Fu Shiying, Cao Yamin, Li Yaoping
The Cardiologe Department, the First Hospital of Haerbin Medical Univesty, Haerbin 150001, China.
Zhonghua Nei Ke Za Zhi. 2002 Feb;41(2):114-6.
To find out the epidemiological features of hypertension in Heilongjiang Province, so as to provide guidance and scientific ebidence for hypertensive prophylaxis and treatment.
From the year of 1959 to 1999, 289 157 people in total with age >/= 15 years old (male 154 091, female 135 066) were investigated with stratified chunk method in rural and urban areas in Heilonging Province.
Hypertensive incidence in Heilongjiang is much higher than the average level in China (P < 0.01). Hypertensive incidence has become higher and higher during the 40 years it increased 105%. It is in the recent ten years that hypertensive incidence increased most fast. Hypertensive incidence increased more obviously in male than in female (P < 0.01). Hypertensive incidence also increased with aging. Hypertensive incidence has increased both in urban and rural areas, with the urban incidence higher than rural (P < 0.01). Blood lipids (TC, TG, LDL-C, VLDL-C) of the subjects receiving this analysis in the year of 1999 was much higher than those in 1985 (P < 0.01). Alcohol drinking is related to hypertension (OR = 2.18). Smoking is also related to hypertension (OR = 1.29). People with body mass index (BMI) >/= 20 had higher hypertensive incidence (17.56%) than those with BMI < 20 (7.69%). 39 possible related factors of hypertension were analyzed; it is shown that profession of cadre, high BMI, alcohol drinking, male gender, mother's history of hypertension high salt diet and old age are the main risk factors of hypertension.
The programs of prophylaxis and treatment of hypertension should be enhanced in this province.
了解黑龙江省高血压的流行病学特征，为高血压的预防和治疗提供指导及科学依据。
1959年至1999年，采用分层整群抽样方法，对黑龙江省城乡15岁及以上人群289157人（男154091人，女135066人）进行调查。
黑龙江省高血压发病率远高于全国平均水平（P<0.01）。40年间高血压发病率呈上升趋势，增长了105%，近10年增长最快。男性高血压发病率增长比女性更明显（P<0.01）。高血压发病率也随年龄增长而升高。城乡高血压发病率均上升，城市高于农村（P<0.01）。1999年接受本次分析对象的血脂（TC、TG、LDL-C、VLDL-C）水平高于1985年（P<0.01）。饮酒与高血压有关（OR=2.18）。吸烟也与高血压有关（OR=1.29）。体质指数（BMI）≥20者高血压发病率（17.56%）高于BMI<20者（7.69%）。分析了39个可能与高血压有关的因素，结果显示干部职业、高BMI、饮酒、男性、母亲有高血压病史、高盐饮食及高龄是高血压的主要危险因素。
该省应加强高血压的预防和治疗工作。
