Objective To assess the epidemiology features of hypertension in Heilongjiang Province, China.Methods From 1959 to 1999, 289157 people in total, ages≥15-year old (male 154091, female 135066) were investigated four times by a stratified chunk method in rural and urban areas in Heilongjiang Province. After a staff training program, this survey on blood pressure and risk factors was carried out under a worldwide uniform protocol with standardized method and interrelated quality control regulation. Among these samples, 1615 people (male 824, female 791) received blood-lipid analysis.Results The hypertensive incidence of Heilongjiang was much higher than the average level in China (P<0.01) and it has gotten higher from 1959 to 1999, especially in the last ten years. It increased more in males than in females (P<0.01). It was also higher with age. The mean age of hypertensive onset became ten years younger recently. It is different in different areas and professions. Age, BMI (body mass index), drinking alcohol, gender, history of maternal hypertension, high salt diet and professional status were the main risk factors for hypertension in Heilongjiang Province in China. Conclusion The prophylaxis and treatment of hypertension should be enhanced in this area.%目的了解黑龙江省高血压病流行病学特点,为该地区高血压的防治工作提供科学依据.方法于1959、1979、1991和1999年四次在黑龙江省采取随机整群抽样方法,按国际通用血压测量方法和有关质量控制规定,对年龄≥15岁城乡自然人群289 157(男154 091人、女135 066 人)人进行血压测量及影响血压水平的相关因素调查.结果该地区为我国高血压高发区;高血压患病率逐年增高,40年共增高105%,而且近10年增高迅速加快;男性患病率高于女性(P<0.01);随年龄增高高血压患病率升高,且发病年龄年青化,目前35岁以上人群高血压患病率为20.47%;地区、城乡及不同职业高血压患病率不同;年龄、体重指数、饮酒、高盐食等因素是黑龙江地区高血压的主要危险因素;在该地区高血压的知晓率、服药率及控制率较低.结论根据本地特点加强该地区的高血压防治力度.
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