[2010年中国成年人高血压患病率]

[Prevalence of hypertension among Chinese adults in 2010].

作者信息

Li Yi-chong, Wang Li-min, Jiang Yong, Li Xiao-yan, Zhang Mei, Hu Nan

机构信息

National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2012 May;46(5):409-13.

PMID:22883726

Abstract

OBJECTIVE

To examine prevalence and distribution of blood pressure level among Chinese adults in 2010.

METHODS

A total of 98 548 adults, which were sampled from 162 surveillance points, were enrolled in the blood pressure measurements in the 2010 China Chronic and non-communicable disease surveillance. Blood pressures were examined by electronic blood pressure monitor. After being weighted according to complex sampling scheme and post-stratification, the sample was used to estimate the prevalence of hypertension by age, gender, urban and rural areas, and geographic locations.

RESULTS

There were 37 461 respondents with hypertension in the sample which indicates an unweighted prevalence of hypertension was 38.0%. The average systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the sample were (132.7 ± 21.9) and (81.4 ± 11.9) mm Hg (1 mm Hg = 0.133 kPa), respectively, whereas the weighted average SBP and DBP were (130.8 ± 21.3) and (80.4 ± 11.7) mm Hg respectively. After being weighted, the weighted prevalence of hypertension in Chinese adults was 33.5% (95%CI: 31.6% - 35.4%). Hypertension prevalence increased with age, which was lowest among residents aged 18 - 24 years (9.7%, 95%CI: 8.5% - 10.9%) and highest among individuals aged 75 years and above (72.8%, 95%CI: 70.4% - 75.2%) (P < 0.05). The prevalence was statistically higher among males (35.1%, 95%CI: 33.1% - 37.1%) than females (31.8%, 95%CI: 29.8% - 33.9%) (P < 0.05). Residents living in urban area had a prevalence of hypertension (34.7%, 95%CI: 32.4% - 37.1%) similar to those in rural area (32.9%, 95%CI: 30.3% - 35.5%) (P > 0.05). Prevalence of hypertension in east, central, and west region of China were 36.2% (95%CI: 33.1% - 39.3%), 34.1% (95%CI: 30.7% - 37.5%), and 28.8% (95%CI: 25.1% - 32.6%) (P < 0.05), respectively.

CONCLUSION

The prevalence of hypertension was quite high among Chinese adults aged 18 years and over in 2010 with variations by gender, age and geographic regions.

摘要

目的

调查2010年中国成年人血压水平的患病率及分布情况。

方法

在2010年中国慢性病与非传染性疾病监测中，从162个监测点抽取了98548名成年人进行血压测量。使用电子血压计测量血压。根据复杂抽样方案和事后分层进行加权后，该样本用于按年龄、性别、城乡地区和地理位置估计高血压患病率。

结果

样本中有37461名高血压患者，这表明未加权的高血压患病率为38.0%。样本的平均收缩压（SBP）和舒张压（DBP）分别为（132.7±21.9）和（81.4±11.9）mmHg（1mmHg = 0.133kPa），而加权后的平均SBP和DBP分别为（130.8±21.3）和（80.4±11.7）mmHg。加权后，中国成年人高血压的加权患病率为33.5%（95%CI：31.6% - 35.4%）。高血压患病率随年龄增长而升高，在18 - 24岁居民中最低（9.7%，95%CI：8.5% - 10.9%），在75岁及以上人群中最高（72.8%，95%CI：70.4% - 75.2%）（P < 0.05）。男性患病率（35.1%，95%CI：33.1% - 37.1%）在统计学上高于女性（31.8%，95%CI：29.8% - 33.9%）（P < 0.05）。城市地区居民的高血压患病率（34.7%，95%CI：32.4% - 37.1%）与农村地区居民相似（32.9%，95%CI：30.3% - 35.5%）（P > 0.05）。中国东部、中部和西部地区的高血压患病率分别为36.2%（95%CI：33.1% - 39.3%）、34.1%（95%CI：30.7% - 37.5%）和28.8%（95%CI：25.1% - 32.6%）（P < 0.05）。