摘要
目的了解2014年北京市常住18～79岁血压升高人群的血压分布特征、血压测量特点及认知情况。方法采用多阶段分层随机整群抽样的方法,在北京市16个区共抽取20 080人为调查对象,实际应答人数为19 815人,其中有效血压升高人数5513名。分析其血压水平、血压测量时间、血压自我判断在不同性别、年龄、文化程度人群的分布差异,以及准确判断自我血压水平的影响因素。结果血压升高率为25.9%。血压升高人群的平均收缩压为149.2(95%CI:148.9～149.6)mmHg。平均舒张压为92.5(95%CI:92.3～92.8)mmHg。收缩压水平在性别间差异无统计学意义,而舒张压水平男性高于女性(P<0.05)。随着年龄的增加,收缩压水平升高,舒张压水平降低(P<0.05)。1个月内有23.7%的调查对象测量过血压,有14.6%的调查对象从未测量过或记不清测血压。有81.5%的调查对象认为知晓自己的血压情况,但只有36.6%的调查对象能准确判断自我的血压水平。职业、医疗保险形式、是否诊断过高血压(OR=17.507)和最近一次测量血压时间(OR=0.27)是准确判断自我血压水平的影响因素。结论需提供更可及的基层血压测量健康服务,加强早期发现及患者管理能力,并对全人群开展高血压的健康教育工作。
Objective To investigate the blood pressure distribution,blood pressure measurement and cognition in population aged 18-79 years old with raised blood pressure in Beijing in 2014.Methods A multistage stratified random cluster sampling method was used to collect 20 080 subjects in 16 districts of Beijing.The number of responders was 19 815 and the number of effective raised blood pressure population was 5513.The distribution of blood pressure,blood pressure measurement,and blood pressure self-report in different gender,age and educational level,and the influencing factors for judging self-blood pressure level were analyzed.Results The prevalence of raised blood pressure was 25.9%.The mean of systolic blood pressure was 149.2(95%Cl:148.9-149.6)mmHg.The mean of diastolic blood pressure was 92.5(95%Cl:92.3-92.8)mmHg.There was no significant difference in systolic blood pressure between different genders,but dias-tolic blood pressure was higher in male than that in female(P<0.05).With increasing in age,the level of systolic blood pressure was increased,the level of diastolic blood pressure was decreased(P<0.05).The proportion of people who had measured blood pressure within 1 month was 23.1%.14.6%of the respondents had never measured blood pressure.81.5%of the respondents thought that they knew their blood pressure,but only 36.6%of the respondents could accurately judge their blood pressure level.Occupation,medical insurance forms,whether being diagnosed of hypertension(OR-17.507)and the latest measurement time of blood pressure(OR-0.627)were influencing factors for judging blood pressure level.Conclusion It is necessary to provide accessible blood pressure measurement in primary health services,strengthen early detection and patient management capacity,and carry out blood pressure health education for the whole population.
作者
董晶
马爱娟
方凯
李航
隗瑛琦
谢晨
姜博
谢瑾
祁琨
周滢
赵越
董忠
DONG Jing;MA Ai-juan;FANG Kai;LI Hang;WEI Ying-qi;XIE Chen;jIANG Bo;XIE Jin;QI Kun;ZHOU Ying;ZHAO Yue;DONG Zhong(Beijing Municipal Center for Disease Prevention and Control,Beijing Research Center for Preven-tive Medicine,Beijing100013,China)
出处
《中国健康教育》
北大核心
2018年第3期205-211,共7页
Chinese Journal of Health Education
关键词
血压升高
血压测量
认知
健康教育
Raised blood pressure
Blood pressure measurement
Cognition
Health education
