Wang X, Zhang M, Wang Z H, Zhang X, Zhao Z P, Huang Z J, Qi S G, Li C, Xu X H, Wang L M
Division of Non-communicable Disease Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Division of Elderly Health, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2020 Mar 10;41(3):379-384. doi: 10.3760/cma.j.issn.0254-6450.2020.03.019.
To study the correlation between hypertension label and self-rated health (SRH) in adults aged ≥18 years in China. Data were from 2013 Chronic Non-communicable Disease and Risk Factor Surveillance Project. The project collected the information through multi stage stratified cluster sampling, face-to-face questionnaire survey and on-site body measurement. The SRH status of the adults was inquired according to the recommendation of Behavioral Risk Factor Surveillance System (BRFSS) in the United States. Blood pressure measurement was performed by using OMRON HBP-1300 electronic sphygmomanometer. Surveymeans and surveyfreq processes were used to describe the general characteristics of the sample population. The cumulative odds logit model was implemented by the processes of surveylogistic to analyze the association between hypertension label and self-rated health in adults in China. A total of 173 008 subjects were included in this study. Hypertension was associated with poorer SRH (=1.29, 95: 1.22-1.35, <0.001), but this association was eliminated by adjustment for hypertension label (=0.670). Hypertension label was associated with poorer SRH (=2.09, 95: 1.96-2.23, <0.001) and the association was still significant even after adjusting for actual hypertension status (=2.08, 95: 1.94-2.23, <0.001). In hypertension group, those with hypertension label had poorer SRH than those without hypertension label (=2.18, 95: 2.02-2.36, <0.001). In normal blood pressure group, those with hypertension label had poorer SRH than those without hypertension label (=1.89, 95: 1.64-2.18, <0.001). Men's SRH was more sensitive to hypertension label, especially in hypertension group (=2.20, 95: 1.98-2.45, <0.001). The results were all adjusted for demographic factors, smoking status, alcohol consumption, physical activity and chronic diseases. Hypertension label is associated with self-rated health independently in adults in China. The diagnosis of hypertension should strictly follow the latest guidelines.
研究中国≥18岁成年人中高血压标签与自评健康（SRH）之间的相关性。数据来自2013年慢性非传染性疾病和危险因素监测项目。该项目通过多阶段分层整群抽样、面对面问卷调查和现场身体测量收集信息。根据美国行为危险因素监测系统（BRFSS）的建议询问成年人的SRH状况。使用欧姆龙HBP - 1300电子血压计进行血压测量。使用调查均值和调查频率过程来描述样本人群的一般特征。通过调查逻辑过程实施累积比值对数模型，以分析中国成年人中高血压标签与自评健康之间的关联。本研究共纳入173008名受试者。高血压与较差的SRH相关（比值比 = 1.29，95%置信区间：1.22 - 1.35，P < 0.001），但通过调整高血压标签后这种关联被消除（比值比 = 0.670）。高血压标签与较差的SRH相关（比值比 = 2.09，95%置信区间：1.96 - 2.23，P < 0.001），即使在调整实际高血压状态后该关联仍显著（比值比 = 2.08，95%置信区间：1.94 - 2.23，P < 0.001）。在高血压组中，有高血压标签者的SRH比无高血压标签者差（比值比 = 2.18，95%置信区间：2.02 - 2.36，P < 0.001）。在正常血压组中，有高血压标签者的SRH比无高血压标签者差（比值比 = 1.89，95%置信区间：1.64 - 2.18，P < 0.001）。男性的SRH对高血压标签更敏感，尤其是在高血压组（比值比 = 2.20，95%置信区间：1.98 - 2.45，P < 0.001）。所有结果均针对人口统计学因素、吸烟状况、饮酒、身体活动和慢性病进行了调整。在中国成年人中，高血压标签与自评健康独立相关。高血压的诊断应严格遵循最新指南。
