Yang Jing, Wang Jian-hua, Zhi Xin-yue, Zhu Hong, Liu Xin-min
Department of Epidemiology and Health Statistics, Tianjin Medical University, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2011 Mar;32(3):239-43.
To investigate the prevalence rates of the different subtypes of hypertension and related risk factors in adults from Tianjin.
With multi-stage randomized cluster sampling method, 20 346 people aged 18 years and over were selected from both urban and rural areas of six geographical regions in Tianjin in 2006. A cross-sectional study was conducted. The prevalence rate of isolated systolic hypertension (ISH), isolated diastolic hypertension (IDH), systolic and diastolic hypertension (SDH) and associated risk factors were analyzed with SPSS 17.0 software.
The prevalence rates of hypertension in adults of Tianjin were 7.16% for ISH (standardized rate was 5.33%), 7.09% for IDH (standardized rate was 6.50%), and 13.61% for SDH (standardized rate was 9.94%) respectively. The ISH prevalence rate was lower than that of national rate of 7.6%, but the prevalence rates of IDH and SDH were higher than that of national rates of 4.4% and 7.4% respectively. The results from logistic regression model analyses indicated that the odds ratio (ORs) for combined risk factors of ISH, IDH and SDH in Tianjin that associated with factors as: lower level of education, living in rural areas were 1.291 (95%CI: 1.114 - 1.497), 1.790 (95%CI: 1.533 - 2.091) and 2.117 (95%CI: 1.879 - 2.386) respectively; ageing were 1.080 (95%CI: 1.073 - 1.086), 1.015 (95%CI: 1.010 - 1.020) and 1.055 (95%CI: 1.050 - 1.060) respectively; alcohol assumption were 1.244 (95%CI: 1.036 - 1.492), 1.199 (95%CI: 1.024 - 1.404) and 1.532 (95%CI: 1.345 - 1.744) respectively; overweight were 1.560 (95%CI: 1.358 - 1.792), 1.634 (95%CI: 1.429 - 1.869) and 2.104 (95%CI: 1.890 - 2.342) respectively; obesity were 2.216 (95%CI: 1.861 - 2.640), 3.125 (95%CI: 2.658 - 3.674) and 3.852 (95%CI: 3.383 - 4.385) respectively; impaired fasting glucose were 1.666 (95%CI: 1.327 - 2.092), 1.440 (95%CI: 1.126 - 1.841) and 1.872 (95%CI: 1.572 - 2.230) respectively.
The prevalence rate of the different subtypes of hypertension was quite high in the population of Tianjin city and different measurements on prevention and treatment should be taken according to different subtypes of hypertension.
调查天津市成年人不同亚型高血压的患病率及相关危险因素。
2006年采用多阶段随机整群抽样方法，从天津市6个地理区域的城乡选取20346名18岁及以上人群，进行横断面研究。应用SPSS 17.0软件分析单纯收缩期高血压（ISH）、单纯舒张期高血压（IDH）、收缩期和舒张期高血压（SDH）的患病率及相关危险因素。
天津市成年人ISH患病率为7.16%（标准化率为5.33%），IDH患病率为7.09%（标准化率为6.50%），SDH患病率为13.61%（标准化率为9.94%）。ISH患病率低于全国7.6%的水平，但IDH和SDH患病率分别高于全国4.4%和7.4%的水平。Logistic回归模型分析结果显示，天津市ISH、IDH和SDH合并危险因素与以下因素相关的比值比（OR）分别为：低教育水平、居住在农村地区，分别为1.291（95%CI：1.114 - 1.497）、1.790（95%CI：1.533 - 2.091）和2.117（95%CI：1.879 - 2.386）；年龄增长，分别为1.080（95%CI：1.073 - 1.086）、1.015（95%CI：1.010 - 1.020）和1.055（95%CI：1.050 - 1.060）；饮酒，分别为1.244（95%CI：1.036 - 1.492）、1.199（95%CI：1.024 - 1.404）和1.532（95%CI：1.345 - 1.744）；超重，分别为1.560（95%CI：1.358 - 1.792）、1.634（95%CI：1.429 - 1.869）和2.104（95%CI：1.890 - 2.342）；肥胖，分别为2.216（95%CI：1.861 - 2.640）、3.125（95%CI：2.658 - 3.674）和3.852（95%CI：3.383 - 4.385）；空腹血糖受损，分别为1.666（95%CI：1.327 - 2.092）、1.440（95%CI：1.126 - 1.841）和1.872（95%CI：1.572 - 2.230）。
天津市人群中不同亚型高血压患病率较高，应针对不同亚型高血压采取不同的防治措施。
