yi, QIU Hua, GU Jian-jun. Hypertension among residents in Pudong New Area of Shanghai:Its status quo investigation and risk factor analysis[J]. Shanghai Journal of Preventive Medicine, 2010, 22(4): 173-178.

上海市浦东新区社区居民高血压现况调查及危险因素分析

Hypertension among residents in Pudong New Area of Shanghai:Its status quo investigation and risk factor analysis

  • 摘要: 目的 了解上海市浦东新区社区居民高血压患病现况及主要危险因素。方法 采用多阶段随机抽样方法,从上海市浦东新区随机抽取15~80岁的社区居民5927人,进行一般状况、生活方式及行为、家族史现况调查和体格检查,采用SAS软件进行数据分析。结果 调查对象高血压患病率为31.3%,全国人口和世界人口年龄标化患病率分别为19.8%和19.1%,男女性高血压患病率均随年龄增加而上升;控制年龄后,男女性患病率无统计学差异(χ2=0.79,P=0.38),市郊人群患病率高于城区(χ2=5.14,P=0.02);有高血压家族史的人群高血压患病率高于无高血压家族史者(χ2=142.8,P<0.0001);高血压患者酱油、食盐和味精的摄入量及体质指数、腰臀比和腰围均显著高于无高血压者;这些因素中,年龄、居住地、家族史和肥胖与高血压有显著关联。结论 上海市浦东新区社区居民高血压患病率处于较高水平,年龄、居住地、家族史和肥胖可能是浦东新区居民高血压的危险因素。加强健康教育,倡导健康的生活方式,普及高血压知识,是控制和预防高血压的重要措施。

     

    Abstract: Objective To investigate the prevalence and risk factors of hypertension in residents of Pudong New Area of Shanghai. Methods A total of 5927 residents at age 15-80 were randomly selected from Pudong New Area of Shanghai through multistage sampling.All participants were interviewed between April and July of 2008 for collection of data on personal information, diagnosis of hypertension, lifestyle and behavior factors, as well as family history of hypertension.Measurements of body height, weight, circumference of waist and hip were taken at the interview.Data analysis was conducted using SAS software. Results Crude and age-standardized prevalence rate of hypertension were 31.3%, 19.8% (standardized Chinese population in 2004) and 19.1% (standardized world population), respectively.The prevalence increased with increased age.After controlling the age, no significant difference in prevalence was observed between males and females (χ2=0.79, P=0.38).However, the prevalence in rural area was significantly higher than that in urban area (χ2=5.14, P=0.02).Subjects with family history of hypertension had a higher prevalence of hypertension than those without family history (χ2=142.8, P<0.0001).Furthermore, subjects with hypertension consumed more soy sauce, salt or monosodium glutamate and had a higher BMI, WHR or waist circumference.Of these factors, age, resident site, family history of hypertension and obesity were significantly associated with hypertension. Conclusion Prevalence of hypertension is high in residents of Pudong New Area of Shanghai.Age, resident site, family history of hypertension and body size may be risk factors for hypertension in this area.Promoting healthy lifestyle may help to prevent and control hypertension in the area, particularly in the rural areas.

     

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