辽宁省本溪市青少年血压偏高现况及其影响因素分析

Prevalence of high blood pressure and its influencing factors among adolescents in Benxi, Liaoning province

目的了解2019年本溪市青少年血压偏高情况,并分析其影响因素,为防控青少年血压偏高制定相应的策略措施提供依据。方法 2019年9-10月,采用多阶段分层随机整群抽样的方法,在本溪市选择3 669名9-18岁青少年,并对其进行问卷调查。利用Logistic回归分析青少年血压偏高的影响因素。结果共3 489名青少年完成调查。本溪市青少年血压偏高率为19.00%。多因素分析发现,影响青少年血压偏高的主要因素有年龄、超重与肥胖、住校情况和中高强度运动情况,其中14-18岁(OR=1.272,95%CI:1.041-1.555)、超重与肥胖(超重OR=2.126,95%CI:1.671-2.706;肥胖OR=4.444,95%CI:3.626-5.445)、不住校(OR=1.514,95%CI:1.099-2.085)、有中高强度运动(中高强度运动1-2 d OR=1.371,95%CI:1.039-1.808);中高强度运动3 d以上(OR=1.437,95%CI:1.110-1.861)是血压偏高的危险因素(P<0.05)。结论本溪市青少年血压偏高率相对较高,应进一步采取有效的防控措施,避免其危险因素的发生,从而有效降低青少年血压偏高的发生。

Objective To understand the prevalence of high blood pressure among adolescents in Benxi in 2019, and to analyze its influencing factors, so as to provide basis for formulating the corresponding strategy and measure to prevent and control the high blood pressure of teenagers. Methods From September to October 2019, 3 669 adolescents aged 9 to 24 years in Benxi were selected as study subjects by using a multi-stage stratified random cluster sampling method. Logistic analysis was used to analyze the influencing factors for high blood pressure. Results Totally 3 489 adolescents finished the survey, and it was found that high blood pressure rate in Benxi was 19.00%. Multivariate analysis showed that age, overweight and obesity, living in school and moderate-to-high intensity exercise were the main factors for high blood pressure in adolescents. The risk factors for high blood pressure included 14 to 18 years old(OR=1.272, 95%CI:1.041—1.555),overweight and obesity(OR=2.126, 95%CI: 1.671—2.706;OR=4.444, 95%CI: 3.626—5.445), not living in school(OR=1.514,95%CI: 1.099—2.085), moderate and high intensity exercise(moderate to high intensity exercise for 1-2 days per week OR=1.371, 95%CI:1.039—1.808;moderate to high intensity exercise for more than 3 days per week OR=1.437, 95%CI: 1.110—1.861). Conclusion The prevalence rate of high blood pressure is relatively high in Benxi, thus effective prevention and control measures should be taken to reduce the occurrence of high blood pressure.