Epidemiological characteristics and risk factors of hypertension in residents in Songjiang District， Shanghai： a cohort based cross-sectional study
10.19428/j.cnki.sjpm.2022.21141
- VernacularTitle:上海市松江区居民高血压流行现状及相关因素分析：基于队列的横断面研究
- Author:
Yiling WU
1
;
Jing LI
2
;
Wei WANG
3
;
Ying GUAN
1
;
Yonggen JIANG
1
;
Genming ZHAO
4
Author Information
1. Songjiang District Center for Disease Control and Prevention， Shanghai 201620， China
2. Zhongshan Community Health Service of Songjiang District， Shanghai 201620， China
3. Xinqiao Community Health Service of Songjiang District， Shanghai 201620， China
4. School of Public Health， Fudan University， Shanghai 200032， China
- Publication Type:Journal Article
- Keywords:
hypertension;
prevalence;
awareness rate;
treatment;
risk factor
- From:
Shanghai Journal of Preventive Medicine
2022;34(4):371-375
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo determine the epidemiological characteristics and risk factors of hypertension in residents in Songjiang District of Shanghai， and provide evidence for prevention and control of hypertension. MethodsLocal residents aged between 20 and 74 years were recruited from four towns in Songjiang District from 2016 to 2017 by using a multistage sampling strategy. Questionnaire surveys were conducted， and then physical examination， blood pressure measurement， glucose test and lipid test were performed. The data was analyzed by SPSS 16.0 software. Chi-square test was used to compare the differences in the prevalence of hypertension in residents， stratified by demographics and health conditions. Risk factors were determined by multivariate logistic regression. ResultsAmong 35 759 residents with a median age of 58 years and the proportion of male being 40.67%， crude prevalence of hypertension was 54.24% （19 395/35 759） and standardized prevalence was 31.69%. In the hypertensive patients， proportion of hypertension awareness was 61.09%， with 63.67% in male and 59.10% in female. Proportion of receiving treatment was 49.00%， with 50.91% in male and 47.51% in female. Furthermore， in the hypertensive patients with treatment， proportion of effectively controlling hypertension was 40.50%， with 44.46% in male and 37.21% in female. Multivariate logistic regression showed that male （OR=1.272）， senior age （40‒59 years old： OR=4.353， 60‒74 years old： OR=9.802）， overweight （OR=1.823）， obesity （OR=3.070）， central obesity （OR=1.380）， diabetes （OR=1.923）， dyslipidemia （OR=1.452）， and drinking （OR=1.338） were risk factors associated with hypertension. ConclusionPrevalence of hypertension is high， while the proportions of receiving treatment and effective control remain low in residents in Songjiang District. It warrants strengthening prevention and control of hypertension in targeted and young residents.
