Influencing factors of hypertension among middle school students in Fangshan of Beijing in 2021
Objective To analyze the prevalence and influencing factors of hypertension among school adolescents aged 11-18 years in different gender in Fangshan of Beijing,to provide basis for targeted prevention of adolescent hypertension.Methods A stratified cluster sampling method was used to select a total of 17 schools from 20 towns and 8 streets in Fangshan of Beijing.All students aged 11 to 18 years in the target class of each grade were selected.From January to April,2021,blood pressure monitoring,physical examination and questionnaire survey regarding"Risk factors related to hypertension among middle school students in Fangshan District"were conducted to investigate the risk factors of hypertension in different gender.Results Among 8 119 subjects,there were 4 187 boys.(51.6%)and 3 932 girls(48.4%),with an average age of(14.7±1.8)yearsold.The overall detection rate of hypertension was 3.2%.The detection rate of hypertension in boys was higher than that in girls(4.5%vs 1.8%,x2=49.744,P<0.001).In boys,the detection rate of hypertension in junior three(OR=2.775,95%CI:1.612-4.776),senior one(OR=2.414,95%CI:1.397-4.172),senior two(OR=2.967,95%CI:1.722-5.111),senior three(OR=2.654,95%CI:1.413-4.987)was higher compared with that in the junior one.Abdominal obesity(OR=6.710,95%CI:4.553-9.891)and daily consumption of fermented bean curd(OR=2.612,95%CI:1.470-4.640)were associated with increased risk of hypertension.One-child(OR=2.117,95%CI:1.225-3.661),insufficient sleep(OR=1.772,95%CI:1.038-3.025),abdominal obesity(OR=7.740,95%CI:4.405-13.600),daily consumption of fermented bean curd(OR=3.186,95%CI:1.057-9.601)were related to hypertension in girls.Conclusions Influencing factors of hypertension in different gender vary among the middle school students in Fangshan of Beijing.We should pay attention to the individual level differences between boys and girls aiming to take corresponding measures to reduce the risk of hypertension in adolescents.