中国中老年人群高血压患病影响因素分析

Influencing factors of hypertension prevalence among middle-aged and elderly people in China

目的了解中国中老年人群高血压患病的影响因素,为采取相应的干预措施提供参考依据。方法收集2015年中国健康与养老追踪调查(CHARLS)中6 366名中老年人群的数据资料,应用多因素非条件logistic回归模型分析中老年人群高血压患病的影响因素。结果调查的6 366名中老年人群中,非高血压者3 622人(56.90%),高血压者2 744例(43.10%);多因素非条件logistic回归分析结果显示,年龄较大、有高血脂史、有高血糖史、中心性肥胖和体质指数较高为中国中老年人群高血压患病的危险因素,女性、在婚、每周有体力活动和每月有社交活动为中国中老年人群高血压患病的保护因素。结论肥胖、超重、有高血脂史和有高血糖史是中国中老年人群高血压患病的主要影响因素。

Objective To examine influencing factors of hypertension prevalence among the middle-aged and elderly people in China and to provide evidences for developing relevant intervention measures. Methods Data on 6 366 middle- aged and elderly people were extracted from the China Health and Retirement Longitudinal Study （CHARLS） conducted in 2015. Multivariate unconditional logistic regression model was used to analyze influencing factors of hypertension in the participants. Results Totally 2 744 hypertensives were identified and the hypertension prevalence was 43.10 % among the participants. The results of unconditional logistic regression demonstrated that older age, hyperlipemia history, hyperglycemia history, central obesity, and high body mass index were risk factors for hypertension; while female gender, married, weekly physical activity, and monthly social activities were protective factors for hypertension among the participants. Conclusion Obesity, overweight, the history of hyperlipidemia, and the history of hyperglycemia are the main factors affecting the prevalence of hypertension in the middle-aged and elderly people in China.