吉林省成年居民高血压现况调查分析

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。

Prevalence survey on hypertension among adult residents in Jilin province

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 473adults aged 18-79years 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 no significant 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.