甘肃省青年高血压及其危险因素调查

Epidemiological investigation of hypertension in young people of Gansu Province

目的调查甘肃省18～44岁青年人群高血压患病现状及其危险因素分析。方法采用分层多阶段随机抽样的方法,抽取甘肃省14个地州市青年13 505人,通过调查问卷和体格检查的方式,横断面调查高血压患病状况并分析其危险因素。结果甘肃省青年高血压患病率为14.91%,其中男性患病率为15.70%,女性患病率为13.77%;城、乡高血压患病率分别为15.62%和14.10%,城市青年高血压患病率高于农村青年高血压患病率（χ^2=10.115,P=0.006）;随年龄增长,不同性别的青年高血压患病率均明显升高（男性：χ^2=49.947,P=0;女性：χ^2=33.369,P=0;总体：χ^2=74.906,P=0）;正常高值血压患病率为24.63%;多因素Logistic分析结果显示年龄、性别、体重指数、吸烟、饮酒、运动、食盐量等因素与高血压的发生关系密切。结论甘肃省青年高血压患病率随年龄增长呈上升状态,不良行为和超重是该人群高血压发病的主要危险因素;进行健康干预对高血压的防控有重要意义。

Objective To investigate the prevalence and the risk factors of hypertensive youths in Gansu Province. Methods A random stratified cluster sampling of adolescent was used in 14 regions of Gansu Province, and total 13 505 youths were investigated by face-to-face questionnaires, and physical measurements at the same time. The results of the questionnaires were statistical analyzed by using SPSS statistics 19.0.Results The morbidity of youths hypertension in Gansu Province was 14.57%,and the prevalence of hypertension in male was 15.41%, while the result in female was 13.43%. There were a great difference in the prevalence rate of hypertension between urban and rural areas（15.21% vs 13.88%, P〈0.05）. Along with the age growth, different gender youth hypertension prevalence were significantly increase（Male： χ^2=49.947, P=0; Female： χ^2=33.369, P=0; All： χ^2=74.906, P=0）. The morbidity of prehypertension in the adolescent of Gansu Province was 28.40%; multivariate logistic regression showed that age, gender, body mass index, smoking, liquor consumption were associated with hypertension. Conclusion The morbidity of female hypertension in Gansu Province increases. Unhealthy behavior and overweight were the major risk factors for youths hypertension and the prevention and control of hypertension was more important in youths.