摘要
目的 了解2002-2017年上海市35～74岁居民高血压与糖尿病共病(HTN-DM)的流行趋势,为HTN-DM防控策略及措施的制定提供参考依据.方法 收集上海市2002、2009、2017年糖尿病流行病学调查和2013年慢性病及其危险因素监测调查中56927名35～74岁居民高血压和糖尿病患病相关数据,通过计算上海市35～74岁居民HTN-DM的患病率及其年度变化百分比(APC)分析该人群2002-2017年HTN-DM的流行趋势.结果 上海市35～74岁居民2002、2009、2013和2017年的HTN-DM患病率分别为4.61％、9.93％、13.41％和18.97％,2002-2017年HTN-DM患病率总体呈上升趋势(APC=9.51％,P=0.003);不同特征居民中,男性、女性、35～44岁、45～54岁、55～64岁、65～74岁、汉族、初中及以下文化程度、高中及以上文化程度、非在婚、在婚、非中心城区和中心城区居民的HTN-DM患病率均呈上升趋势(均P＜0.05),且以男性、35～44岁、汉族、高中及以上文化程度、在婚和非中心城区居民的HTN-DM患病率增长更快,APC值分别为9.66％、11.49％、9.53％、10.56％、9.94％和 10.09％.结论 上海市 35～74 岁居民 2002-2017 年 HTN-DM 患病率呈上升趋势,尤其是男性、35～44岁、汉族、高中及以上文化程度、在婚和非中心城区居民,应加强以上人群高血压与糖尿病的防控工作以减缓HTN-DM的发生发展.
Abstract
Objective To estimate the trend in the coexistence of hypertension and diabetes mellitus(HTN-DM)among residents aged 35-74 years in Shanghai during 2002-2017 for the prevention and control of the comorbidity.Methods The study data were from four waves of surveillance on diabetes conducted in 2002,2009,2017 and on non-communicable chronic diseases in 2013 among totally 56 927 residents aged 35-74 years in Shanghai.The prevalence of HTN-DM and its annual percentage change(APC)among the residents were calculated to analyze the trend of HTN-DM during the period.Results The detected prevalence rates of HTN-DM were 4.61％,9.93％,13.41％and 18.97％in the participants separately surveyed in 2002,2009,2013 and 2017,with a significantly increasing trend over the 16-year period(APC=9.51％,P=0.003).Further analyses revealed that the increasing trend in HTN-DM prevalence was significant in the participants of all subgroups stratified by gender,five-year age grouping,ethnicity,education,marital status,and residential area and the increasing trend was greater for the participants of male gender,aged 35-44 years,being Han ethnicity,with the education of high school and above,being married,and not residing in central urban area,with the APC of 9.66％,11.49％,9.53％,10.56％,9.94％,and 10.09％,respectively.Conclusion The prevalence of HTN-DM showed an increasing trend among 35-74 years old residents in Shanghai over the period from 2002 to 2017,especially among those aged 35-44 years,being male,Han ethnicity,with the education of high school education and above,being married and not residing in central urban areas.
基金项目
上海市卫生健康委青年课题(20204Y0195)
上海市"医苑新星"青年医学人才培养资助计划(202199)
上海市医学领军人才培养计划(2019LJ24)
NETL
NSTL
万方数据