基础医学与临床 ›› 2010, Vol. 30 ›› Issue (7): 759-762.

• 研究论文 • 上一篇    下一篇

北京市城乡中年人高血压流行情况及危险因素分析

胡泊 李卫 刘冰 陈涛 孙毅   

  1. 中国协和医学院 北京协和医学院 阜外心血管病医院
  • 收稿日期:2010-03-01 修回日期:2010-03-12 出版日期:2010-07-05 发布日期:2010-07-05

Prevalence and Determinants of hypertension in middle-aged adults of Beijing

Bo HU, Wei LI, Bing LIU, Tao CHEN, Yi SUN   

  1. Cardiovascular Institute﹠Fuwai Hospital, CAMS﹠PUMC
  • Received:2010-03-01 Revised:2010-03-12 Online:2010-07-05 Published:2010-07-05

摘要: 目的 对比研究北京城市和农村高血压的流行情况及其危险因素。方法 于2005年采用整群抽样的方法,在北京市城市和农村的40~65岁人群中对3268人中进行问卷和体检。诊断标准依据2005年中国高血压防治指南。多因素分析采用Logistic回归方法。结果 农村高血压的患病率为55.58%,显著高于城市的42.91%(P<0.05)。城市男性和女性高血压的患病率为49.54%和38.52%,显著低于农村男性和女性的57.68%和54.17% (P值均小于0.05)。不同性别多因素分析显示,年龄、BMI、腰围、空腹血糖、文化程度为男性的危险因素,年龄、BMI、腰围、职业、甘油三酯为女性的危险因素。结论 农村人群高血压患病率快速上升。主要危险因素有体质指数和腰围。

关键词: 高血压, 患病率, Logistic回归, 整群抽样, 城乡

Abstract: Objective The present study aimed to determine the prevalence of hypertension and try to find the risk factors in the urban and rural area of Beijing. Methods A cluster sampling was used to establish a study population of inhabitants aged 40 to 60. 3268 middle-aged participants were enrolled in the investigation. The definition of hypertension was determined by National Revision Committee of the Guidelines of Hypertension Prevention and Control in 2005. Logistic regression model was used to find the risk factors of hypertension. Results In total population of this study, the prevalence in urban area was significantly lower than in rural area (55.58% vs 42.91%, P<0.05). In urban area, the prevalence of hypertension in male and female were 49.54% and 38.52% which were significantly lower than the prevalence in rural area 57.68% and 54.17%.(all P<0.05). Multivariate logistic analysis revealed that age, BMI, waist, high density lipoprotein cholesterol, fasting blood glucose and education were the risk factors of hypertension in male, which, age, BMI, waist, occupation and triglyceride were the risk factors of hypertension in female. Conclusion The data indicated that the prevalence of hypertension in rural area maybe have higher than in urban in developed area of our country. The most important risk factors are BMI and waist.

Key words: hypertension, prevalence, Logistic regression, cluster sampling, urban and rural