1991-2009年广西6市县≥18岁居民高血压流行趋势分析

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目的分析广西1991-2009年≥18岁城乡成人居民高血压流行趋势,为制定和指导居民高血压防治提供参考依据。方法利用1991、1993、1997、2000、2004、2006、2009年“中国健康与营养调查”项目调查资料,选取广西6市县≥18岁城乡居民作为调查对象,分析不同年份、地区、性别、年龄段居民高血压患病率流行趋势。结果广西6市县居民高血压患病率从1991年的9.6%(标化率为11.7%),增至2009年的28.7%(标化率为24.2%),增长速度为198.9%,18年平均增长速度为6.3%。城镇居民高血压患病率高于农村居民,但农村居民高血压增长速度高于城镇居民(365.5%比96.9%,P<0.05)。值得关注的是从2006年后城乡居民的高血压患病率差异无统计学意义(P>0.05)。女性居民高血压患病率增长速度高于男性居民(213.0%比184.2%,P<0.05),且以农村女性居民增幅最快(405.9%)为特点。结论广西城乡居民高血压患病率仍然处于快速增长期,尤其是农村女性居民增长速度最快,应加强对高危居民高血压的防控力度。 Objective To analyze the prevalence of hypertension among adults aged 18 years and older in urban and rural areas of Guangxi from 1991 to 2009, and provide reference for establishing and guiding the prevention and treatment of hypertension in urban and rural areas. Methods According to the survey data of China Health and Nutrition Survey in 1991, 1993, 1997, 2000, 2004, 2006 and 2009, urban and rural residents aged 18 and above in six cities and counties of Guangxi were selected as the survey subjects, and their ages, , The prevalence of hypertension among residents in the age group. Results The prevalence of hypertension in 6 cities and counties in Guangxi Province increased from 9.6% (standardized rate of 11.7%) in 1991 to 28.7% (standardized rate of 24.2%) in 2009 with a growth rate of 198.9% and 18 years The average growth rate was 6.3%. The prevalence of hypertension among urban residents was higher than that among rural residents, but the rate of hypertension among rural residents was higher than that of urban residents (365.5% vs 96.9%, P <0.05). It is noteworthy that there is no significant difference in the prevalence of hypertension among urban and rural residents after 2006 (P> 0.05). The prevalence of hypertension in female residents increased faster than that of male residents (213.0% vs 184.2%, P <0.05), and was characterized by the fastest increase of rural female residents (405.9%). Conclusion The prevalence of hypertension in urban and rural areas in Guangxi is still in a period of rapid growth, especially in rural areas where the growth rate of female residents is the fastest, prevention and control of high-risk residents should be strengthened.
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