摘要
目的 探讨徐州市成年居民酒精依赖与新检出高血压的关系.方法 2013年2至6月,采用多阶段分层整群随机抽样方法,抽取徐州市18岁及以上常住居民进行调查.酒精依赖程度采用密西根酒精依赖调查表评定,其他内容使用自行设计的问卷进行调查.采用Spearman相关分析和多因素logistic回归分析酒精依赖与新检出高血压的关系.结果 共调查36 157名居民,酒精依赖率为11.56％.其中,男性酒精依赖率为22.02％ （3 854/17 501）,女性酒精依赖率为1.74％（324/18 656）,差异有统计学意义（P＜0.01）.调查人群的新检出高血压比例为9.46％（3 422/36 157）.随着酒精依赖程度的加重,调查人群中新检出高血压的比例增加（P＜0.01）.Spearman相关分析显示,酒精依赖与收缩压（r=0.071,P ＜0.01）和舒张压（r=0.077,P＜0.01）均呈正相关.调整性别、年龄、婚姻状况、体质指数、吸烟情况、体力活动水平、文化程度、收入水平和地区后,多因素logistic回归分析显示,酒精依赖是新检出高血压的危险因素（酒精低度依赖：OR=1.44,95％CI 1.14～ 1.81,P＜0.01;酒精轻度依赖：OR=1.35,95％ CI.11～1.64,P＜0.01;酒精中度依赖：OR=1.83,95％CI 1.40～2.41,P＜0.01）.结论 在徐州市成年居民中,酒精依赖是新检出高血压的危险因素.在今后的高血压防控工作中,应关注酒精依赖人群.
Objective To observe the relationship between alcohol dependence and new detected hypertension in adult residents of Xuzhou city.Methods Participants were sampled by stratified multi-stage randomly cluster sampling method from February 2013 to June 2013 among permanent resideuts aged 18 and more in Xuzhou city.The alcohol dependence was defined with Michigan Alcoholism Screening Test （MAST）.Other information was obtained by questionnaire.Spearman correlation analysis and multivariate logistic regression analysis were performed to identify the relationship between alcohol dependence aud new detected hypertension.Results The alcohol dependence rate was 11.56% on the whole cohort （n =36 157）,and 22.02% （3 854/17 501） for male and 1.74% （324/18 656） for female（P 〈0.01）.The new detected hypertension rate was 9.46% （3 422/36 157） in the whole cohort.The new detected hypertension rate increased in proportion with the severity of alcohol dependence （P 〈 0.01）.Spearman correlation analysis showed that alcohol dependence was positively correlated with systemic blood pressure（r =0.071,P 〈0.01） and diastolic blood pressure （r =0.077,P 〈 0.01）.After adjusting for gender,age,marital status,body mass index,smoking status,physical activity level,educational level,income level and region,multivariate logistic regression analysis showed that alcohol dependence was an independent risk factor for hypertension （low alcohol dependence：OR =1.44,95% CI 1.14-1.81,P 〈 0.01;light alcohol dependence：OR =1.35,95%CI 1.11-1.64,P 〈0.01;medium alcohol dependence：OR =1.83,95% CI I.40-2.41,P〈 0.01）.Conclusions The alcohol dependence is an independent risk factor for new detected hypertension in adult residents of Xuzhou city.Intensive hypertension prevention and treatment strategies shoull be performed on this population based on our results.
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
2015年第12期1083-1087,共5页
Chinese Journal of Cardiology
基金
徐州市2008年科技计划（XM08C041）
关键词
饮酒
高血压
Alcohol drinking
Hypertension
