Prevalence and Risk Factors of Childhood Hypertension in Urban-Rural Areas of China: A Cross-Sectional Study

被引:26
作者
Liang, Xiaohua [1 ]
Xiao, Lun [2 ]
Luo, Yetao [1 ]
Xu, Jiapei [1 ]
机构
[1] Chongqing Med Univ, Childrens Hosp,Key Lab Pediat Chongqing, Natl Clin Res Ctr Child Hlth & Disorders,Key Lab, Clin Epidemiol & Biostat Dept,Minist Educ,China I, Chongqing, Peoples R China
[2] Dis Control & Prevent Ctr Jiulongpo Dist, Chongqing, Peoples R China
基金
中国国家自然科学基金;
关键词
SYSTOLIC BLOOD-PRESSURE; HIGH BIRTH-WEIGHT; CARDIOVASCULAR-DISEASE; SCHOOL-CHILDREN; OBESITY; AGE; METAANALYSIS; ASSOCIATION; ADOLESCENTS; INFANCY;
D O I
10.1155/2020/2374231
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective. The increased blood pressure level in children and adolescents is recognized as an essential predictor of adulthood cardiovascular disease. This study aimed to ascertain the prevalence and the urban-rural disparity of childhood hypertension in the southwest of China. Methods. Using stratified cluster sampling in urban and rural areas, a total of 13597 primary school children aged 6 similar to 12 years living in the Southwest of China were included. The prevalence of hypertension was analyzed. The risk factors were collected by questionnaires, and the risk factors of childhood hypertension were analyzed by the logistic regression model. Results. The prevalence of hypertension was 13.75%, 9.02%, and 17.47% in total, urban, and rural children, respectively, and the urban-rural difference was 8.44% (95%CI: 7.32%, 9.56%). Children with obesity, maternal gestational hypertension, >10 months of breastfeeding, or low family income had a significantly increased prevalence of hypertension (29.4%, 20.00%, 16.31%, and 16.25%, respectively). Rural residence, intake of more pickle (in rural), maternal gestational hypertension (in urban), low birth weight (in rural), obesity, increased heart rate, and red blood cell counts were the risk factors of childhood hypertension. The adjusted R-2 values were 13.61%, 23.25%, 10.88%, 11.12%, 12.23%, and 25.04% in the full models excluding and including serum indexes for total, urban, and rural children, respectively. Conclusions. The prevalence of childhood hypertension is significant in the Southwest of China and alarming in rural areas, which requires community intervention. Children living in rural areas combined with obesity, low social economic status, dietary imbalance, and abnormal lipid metabolism were associated with an increased risk of hypertension, and routine care programs should be conducted to prevent childhood hypertension.
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页数:18
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