吉林大学学报(医学版)

• 基础研究 • 上一篇    下一篇

吉林省成年居民高血压现况调查分析

王诗镔1,吴燕华1,侯筑林2,徐洪芹1,于 澄1,艾立哲1,张晴晴1,寇长贵1,刘建伟2,金丽娜1,于雅琴1   

  1. (1.吉林大学公共卫生学院流行病与卫生统计学教研室,吉林 长春 130021;2.吉林省
    疾病预防控制中心慢性非传染性疾病预防控制所,吉林 长春 130062)
  • 收稿日期:2013-07-02 出版日期:2014-01-28 发布日期:2014-01-25
  • 通讯作者: 金丽娜(Tel: 0431-85619181,E-mail:jinln@jlu.edu.cn); 于雅琴(Tel: 0431-85619163,E-mail:yuyaqin5540@163.com) E-mail:jinln@jlu.edu.cn;yuyaqin5540@163.com
  • 作者简介:王诗镔(1986-),男,黑龙江省哈尔滨市人,在读医学博士,主要从慢性病 流行病学研究。
  • 基金资助:

    吉林省卫生厅科研基金资助课题(2011Z116)

Prevalence survey on hypertension among adult residents in Jilin province

WANG Shi-bin1,WU Yan-hua1,HOU Zhu-lin2,XU Hong-qin1,YU Cheng1,AI Li-zhe1,ZHANG Qing-qing1,KOU Chang-gui1,LIU Jian-wei2,JI Li-na1,YU Ya-qin1   

  1. (1. Department of Epidemiology and Health Statistics,School of Public Health,Jilin University,Changchun 130021,China;2. Office of Non-Communicable Chronic Disease Control and Prevention,Jilin Provincial Center for Disease Control and Prevention,Changchun 130062,China)
  • Received:2013-07-02 Online:2014-01-28 Published:2014-01-25

摘要:

目的:了解吉林省成年居民血压水平、高血压患病率及分布特征,为制定有针对性高血压防制策略提供依据。方法:于2012年在吉林省采用多阶段分层整群随机抽样方法抽取18~79岁成年居民20 473人,对调查对象进行体检和面对面问卷调查获取高血压患病信息,电子血压计测量血压,样本数据通过复杂加权后统计分析以估计全省血压水平及高血压患病率。结果:经复杂加权后,吉林省成年居民收缩压为(128.1±20.2)mmHg,舒张压为(78.4±11.6)mmHg;高血压患病率为30.5%(95%CI:29.7%~31.2%),高血压患病率随年龄增长逐渐增高,男性(34.4%,95%CI:33.3%~35.6%)高于(26.3%,95%CI:25.3%~27.2%),东部地区(33.2%,95%CI:31.4%~35.1%)和西部地区(32.4%,95%CI:30.5%~34.3%)高于中部地区(29.0%,95%CI:28.1%~29.9%),组间比较差异均有统计学意义(P<0.01);城镇(30.4%,95%CI:29.3%~31.4%)与农村(30.6%,95%CI:29.6%~31.7%)成年居民高血压患病率比较差异无统计学意义(P>0.05)。结论:2012年吉林省成年居民高血压患病率高于以往调查,且存在年龄、性别和地区间差异,提示高血压的防制应结合其流行病学特征采取有针对性的措施。

关键词: 高血压, 患病率, 现况调查, 吉林省

Abstract:

Objective To investigate the  blood pressure level and  the prevalence and distributional characteristics of hypertension among the adults in Jilin province and to provide evidence for making  preventive and controlling strategies against hypertension.Methods A total of 20 473 adults aged 18-79 years old from Jilin province were selected by multistage cluster randomly sampling.Medicial examination and face-to-face questioning survey were conducted to collect the information about hypertensive distribution.Blood pressure was examined by electronic blood pressure monitor.According to complex sampling plan and post-stratification,the resultant data were weighted to estimate the level of blood presure and the prevalence rate.Results  The weighted average systolic blood pressure and diastolic blood pressure were (128.1±20.2) mmHg and (78.4±11.6) mmHg,respectively. The weighted prevalence rate of hypertension was 30.5%(95%CI:29.7%-31.2%). The prevalence rate was increased with age. The prevalence rate of the males (34.4%,95%CI:33.3%-35.6%) was statistically higher than that of the females(26.3%,95%CI:25.3%-27.2%) (P<0.01).The prevalence rates  of hypertension in easten region (33.2%,95%CI:31.4%-35.1%) and western region (32.4%,95%CI:30.5%-34.3%) were higher than that in central region (29.0%,95%CI:28.1%-29.9%) (P<0.01).There was nosignificant difference between the prevalence of hypertension in urban area (30.4%,95%CI:29.3%-31.4%) and rural area (30.6%,95%CI:29.6%-31.7%) (P>0.05).Conclusion In 2012,the prevalence rate of hypertension among the  adult residents in Jilin province is higher than before.There are differences in the distributional characteristics of hypertension among variations by age,gender and geographic regions.Health system should prevent and control hypertension according to the epidemiological characteristics.

Key words: hypertension, prevalence, cross-sectional study, Jilin province

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