日本普通人群中社会经济地位与高血压患病率、知晓率、治疗率及控制率的关联：日本国家数据库2010

Associations of socioeconomic status with prevalence, awareness, treatment, and control of hypertension in a general Japanese population: NIPPON DATA2010.

作者信息

Satoh Atsushi, Arima Hisatomi, Ohkubo Takayoshi, Nishi Nobuo, Okuda Nagako, Ae Ryusuke, Inoue Mariko, Kurita Shuji, Murakami Keiko, Kadota Aya, Fujiyoshi Akira, Sakata Kiyomi, Okamura Tomonori, Ueshima Hirotsugu, Okayama Akira, Miura Katsuyuki

机构信息

aDepartment of Public HealthbCenter for Epidemiologic Research in Asia, Shiga University of Medical Sciences, Otsu, ShigacDepartment of Hygiene and Public Health, Teikyo University School of MedicinedCenter for International Collaboration and Partnership, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, TokyoeDepartment of Health and Nutrition, University of Human Arts and Sciences, SaitamafDepartment of Public Health, Jichi Medical University, Shimotsuke, TochigigTeikyo University Graduate School of Public Health, TokyohDepartment of Hygiene and Preventive Medicine, Iwate Medical University, Morioka, IwateiDepartment of Preventive Medicine and Public Health, Keio UniversityjResearch Institute of Strategy for Prevention, Tokyo.

出版信息

J Hypertens. 2017 Feb;35(2):401-408. doi: 10.1097/HJH.0000000000001169.

DOI:10.1097/HJH.0000000000001169

PMID:28005709

Abstract

OBJECTIVE

To investigate associations between socioeconomic status (SES) and prevalence, awareness, treatment, and control of hypertension in Japan's general population.

METHODS

In 2010, we established a cohort of participants in the National Health and Nutrition Survey of Japan. The cohort included 2623 adults from 300 randomly selected areas across Japan. Using baseline data, four cross-sectional analyses were performed: association of SES with prevalent hypertension in 2623 participants; association of SES with unawareness of hypertension and with no treatment in 1282 hypertensive patients; and association of SES with uncontrolled hypertension in 720 treated hypertensive patients. SES was classified according to employment status, length of education, marital and living status, and household expenditure.

RESULTS

The overall prevalence of hypertension was 48.9%. Among hypertensive participants, the proportions of unawareness and no treatment were 33.1 and 43.8%, respectively. Target blood pressure levels were not achieved among 61.2% of treated hypertensive patients. Hypertension was more prevalent in the unmarried and living alone group than in the married group (odds ratio 1.76; 95% confidence interval 1.26-2.44), after adjustment for age, sex, BMI, smoking, alcohol consumption, habitual exercise, history of cardiovascular diseases, diabetes mellitus, hypercholesterolemia, dietary sodium, and potassium intake. SES was not clearly associated with unawareness, no treatment, nor poor control of hypertension.

CONCLUSION

Being unmarried and living alone was associated with increased prevalence of hypertension. There was no clear association of SES with unaware, untreated, and uncontrolled hypertension.

摘要

目的

调查日本普通人群中社会经济地位（SES）与高血压患病率、知晓率、治疗率及控制率之间的关联。

方法

2010年，我们建立了一个日本国民健康与营养调查参与者队列。该队列包括来自日本300个随机选取地区的2623名成年人。利用基线数据进行了四项横断面分析：SES与2623名参与者中高血压患病率的关联；SES与1282名高血压患者中高血压知晓不足及未接受治疗的关联；以及SES与720名接受治疗的高血压患者中高血压未得到控制的关联。SES根据就业状况、受教育年限、婚姻和生活状况以及家庭支出进行分类。

结果

高血压总体患病率为48.9%。在高血压参与者中，知晓不足和未接受治疗的比例分别为33.1%和43.8%。61.2%接受治疗的高血压患者未达到目标血压水平。在调整年龄、性别、体重指数、吸烟、饮酒、习惯性运动、心血管疾病史、糖尿病、高胆固醇血症、饮食钠和钾摄入量后，未婚独居组的高血压患病率高于已婚组（优势比1.76；95%置信区间1.26 - 2.44）。SES与高血压知晓不足、未接受治疗及控制不佳无明显关联。