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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%)高于女性(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。
Objective: To understand the blood pressure level, the prevalence and distribution of hypertension among adult residents in Jilin Province, and provide evidence for the development of targeted hypertension prevention and control strategies. Methods: A total of 20 473 adult residents aged 18-79 years were enrolled in Jilin province in 2012 by means of multi-stage stratified cluster random sampling. Physical examination and face-to-face questionnaire were conducted to obtain the prevalence of hypertension. Blood pressure was measured by electronic sphygmomanometer , The sample data passed the complicated weighted statistical analysis to estimate the province’s blood pressure level and the prevalence of hypertension. Results: After complicated weighting, the systolic blood pressure of adult residents in Jilin Province was (128.1 ± 20.2) mmHg and diastolic pressure was (78.4 ± 11.6) mmHg. The prevalence of hypertension was 30.5% (95% CI: 29.7% ~ 31.2% (34.4%, 95% CI: 33.3% -35.6%) were higher than those in women (26.3%, 95% CI: 25.3% -27.2%). The eastern region (33.2% , 95% CI: 31.4% -35.1%) and the western region (32.4%, 95% CI: 30.5% -34.3%) were higher than those in the central region (29.0%, 95% CI: 28.1% -29.9% (30.4%, 95% CI: 29.3% ~ 31.4%) and rural residents (30.6%, 95% CI: 29.6% ~ 31.7%) were significantly different The difference was not statistically significant (P> 0.05). Conclusion: The prevalence of hypertension among adult residents in Jilin Province in 2012 is higher than that of previous surveys. There are differences in age, gender and region, suggesting that the prevention and treatment of hypertension should be targeted with its epidemiological characteristics.