Abstract:Objective To investigate the prevalence rate of hypertension and its main influencing factors among residents in Lujiang County, Hefei City, Anhui Province in 2014, so as to provide evidence for developing hypertension prevention and control measures. Methods A multi-stage stratified random sampling method was used to select 3 towns in Lujiang County in July 2014, then 3 communities were randomly selected from each town and 10 villages from each community. A questionnaire survey and physical examinations were conducted among residents aged 18 years and above. Univariable and multivariable unconditional logistic regression analysis was used to determine the influencing factors of hypertension. Results A total of 2,270 residents participated in the survey, and 2,262 eligible ones were enrolled for final analysis, with the response rate of 99.65%. The prevalence rate of hypertension in the residents aged 18 years and above in the 3 towns of Lujiang County was 39.52%, and the standardized prevalence rate was 24.57%. Univariable logistic regression analysis showed that gender, age, education level, marital status, occupation, average annual household income, alcohol consumption, family history of hypertension, physical exercise, body mass index (BMI) and the distance between the town and He’an highway (namely, traffic noise) were associated with hypertension (P<0.05), of which advanced age, unhappy marriage, alcohol consumption, family history of hypertension, high BMI and traffic noise were the risk factors of hypertension, while the male, high education level, occupation, high average annual household income and physical exercise played the protective roles. Multivariable logistic regression analysis showed that age, occupation, average annual household income, alcohol consumption, family history of hypertension, physical exercise and BMI were correlated with hypertension (P<0.05), of which the odds ratios and 95% confidence intervals were 3.282 (2.711-3.973), 0.920 (0.848-0.999), 0.878 (0.826-0.935), 1.338 (1.072-1.671), 1.648 (1.340-2.027), 0.699 (0.565-0.866) and 1.922 (1.684-2.194) respectively. Advanced age, alcohol consumption, family history of hypertension and high BMI were the risk factors of hypertension, while occupation, high average annual household income and physical exercise played the protective roles. Conclusions The prevalence rate of hypertension in the residents of Lujiang County is high. Advanced age, alcohol consumption, family history of hypertension and high BMI are the risk factors of hypertension, whereas occupation, high average annual household income and physical exercise are the protective factors.
[1] Han LY, Liu PP, Wang CY, et al. The interactions between alcohol consumption and DNA methylation of the ADD1 gene promoter modulate essential hypertension susceptibility in a population-based, case–control study [J]. Hypertens Res, 2015, 38(4):284-290. [2] Kearney PM, Whelton M, Reynolds K, et al. Global burden of hypertension: analysis of worldwide data [J]. Lancet, 2005, 365(9455):217-223. [3] Bavry AA, Kumbhani DJ, Gong Y, et al. Simple integer risk score to determine prognosis of patients with hypertension and chronic stable coronary artery disease [J]. J Am Heart Assoc, 2013, 2(1):1-9. [4] Damasceno A, Azevedo A, Silvamatos C, et al. Hypertension prevalence, awareness, treatment, and control in mozambique: urban/rural gap during epidemiological transition [J]. Hypertension, 2009, 54(1):77-83. [5] Pereira JC, Barreto SM, Passos VM. The profile of cardiovascular health of elderly Brazilian people needs to improve: a population-based study [J]. Arq Bras Cardiol, 2008, 91(1):1-10. [6] Halonen JI, Hansell AL, Gulliver J, et al. Road traffic noise is associated with increased cardiovascular morbidity and mortality and all-cause mortality in London [J]. Eur Heart, 2015, 36(39):2653-2661. [7] Chang TY, Liu CS, Bao BY, et al. Characterization of road traffic noise exposure and prevalence of hypertension in central Taiwan [J]. Sci Total Environ, 2011, 409(6):1053-1057. [8] Barregard L, Bonde E, Ohrstrm E. Risk of hypertension from exposure to road traffic noise in a population-based sample [J]. Occup Environ Med, 2009, 66(6):410-415. [9] Bodin T, Albin M, Aed J, et al. Road traffic noise and hypertension: results from a cross-sectional public health survey in southern Sweden [J]. Environ Health, 2009, 8(1):38. [10] van Kempen E, Babisch W. The quantitative relationship between road traffic noise and hypertension: a meta-analysis [J]. J Hypertens, 2012, 30(6):1075-1086. [11] 李立明, 饶克勤, 孔灵芝, 等. 中国居民2002年营养与健康状况调查[J]. 中华流行病学杂志, 2005, 26(7):478-484. [12] 姚晖, 王莉丽, 李晓铷, 等. 合肥市农村地区高血压患病情况及危险因素分析[J]. 疾病控制杂志, 2005, 9(4):299-301. [13] 吴家兵, 桂素兰, 朱东辉, 等. 安徽省农村地区成年人群高血压流行及其危险因素知晓率调查[J]. 安徽预防医学杂志, 2006, 12(3):137-140. [14] 刘力生. 中国高血压防治指南2010[J]. 中华高血压杂志, 2011, 19(1):10-52. [15] Sathish T, Kcannan S, Sarma PS, et al. Incidence of hypertension and its risk factors in rural Kerala, India: a community-based cohort study [J]. Public Health, 2012, 126(1):25-32. [16] Anchala R, Kannuri NK, Pant H, et al. Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension [J]. J Hypertens, 2014, 32(6):1170-1177. [17] Gami AS, Witt BJ, Howard DE, et al. Metabolic syndrome and risk of incident cardiovascular events and death: a systematic review and meta-analysis of longitudinal studies [J]. J Am Coll Cardiol, 2007, 49(4):403-414. [18] Lyzwinski LN. Public health perspectives on noise and cardiovascular disease [J]. World J Cardiovasc Dis, 2014, 4(1):23-34. [19] de Souza TC, Périssé AR, Moura M. Noise exposure and hypertension: investigation of a silent relationship[J]. BMC Public Health, 2015, 15:328-336. [20] Babisch W, Wolf K, Petz M, et al. Associations between traffic noise, particulate air pollution, hypertension, and isolated systolic hypertension in adults: the KORA study[J]. Environ Health Perspect, 2014, 122(5):492-498. [21] Basner M, Babisch W, Davis A, et al. Auditory and non-auditory effects of noise on health[J]. Lancet, 2014, 383(9925):1325-1332. [22] Dayoub E, Jena AB. Chronic disease prevalence and healthy lifestyle behaviors among US health care professionals[J]. Mayo Clin Proc, 2015, 90(12):1659-1662. [23] Hu G, Jousilahti P, Antikainen R, et al. Occupational, commuting, and leisure-time physical activity in relation to cardiovascular mortality among Finnish subjects with hypertension[J]. Am J Hypertens, 2007, 20(12):1242-1250. [24] 高玉慧, 张丽莉. 我国高血压的流行病学研究进展[J]. 中国现代医生, 2008, 46(1):35-36. [25] Haafkens JA, Beune EJ, Moll van Charante EP, et al. A cluster-randomized controlled trial evaluating the effect of culturally-appropriate hypertension education among Afro-Surinamese and Ghanaian patients in Dutch general practice: study protocol [J]. BMC Health Serv Res, 2009, 9:193-203. [26] 张军伟, 王宝华, 杨颖, 等. 唐山冀东社区高血压患病率及其影响因素分析[J]. 中国循证心血管医学杂志, 2013, 5(3):299-301.