摘要
目的了解南京市儿童青少年血压偏高检出现状,分析生活方式对血压的影响,为制定地区性儿童青少年高血压干预措施提供依据。方法采用分层整群抽样的方法,抽取南京市2个区共计12所学校9~17岁儿童青少年2749人作为调查对象,分别进行体格检查和问卷调查。结果南京市9~17岁儿童青少年血压偏高检出率为10.9%。Logistic回归分析显示:居住地为郊区组(aOR=1.738,95%CI:1.331~2.270)相对于城区血压偏高检出率高;初中组(aOR=1.396,95%CI:1.030~1.892)和高中组(aOR=2.208,95%CI=1.500~3.249)相对于小学组血压偏高检出率高。超重、肥胖(aOR=1.732,95%CI=1.237~2.424;aOR=4.543,95%CI=3.423~6.029)、不住校(aOR=2.660,95%CI:1.638~4.320)、单亲家庭(aOR=2.811,95%CI=1.651~4.787)是南京市儿童青少年血压偏高的危险因素,每周每天达60 min以上中等运动强度4~7天组(aOR=1.662,95%CI:1.274~2.170)是血压偏高的保护因素。结论与国内其他城市相比南京市儿童青少年血压偏高检出率较高,建议将预防儿童青少年血压偏高列为本市学校卫生工作重点内容,采取针对性的干预措施,保护学生身心健康。
Objective To understand the prevalence of high blood pressure among children and adolescents in Nanjing,analyze the effects of different influencing factors on blood pressure,and to provide evidence for scientific and effective intervention measures in the next step.Methods By using the method of stratified cluster sampling,2749 children and adolescents aged 9-17 years from 12 schools in 2 districts of Nanjing were enrolled and instructed to complete a questionnaire with physical examination.Results The prevalence of hypertensive blood pressure among children and adolescents aged 9-17 in Nanjing was 10.9%.Logistic regression analysis showed that students living in suburbs(aOR=1.738,95%CI:1.331-2.270)had a higher prevalence of elevated blood pressure than those in urban areas,the prevalence of high blood pressure among students in junior high schools(aOR=1.396,95%CI:1.030-1.892)and≥high schools(aOR=2.208,95%CI:1.500-3.249)was higher than that in primary schools;the prevalence of high blood pressure in non-resident students was higher than that in resident students(aOR=2.660,95%CI:1.638-4.320);students from singleparent families(aOR=2.811,95%CI:1.651-4.787)had higher prevalence of high blood pressure than those from large families;students who exercise with moderate intensity at least 60 minutes for 0-3 days per week(aOR=1.662,95%C:1.274-2.170)had higher prevalence of high blood pressure than those who exercise for 4-7 days per week.The prevalence of high blood pressure in non overweight and obese students was higher than that in the overweight and obese students(aOR=1.732,95%CI:1.237-2.424;aOR=4.543,95%CI:3.423-6.029).Conclusion The prevalence of high blood pressure among children and adolescents in Nanjing is high.Targeted intervention measures should be taken to effectively control the problem of high blood pressure among children and adolescents in Nanjing.
作者
刘黎
刘辉
叶盛
杨月
LIU Li;LIU Hui;YESheng;YANG Yue(Section of school health Nanjing Municipal Center for Disease Control and Prevention,Nanjing 210003,China)
出处
《中国健康教育》
北大核心
2023年第2期106-110,共5页
Chinese Journal of Health Education
基金
2021年江苏省学生常见病和健康影响因素监测项目
关键词
儿童青少年
血压偏高
影响因素
Children and adolescents
High blood pressure
Influencing factors
作者简介
刘黎(1979-),女,硕士,副教授,主要从事学生常见病干预工作。
