From the School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR, China and Food and Health Bureau, The Government of the Hong Kong Special Administrative Region, Hong Kong, China
From the School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR, China and Food and Health Bureau, The Government of the Hong Kong Special Administrative Region, Hong Kong, China.
QJM. 2015 Jan;108(1):9-17. doi: 10.1093/qjmed/hcu129. Epub 2014 Jun 16.
Hypertension is one of the most important public health issues worldwide.
We assessed the prevalence rates of self-reported hypertension in Hong Kong between 2001 and 2008 and evaluated factors associated with its prevalence.
Serial cross-sectional surveys.
Territory-wide Household surveys in the Hong Kong population in the years 2001, 2002, 2005 and 2008 were included. Population-adjusted prevalence of self-reported hypertension were compared across calendar years. The independent association of these variables with hypertension was evaluated by multivariate regression analysis with self-reported hypertension as a binary outcome.
There were 121 895 subjects interviewed, among which 103 367 were adults aged ≥15 years. The age- and gender-adjusted prevalence of self-reported hypertension in 2001, 2002, 2005 and 2008 among male adults was 4.73, 6.68, 7.96 and 9.82%, respectively, and among female adults, the prevalence was 6.13, 8.28, 10.00 and 11.58%, respectively. Advanced age (adjusted odds ratios [AOR]: 47.1, 95% CI 33.6-66.0 for the age group 40-65 years; AOR 256.2, 95% CI 182.4-360.0 for the age group 66-100 years; referent 0-39 years), female gender (AOR 0.81, 95% CI 0.74-0.88 for male) and a low median household income (AOR 1.56, 95% CI 1.31-1.85 for income ≤ US$1289; referent ≥ US$6444) were significantly associated with hypertension (all P < 0.001).
This is the first study to show differences between socioeconomic groups in this Chinese population with higher rates among women and the less affluent. Similarly, it is the first to show gender differences with higher rates among women.
高血压是全球最重要的公共卫生问题之一。
我们评估了 2001 年至 2008 年期间香港居民中自我报告高血压的患病率，并评估了与高血压患病率相关的因素。
香港全人群的系列横断面调查。
2001 年、2002 年、2005 年和 2008 年进行了全港居民家庭调查。按年龄和性别调整的自我报告高血压患病率在历年之间进行了比较。采用多元回归分析，以自我报告高血压为二分类结局，评估这些变量与高血压的独立相关性。
共调查了 121895 人，其中 103367 人为年龄≥15 岁的成年人。2001 年、2002 年、2005 年和 2008 年，成年男性自我报告高血压的年龄和性别调整患病率分别为 4.73%、6.68%、7.96%和 9.82%，成年女性分别为 6.13%、8.28%、10.00%和 11.58%。年龄较大（调整后的优势比[OR]：40-65 岁年龄组 47.1，95%可信区间[CI] 33.6-66.0；66-100 岁年龄组 256.2，95% CI 182.4-360.0；参考 0-39 岁）、女性（男性 OR 0.81，95% CI 0.74-0.88）和家庭收入中位数较低（收入≤1289 美元 OR 1.56，95% CI 1.31-1.85；参考收入≥6444 美元）与高血压显著相关（均 P<0.001）。
这是第一项研究表明在这个中国人群中，社会经济群体之间存在差异，女性和较贫困者的高血压患病率较高。同样，这也是第一项表明女性高血压患病率较高的研究。
