2002—2017年上海市35~74岁居民高血压与糖尿病共病流行趋势分析

Trends in prevalence of coexistence of hypertension and diabetes mellitus among residents aged 35-74 years in Shanghai,2002-2017:a surveillance data analysis

目的了解2002—2017年上海市35~74岁居民高血压与糖尿病共病(HTN-DM)的流行趋势,为HTN-DM防控策略及措施的制定提供参考依据。方法收集上海市2002、2009、2017年糖尿病流行病学调查和2013年慢性病及其危险因素监测调查中56927名35~74岁居民高血压和糖尿病患病相关数据,通过计算上海市35~74岁居民HTN-DM的患病率及其年度变化百分比(APC)分析该人群2002—2017年HTN-DM的流行趋势。结果上海市35~74岁居民2002、2009、2013和2017年的HTN-DM患病率分别为4.61%、9.93%、13.41%和18.97%,2002—2017年HTN-DM患病率总体呈上升趋势(APC=9.51%,P=0.003);不同特征居民中,男性、女性、35~44岁、45~54岁、55~64岁、65~74岁、汉族、初中及以下文化程度、高中及以上文化程度、非在婚、在婚、非中心城区和中心城区居民的HTN-DM患病率均呈上升趋势(均P<0.05),且以男性、35~44岁、汉族、高中及以上文化程度、在婚和非中心城区居民的HTN-DM患病率增长更快,APC值分别为9.66%、11.49%、9.53%、10.56%、9.94%和10.09%。结论上海市35~74岁居民2002—2017年HTN-DM患病率呈上升趋势,尤其是男性、35~44岁、汉族、高中及以上文化程度、在婚和非中心城区居民,应加强以上人群高血压与糖尿病的防控工作以减缓HTN-DM的发生发展。

Objective To estimate the trend in the coexistence of hypertension and diabetes mellitus(HTN-DM)among residents aged 35-74 years in Shanghai during 2002-2017 for the prevention and control of the comorbidity.Methods The study data were from four waves of surveillance on diabetes conducted in 2002,2009,2017 and on noncommunicable chronic diseases in 2013 among totally 56927 residents aged 35-74 years in Shanghai.The prevalence of HTN-DM and its annual percentage change(APC)among the residents were calculated to analyze the trend of HTNDM during the period.Results The detected prevalence rates of HTN-DM were 4.61%,9.93%,13.41%and 18.97%in the participants separately surveyed in 2002,2009,2013 and 2017,with a significantly increasing trend over the 16-year period(APC=9.51%,P=0.003).Further analyses revealed that the increasing trend in HTN-DM prevalence was significant in the participants of all subgroups stratified by gender,five-year age grouping,ethnicity,education,marital status,and residential area and the increasing trend was greater for the participants of male gender,aged 35-44 years,being Han ethnicity,with the education of high school and above,being married,and not residing in central urban area,with the APC of 9.66%,11.49%,9.53%,10.56%,9.94%,and 10.09%,respectively.Conclusion The prevalence of HTN-DM showed an increasing trend among 35-74 years old residents in Shanghai over the period from 2002 to 2017,especially among those aged 35-44 years,being male,Han ethnicity,with the education of high school education and above,being married and not residing in central urban areas.