Analysis on prevalence states and associated factors of hypertension and prehypertension among adults in Shandong province / 中华预防医学杂志

ABSTRACT

<p><b>OBJECTIVE</b>To analyze the prevalence states of hypertension and prehypertension and to explore relevant influencing factors among adult residents in Shandong province.</p><p><b>METHODS</b>15 600 residents aged between 18 and 69 from 20 counties in Shandong province were selected by multiple stratified and clustered sampling method from July to September, in 2011, to acquire related information by questionnaire survey and physical measurement. The prevalence of hypertension and prehypertension was estimated by special statistic method used to deal with complex sampling data, and the relevant influencing factors were also analyzed.</p><p><b>RESULTS</b>A total of 15 350 subjects were actually completed the survey, with age at (41.4 ± 14.1) years old. The average systolic blood pressure and diastolic blood pressure were 121.1(95%CI 119.7-122.4) and 78.8(95%CI 77.8-79.9) mmHg (1 mmHg = 0.133 kPa) respectively. And also 3776 hypertension patients and 5721 subjects with prehypertension were detected, and the weighting prevalence of hypertension and prehypertension were 23.4% (95%CI 20.9%-26.0%) and 37.1% (95%CI 34.7%-39.5%) with adjustive prevalence at 20.7% and 36.5% respectively. The multiple SURVEYLOGISTIC analysis showed that age above 40 years old (OR = 3.24, 95%CI 2.56-4.10), overweight(OR = 2.22, 95%CI 1.70-2.89) and obesity(OR = 5.84, 95%CI 3.54-9.66), smoking history(OR = 1.82, 95%CI 1.03-3.23), constantly drinking (OR = 1.71, 95%CI 1.08-2.70), diabetes (OR = 1.99, 95%CI 1.29-3.07), abnormal TC(OR = 1.64, 95%CI 1.24-2.17), abnormal TG(OR = 1.75, 95%CI 1.24-2.48) and high 24 h urine Na/K ratio (OR = 1.05, 95%CI 1.02-1.08) were risk factors of hypertension, while education equal to or above junior middle school (OR = 0.68, 95%CI 0.52-0.89) was protective factor of hypertension; age above 40 years old (OR = 1.49, 95%CI 1.15-1.91), overweight(OR = 1.76, 95%CI 1.25-2.48) and obesity (OR = 3.50, 95%CI 2.05-5.97), abnormal TC (OR = 1.54, 95%CI 1.10-2.14), abnormal TG (OR = 1.79, 95%CI1.25-2.56) and high 24 h urine Na/K ratio (OR = 1.02, 95%CI 1.01-1.04) were risk factors of prehypertension, while female (OR = 0.41, 95%CI 0.31-0.56) and education level equal to or above junior middle school (OR = 0.67, 95%CI 0.52-0.87) were protective factors.</p><p><b>CONCLUSION</b>The hypertension, especially prehypertension tends to be at high prevalence states currently, which may be affected by many factors.</p>