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2002 — 2017年上海市35～74岁居民高血压与糖尿病共病流行趋势分析

Trends in prevalence of coexistence of hypertension and diabetes mellitus among residents aged 35 – 74 years in Shanghai, 2002 – 2017: a surveillance data analysis

    摘要
  • 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.

     

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