上海市某郊区居民血压分布特征及影响因素分析
上海市嘉定区安亭镇黄渡社区卫生服务中心 2.上海市嘉定区嘉定镇街道社区卫生服务中心 3.上海市嘉定区华亭镇社区卫生服务中心
目的 分析上海市某郊区社区居民血压水平的现况和影响因素。方法 采用分层整群随机抽样方法对在上海市嘉定区某郊区抽取的1 246名居民进行问卷调查、体格检查等,并应用多水平模型分析居民的资料。采用SPSS 20.0软件进行数据统计分析。结果 共纳入1 246例居民,男性居民538例,女性居民708例,吸烟占比11.96%,饮酒占比8.59%。居民高血压患病率为43.82%。体质指数(BMI)、性别、受教育年限(6年以上)、吸烟、有糖尿病等是居民血压的危险因素(P<0.05)。结论 高血压患病率偏高,BMI、性别、受教育年限(6年以上)、吸烟、有糖尿病均可影响居民血压水平。建议社区居民可以定期居家测量血压,可以早期发现高血压,可以通过健康教育、科普视频等综合措施,提高血压知晓率,加强居民的血压控制,降低心脑血管事件发生。
Objective To analyze the current status and influencing factors of blood pressure levels among residents in a suburban community in Shanghai. Methods A stratified cluster random sampling method was used to conduct a questionnaire survey and physical examination on 1,246 residents in a suburban area of Jiading District, Shanghai. A multilevel model was applied to analyze the residents' data. Data were statistically analyzed using SPSS 20.0 software. Results A total of 1,246 residents were included in the study, including 538 male residents and 708 female residents. The proportion of smokers was 11.96% and that of drinkers was 8.59%. The prevalence of hypertension among residents was 43.82%. Body mass index(BMI), gender, years of education(more than 6 years), smoking, and having diabetes were identified as risk factors for hypertension among residents(P<0.05). Conclusion The prevalence of hypertension is relatively high. BMI, gender, years of education(more than 6 years), smoking, and having diabetes can all affect residents' blood pressure levels. It is suggested that community residents can regularly measure their blood pressure at home to detect hypertension early. Through comprehensive measures such as health education and science popularization videos, the awareness rate of blood pressure can be increased, and residents' blood pressure control can be strengthened to reduce the occurrence of cardiovascular and cerebrovascular events.
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共 17 条- [1]Kearney P M,Whelton M,Reynolds K,et al. Global burden of hypertension:analysis of worldwide data[J].Lancet,2005,365(9455):217-223.
- [2]中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华高血压杂志,2011,19(8):701-743.
- [3]Lu J,Lu Y,Wang X,et al. Prevalence,awareness,treatment,and control of hypertension in China:data from 1.7 million adults in a population-based screening study(China PEACE Million Persons Project)[J].Lancet,2017,390(10112):2549-2558.
- [4]Huang Y,Su L,Cai X,et al. Association of all-cause and cardiovascular mortality with prehypertension:a meta-analysis[J]. Am Heart J,2014,167(2):160-168.
- [5]朱颖,孟令民,安利杰,等.正常高值收缩压与人群全因死亡的关系[J].中华高血压杂志,2017,25(7):668-672.
- [6]中国高血压防治指南修订委员会,高血压联盟(中国),中国医疗保健国际交流促进会高血压病学分会,等.中国高血压防治指南(2024年修订版)[J].中华高血压杂志(中英文),2024,32(7):603-700.
- [7]阮丹杰,杨正强.北京市怀柔区高血压病流行病学调查及危险因素分析[J].北京医学,2010,32(7):516-518.
- [8]辛雪,顾东风,高玖鸣,等.工作压力对高血压患病危险的流行病学研究[J].中华医学杂志,2001,81(18):1110-1112.
- [9]Hall JE,do Carmo JM,da Silva AA,et al. ObesityInduced Hypertension Interaction of Neurohumoral and Renal Mechanisms[J]. Circulation research,2015,116(6):991-1006.
- [10]Movahed MR,Lee JZ,Lim WY,et al. Strong independent association between obesity and essential hypertension[J]. Clin Obes,2016,6(3):189-192.
- [11]Fitzmaurice C,Abate D,Abbasi N,et al. Global,regional,and national cancer incidence,mortality,years of life lost,years lived with disability,and disability-adjusted life-years for 29 cancer groups,1990 to 2017:a systematic analysis for the global burden of disease study[J]. JAMA Oncol,2019,5(12):1749-1768.
- [12]Jensen MD,Ryan DH,Apovian CM,et al. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society[J].Journal of the American College of Cardiology,2014,63(25):2985-3023.
- [13]Yeo WJ,Abraham R,Surapaneni AL,et al. Sex Differences in Hypertension and its Management Throughout life[J]. Hypertension,2024,81(11):2263-2274.
- [14]姜聪,赵苗苗,郑永韬,等.我国东部经济欠发达地区60岁以上社区人群糖尿病及高血压的患病现状调查[J].同济大学学报(医学版),2018,39(1):118-123.
- [15]Behuliak M,Bencze M,Vaněčková,et al. Basal and activated calcium sensitization mediated by RhoA/rho kinase pathway in rats with genetic and salt hypertension[J]. Biomed Res Int,2017,2017:8029728.
- [16]朱灵妍,姚成增,蒋梅先,等.不同合并症高血压患者血压昼夜节律的对比研究[J].中华中医药学刊,2015,33(9):2098-2103.
- [17]中国高血压联盟《家庭血压监测指南》委员会. 2019中国家庭血压监测指南[J].中国循环杂志,2019,34:635-639.
| 文章编号 | 2026-05-006(期号内编号) |
|---|---|
| 栏目 | 预防医学研究 |
| 作者 | 葛立宾1;秦丽2;袁婧3 |
| 作者单位 | 上海市嘉定区安亭镇黄渡社区卫生服务中心 2.上海市嘉定区嘉定镇街道社区卫生服务中心 3.上海市嘉定区华亭镇社区卫生服务中心 |
| 通信邮箱 | 137437328@qq.com; |
| 基金项目 | 上海市嘉定区卫生健康委员会科研项目(2022-KY-21) |
| 中图分类号 | R544.1 |
| 卷期页码 | 2026, 2(05): 21-24 |
| 发布时间 | 2026-08-15 |
| 出版时间 | 2026-08-15 |
| 引用信息 | [1]葛立宾,秦丽,袁婧.上海市某郊区居民血压分布特征及影响因素分析[J].疾病预防与控制,2026,2(05):21-24. |
| 全文地址 | 在知网查看该文(kns.cnki.net) |
| 数据抓取时间 | 2026-09-22T12:07:28 |