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目的 研究不同类型中国人群文化程度与血压水平的关系。方法 分析数据来自 1998年对 15组中年人群 (35~ 5 9岁 )进行的抽样调查 ,包括城市居民、工人、农民和渔民。调查项目均采用国际标准化方法 ,由合作中心进行统一培训、考核和质量控制。资料完整可供分析者共计 15 5 70人。结果 (1)文化程度构成存在显著的年龄差异、性别差异和地区差异。各人群文化程度与SBP、DBP水平的关联方向及强度也各不相同。 (2 )根据文化程度构成将人群分成Ⅰ、Ⅱ两类 ,大专以上学历在人群中所占的比例分别为男性 2 5 .8% (95 %CI:2 4 .2 %~ 2 7.4 % )、2 0 % (95 %CI:1.6 %~ 2 .6 % ) ,女性 11.7% (95 %CI:10 5 %~ 12 .9% )、0 3%(95 %CI:0 2 8%~ 0 32 % )。Ⅰ类人群SBP均值及女性DBP均值随文化程度增加而明显降低 ,Ⅱ类人群男性DBP则随之上升。(3)分析BMI、体力活动强度、业余不活动时间、新鲜水果摄入量、过量饮酒等因素在两类人群中随文化程度变化的趋势 ,发现Ⅰ类人群出现血压保护因素水平上升而有害因素水平下降的趋势 ,Ⅱ类人群则出现相反趋势。结论 中国人群的个体文化程度与血压水平有关 ,其关联方向受人群总体文化程度高低的显著影响。生活方式、膳食模式可能是导致该关联产生的部分中介因素。
Objective To study the relationship between education level and blood pressure in different types of Chinese population. Methodological analysis The data were collected from a sample of 15 middle-aged population (35-59 years) conducted in 1998, including urban dwellers, workers, peasants and fishermen. The survey projects adopt international standardization methods, and the cooperation center conducts unified training, assessment and quality control. The data is complete for a total of 15 5 70 analysts. Results (1) There were significant age differences, gender differences and regional differences in the composition of education. Each group of people with different levels of education and SBP, DBP level of relevance and strength of the different. (2) According to the degree of education, the population is divided into Ⅰ and Ⅱ groups. The proportion of college degree or above in the population is respectively 25.8% (95% CI: 22.2% -2.24%), 20% (95% CI: 1.6% -2.6%), 11.7% (95% CI: 105% ~ 12.9%), and 0.3% %). The mean SBP and female DBP mean of group Ⅰ were significantly decreased with the increase of education level, but the level of DBP of group Ⅱ was increased. (3) The analysis of the changes of BMI, physical activity intensity, amateur inactivity time, fresh fruit intake, excessive drinking and other factors with the changes of educational level in two groups of people, I class of people appear to rise in blood pressure protection factors and harmful factors Level of decline in the trend, Ⅱ type of population there is the opposite trend. Conclusion The level of individual education in Chinese population is related to the level of blood pressure. The related direction is significantly influenced by the overall educational level of the population. Lifestyle, dietary patterns may be part of the mediating factor that leads to this association.