Feng Wei, Ji Wei, Wang Yong, Gong Qinghai, Li Sixuan, Liu Yang, Lou Ge, Liu Shiwei, Li Hui
Fenghua District Center for Disease Control and Prevention, Ningbo, P.R. China.
Ningbo Municipal Center for Disease Control and Prevention, Hangzhou, P.R. China.
Iran J Public Health. 2021 Oct;50(10):1993-2001. doi: 10.18502/ijph.v50i10.7499.
We aimed to analyse the impact of elevated systolic blood pressure (SBP) levels on mortality and life expectancy among ≥25 yr adults in the municipality of Ningbo, China.
The death cause data were collected from the Internet-based Comprehensive Chronic Disease Surveillance System in Zhejiang Province in 2015, and SBP level data were obtained from the Ningbo Adult Chronic Disease Surveillance survey. According to the comparative risk assessment theory, the population attributable fraction (PAF) of elevated SBP levels by gender and urban-rural regions has been calculated. The deaths and life expectancy loss due to elevated SBP levels were estimated.
In 2015, the average SBP level among ≥25 yr adults in Ningbo was 129.01 ± 17.73 mmHg, which was higher in men (131.67 ± 16.89 mmHg) than in women (126.24 ± 18.15 mmHg) and was higher among adults in rural regions (130.55 ± 18.75 mmHg) than among adults in urban regions (127.15 ± 16.19 mmHg). A total of 6181 deaths were attributed to elevated SBP levels among adults in Ningbo. The PAF of deaths caused by elevated SBP levels among adults was 16.14%, which was higher in women (18.73%) than in men (14.31%). The overall loss of life expectancy caused by elevated SBP levels among adults was 1.76 yr, which was higher in women (1.99 yr) than in men (1.53 yr) and was higher in rural regions (1.91 yr) than in urban regions (1.49 yr).
Elevated SBP levels had a serious impact on the death and life expectancy loss of residents in Ningbo.
我们旨在分析收缩压（SBP）水平升高对中国宁波市≥25岁成年人死亡率和预期寿命的影响。
2015年从浙江省基于互联网的慢性病综合监测系统收集死亡原因数据，并从宁波市成人慢性病监测调查中获取SBP水平数据。根据比较风险评估理论，计算了按性别和城乡地区划分的SBP水平升高的人群归因分数（PAF）。估计了SBP水平升高导致的死亡和预期寿命损失。
2015年，宁波市≥25岁成年人的平均SBP水平为129.01±17.73 mmHg，男性（131.67±16.89 mmHg）高于女性（126.24±18.15 mmHg），农村地区成年人（130.55±18.75 mmHg）高于城市地区成年人（127.15±16.19 mmHg）。宁波市成年人中共有6181例死亡归因于SBP水平升高。成年人中SBP水平升高导致的死亡PAF为16.14%，女性（18.73%）高于男性（14.31%）。成年人中SBP水平升高导致的总体预期寿命损失为1.76年，女性（1.99年）高于男性（1.53年），农村地区（1.91年）高于城市地区（1.49年）。
SBP水平升高对宁波市居民的死亡和预期寿命损失有严重影响。
