Bi H T, Su J, Chen L L, Cui L, Tao R, Zhou J Y, Qin Y
Baotou Prefectural Center for Disease Control and Prevention, Baotou 014000, China.
Department of Non-communicable Chronic Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2024 Jul 10;45(7):947-954. doi: 10.3760/cma.j.cn112338-20240122-00034.
To understand the prevalence, blood pressure control, and influencing factors of hypertension in residents aged 35-75 years in Jiangsu Province, and provide data support and basis for hypertension prevention and treatment. A stratified cluster sampling method was adopted to conduct community population surveys in 22 districts and counties in 12 prefectures in Jiangsu from 2021 to 2022. A total of 123 531 permanent residents aged 35-75 years were included in the study. The questionnaire survey collected the information about the demographic characteristics, disease history, lifestyle, and control of hypertension of study subjects. Statistical software SPSS 23.0 was used for test and multivariate logistic regression analysis, and Joinpoint 4.9.1.0 software was used to evaluate the trend of age change. The standardized prevalence of hypertension in study subjects was 46.60%, the prevalence was higher in men than in women, and in rural residents than in urban residents, and the standardized blood pressure control rate was 11.24%, and it was lower in men than in women and in rural residents than in urban residents. The hypertension prevalence and control rates showed increasing trends with age (both <0.001). The multivariate analysis results showed that being man, older age, being rural resident, higher frequency of alcohol consumption, marital status of being separated and widowed, overweight and obese, abdominal obesity and stroke, diabetes mellitus and dyslipidaemic diseases histories, and family history of hypertension were risk factors for hypertension, and being man, being rural resident, living north area, higher frequency of alcohol consumption, and obesity were risk factors for blood pressure control. The prevalence of hypertension in residents aged 35-75 years in Jiangsu was high, and the rate of blood pressure control was low. It is suggested to take integrated intervention measures, especially in in rural residents and people with low levels of education to reduce the disease burden of the patients.
了解江苏省35 - 75岁居民高血压的患病率、血压控制情况及影响因素，为高血压防治提供数据支持和依据。采用分层整群抽样方法，于2021年至2022年对江苏省12个地级市的22个区县进行社区人群调查。共纳入123531名35 - 75岁的常住居民。通过问卷调查收集研究对象的人口学特征、病史、生活方式及高血压控制情况等信息。使用统计软件SPSS 23.0进行检验和多因素logistic回归分析，使用Joinpoint 4.9.1.0软件评估年龄变化趋势。研究对象高血压标准化患病率为46.60%，男性高于女性，农村居民高于城市居民；标准化血压控制率为11.24%，男性低于女性，农村居民低于城市居民。高血压患病率和控制率均随年龄增长呈上升趋势（均P<0.001）。多因素分析结果显示，男性、年龄较大、农村居民、饮酒频率较高、分居和丧偶婚姻状况、超重和肥胖、腹型肥胖、有卒中、糖尿病和血脂异常病史以及高血压家族史是高血压的危险因素；男性、农村居民、居住在北方地区、饮酒频率较高和肥胖是血压控制的危险因素。江苏省35 - 75岁居民高血压患病率高，血压控制率低。建议采取综合干预措施，尤其针对农村居民和文化程度较低人群，以减轻患者疾病负担。
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