西藏日喀则市居民高血压患病率及影响因素研究
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摘要
目的调查西藏日喀则市18岁以上世居居民高血压患病率,探究不同影响因素与高血压发病率之间的关联程度。方法采用问卷调查和实地血压测量的方法收集到日喀则市391位居民的年龄、文化程度、职业、吸烟、饮酒、体重指数(body mass index,BMI)、盐摄入量等信息。数据分析采用SPSS的Logistic回归分析模型进行统计处理。结果 391份调查问卷显示,高血压患病率为38.36%,其中男性患病率为39.91%,女性患病率为36.52%。多因素Logistic回归模型分析结果显示,与日喀则居民高血压相关的危险因素包括年龄、BMI、吸烟、饮酒,其中年龄、BMI、吸烟与高血压成正相关,饮酒与高血压呈负相关。结论在日喀则地区世居居民中,年龄、BMI、吸烟这三种因素均为高血压的危险因素,饮酒则为高血压的保护因素。
Objective To investigate the prevalence of hypertension among residents over 18 years of age in Shigatse, Tibet, and to explore the correlation between different influencing factors and the incidence of hypertension. Methods A questionnaire survey and field blood pressure measurements were used to collect the information of age, education, occupation, smoking, drinking, body mass index(BMI) and salt intake were collected from 391 residents in Shigatse area. Logistic regression analysis of SPSS was used for statistical analysis. Results 391 questionnaires showed that the prevalence of hypertension was 38.36%, of which 39.91% was male and 36.52% was female. The results of multivariate Logistic regression analysis showed that the factors associated with hypertension in Shigatse residents included age, BMI, smoking and drinking, in which age and BMI, smoking were positively correlated with hypertension. Alcohol consumption was negatively correlated with hypertension. Conclusion In Shigatse area, age, BMI and smoking were the risk factors of hypertension, while drinking alcohol was protective factor of hypertension.
Objective To investigate the prevalence of hypertension among residents over 18 years of age in Shigatse, Tibet, and to explore the correlation between different influencing factors and the incidence of hypertension. Methods A questionnaire survey and field blood pressure measurements were used to collect the information of age, education, occupation, smoking, drinking, body mass index(BMI) and salt intake were collected from 391 residents in Shigatse area. Logistic regression analysis of SPSS was used for statistical analysis. Results 391 questionnaires showed that the prevalence of hypertension was 38.36%, of which 39.91% was male and 36.52% was female. The results of multivariate Logistic regression analysis showed that the factors associated with hypertension in Shigatse residents included age, BMI, smoking and drinking, in which age and BMI, smoking were positively correlated with hypertension. Alcohol consumption was negatively correlated with hypertension. Conclusion In Shigatse area, age, BMI and smoking were the risk factors of hypertension, while drinking alcohol was protective factor of hypertension.
引文
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[2] 彭叶,泽仁拉姆,石威,等.西藏昌都市藏族人群高血压患病率及危险因素分析 [J].重庆医科大学学报:2019,1-4.DOI:10.13406/j.cnki.cyxb.001841.Peng Y,Zeren LM,Shi W,et al.Analysis of prevalence and risk factors of hypertension in Tibetan population in Changdu,Tibet [J].Journal of Chongqing Medical University:2019,1-4 .DOI:10.13406/j.cnki.cyxb.001841.
[3] 潘峰,王惠君,王志宏,等.2011年中国中老年人群高血压医疗费用评估 [J].卫生研究,2017,46(2):246-250 Pan F,Wang HJ,Wang ZH,et al.Medical cost assessment of hypertension in Chinese middle-aged people in 2011 [J].Health Research,2017,46(2):246-250
[4] 胡以松,姚崇华,王文志,等.2002年中国部分民族高血压患病情况 [J].卫生研究,2006(5):573-575.Hu YS,Yao CH,Wang WZ et al.Hypertension in some ethnic groups in China in 2002 [J].Health research,2006(5):573-575.
[5] Dong GH,Wang D,Liu MM,et al.Sex difference of the prevalence and risk factors associated with prehypertension among urban Chinese adults from 33 communities of China:the CHPSNE study [J].J Hypertens,2012,30(3):485-491.DOI:10.1097/HJH.0b013e32834f9dd3.
[6] Zheng X,Yao DK,Zhuo-Ma CR,et al.Prevalence,self-awareness,treatment,and control of hypertension in Lhasa,Tibet [J].Clin Exp Hypertens,2012,34(5):328-333.
[7] 徐绍鹏.西藏昌都地区藏汉族成人高血压患病率及危险因素调查 [D].天津医科大学,2013.Xu SP.Investigation on prevalence and risk factors of hypertension in Tibetan and Han adults in Changdu area,Tibet [D].Tianjin Medical University,2013
[8] 张高辉,巴桑片多,巴桑诺布,等.日喀则市桑珠孜区成年居民高血压流行状况 [J].中华疾病控制杂志,2018,22(05):529-531.DOI:10.16462/j.cnki.zhjbkz.2018.05.022.Zhang GH,BaSang PD,BaSang NB,et al.Prevalence of hypertension among adult residents in Sangzhizi District,Xigaze City [J].Chin J Dis Control Prev,2018,22(05):529-531.DOI:10.16462/j.cnki.zhjbkz.2018.05.022.
[9] 洪令瑶,刘庆华,陈崴,等.西藏地区成年居民高血压患病情况及其影响因素分析 [J].中国公共卫生,2017,33(3):380-383.Hong Linyao,Liu Qinghua,Chen Wei,et al.Analysis of prevalence and influencing factors of hypertension in adult residents in Tibet [J].Chinese Journal of Public Health,2017,33(3):380-383.
[10] Wang J,Zhang L,Wang F,et al.Prevalence,awareness,treatment,and control of hypertension in China:results from a national survey [J].Am J Hypertens,2014,27(11):1355-1361.DOI:10.1016/j.jash.2018.01.013.
[11] 凌雅琴.吸烟对高血压病人影响的研究进展 [J].全科护理,2015,13(30):3001-3003.Ling YQ.Research progress on the effect of smoking on patients with hypertension [J].General nursing,2015,13(30):3001-3003.DOI:10.3969/J.ISSN.1674-4748.2015.30.00.
[12] 颜穗珺,李会芳.中国少数民族高血压患病率及其危险因素 [J].中华临床医师杂志(电子版),2017,11(7):1171-1174.DOI:10.3877/cma.j.issn.1674-0785.2017.07.024.Yan SJ,Li HF.Prevalence of Chinese minority hypertension and its risk factors [J].Chinese Journal of Clinicians(Electronic Version),2017,11(7):1171-1174.DOI:10.3877/cma.j.issn.1674-0785.2017.07.024.
[13] Holmes MV,Dale CE,Zuccolo L,et al.Association between alcohol and cardio-vascular disease:Mendelian randomisation analysis based on individual partici-pant data [J].BMJ,2014,349:g4164.DOI:10.1136/bmj.g4164.
[14] 2010年我国成年人高血压流行病学调查 [J].中国循环杂志,2013,28(1):16.Epidemiological investigation of hypertension in adults in China in 2010 [J].Chinese Circulation Journal,2013,28(1):16.