我国高校教职工高血压流行病学研究的Meta分析

Meta analysis of studies on epidemiology of hypertension in college and university teachers and staff

目的:系统了解我国高校教职工高血压的流行病学状况,以便更好地开展高血压的预防保健工作。方法:全面检索我国高校教职工高血压流行病学研究的中英文文献,筛选文献,提取数据,使用Stata14.0对我国高校教职工高血压患病率、知晓率、治疗率和控制率进行Meta分析。结果:最终纳入73篇文献,高血压合并患病率为23.3%(95%CI=21.1%-25.6%),男性教职工合并患病率为27.2%(95%CI=24.4%-30.0%),女性教职工合并患病率为18.6%(95%CI=16.6%-20.6%)。高校教职工高血压患病率随年龄增加而升高,随调查年代的由远及近呈显著上升趋势,从我国东部、中部到西部患病率依次降低。高校教职工高血压合并知晓率为68.3%(95%CI=59.7%-76.8%),合并治疗率为63.7%(95%CI=55.5%-71.9%),合并控制率为37.7%(95%CI=28.0%-47.5%)。结论:我国高校教职工高血压的患病率存在性别、年龄和地域差异,知晓率接近国际一般水平,但治疗率和控制率低。

Objective To more effectively prevent hypertension and provide better health care for college and university teachers and staff by keeping abreast with the epidemiology of hypertension. Methods The data were extracted from the selected Chinese and English papers on epidemiology of hypertension,which was followed by a meta-analysis of the prevalence,awareness rate,cure rate,and control rate of hypertension in college and university teachers and staff of China.Results A total of 73 papers were included in this study. The total prevalence of hypertension was 23.3%（ 95%CI = 21.1%-25.6%）,the prevalence of hypertension was 27.2%（ 95%CI = 24.4%-30.0%） in male hypertensive teachers and staff and was 18.6%（ 95%CI = 16.6%-20.6%） in female hypertensive teachers and staff.The prevalence of hypertension increased with the increasing age and tended to increase with the year of investigation in college and university teachers and staff of China,and was the lowest in East China followed by Central China and West China. The awareness rate,cure rate and control rate of hypertension were 68.3%（ 95%CI = 59.7%-76.8%）,63.7%（ 95%CI = 55.5%-71.9%）,and 37.7%（ 95%CI = 28.0%-47.5%） respectively in college and university teachers and staff of China.Conclusion The prevalence of hypertension is different in college and university teachers and staff of China due to different sexes,ages and areas.