【摘要】 目的 探究上海市城郊居民高血压患病的影响因素及其差异，为针对性提出中心城区与郊区高血压预防干预重点提供依据。方法 基于2013年上海市慢性病及其危险因素监测调查数据，纳入中心城区、郊区共5 855人进行分析，使用卡方检验、Logistic回归分析探讨城郊高血压患病的影响因素。结果 中心城区(30.34%)高血压患病率高于郊区(25.96%),差异有统计学意义(χ~2=13.84,P<0.001)。多因素分析显示，中心城区特有的影响因素是吸烟(OR=1.41,95%CI=1.00～1.97)和婚姻状况(OR=3.21,95%CI=1.17～8.82);郊区特有的影响因素是向心性肥胖(OR=1.66,95%CI=1.21～2.28);共性影响因素是年龄、高血压家族史、体质量指数、糖尿病和高血脂。结论 上海市中心城区的高血压患病率高于郊区，并且影响因素存在差异，应根据特定的影响因素实施针对性的预防措施。更多还原

【Abstract】 Objective Our study aimed to identify the different disease characteristics of hypertension and its influencing factors among urban and suburban residents in Shanghai, and to provide evidences for making targeted prevention and intervention strategies in urban and suburban areas.Methods Based on the Shanghai Non-communicable and Chronic Disease(NCD)Surveillance in 2013,5 855 individuals were selected for the anlysis the influencing factors of hypertension in urban and suburban areas by Chi-square test and logistic regression analysis.Results The prevalence of hypertension in urban and suburban areas were 30.34% and 25.96% respectively.And the prevalence of hypertension among urban residents was higher than that among suburban residents(χ~2=13.84,P<0.001).The mul-tivariate Logistic regression showed that the influencing factors for residents in urban areas were smoking(OR=1.41,95%CI=1.00-1.97)and marital status(OR=3.21,95%CI=1.17-8.82);the influencing factor for residents in suburban areas was abdominal obesity(OR=1.66,95%CI=1.21-2.28);age, family history of hypertension, BMI,diabetes and dyslipidemia were common risk factors of hypertension among residents both in urban and suburban areas.Conclusion There were significant differences in the prevalence and risk factors of hypertension among residents between urban and suburban areas of Shanghai.Targeted prevention and control measures should be developed according to the different disease characteristics and correlates between urban and suburban areas.更多还原