新疆博尔塔拉蒙古自治州蒙、哈、维、汉4民族30岁以上高血压及部分有关危险因素调查

Epidemiology Study on Hypertension in Boertala Mongol Autonomous Prefecture of Xinjiang

目的了解新疆博尔塔拉蒙古自治州蒙、哈、维及汉4民族高血压高血压患病率,知晓率、治疗率、控制率及危险因素。方法采取随机整群抽样法,调查30岁以上蒙古族、哈萨克族、维吾尔族及汉族居民。结果蒙古族、哈萨克族、维吾尔族及汉族高血压患病率分别为42.0%,40.5%,35.6%,33.2%;知晓率、治疗率及控制率分别为46.0%,25.7%,6.6%。收缩压多因素回归分析显示:民族、BMI、年龄均为收缩压的危险因素,而只有蒙族男性性别为收缩压的危险因素,但其他民族性别未进入方程。舒张压多因素回归分析显示:民族、BMI、年龄均为舒张压的危险因素,同时男性性别为蒙族、哈族及汉族的危险因素。结论新疆博尔塔拉蒙古自治州地区高血压患病率较高,尤其是蒙古族及哈萨克族,而知晓率、治疗率及控制率很低。年龄及BMI是4民族高血压(不论收缩压及舒张压)主要的危险因素。男性性别是舒张压升高的危险因素。

Objective To investigate the prevalence, awareness, treatment and control rate and the risk factors of hypertension in Boertala Mongolian Autonomous Region of Xinjiang. Methods Randomized sample in a cohort of residents in mongolian, Kasakan, Uygur and Han aged ≥30 years were used. Results The prevalence of hypertension in Mongolian and Kasakan, Uygur nationality was 42.0%, 40. 5%, 35.6%, 33.2%, respectively; the awareness, the treatment and the control rate of hypertension was 46.0 %, 25.7 %, 6.6 %, respectively. Multivaribles regression analysis showed that BMI, age were the risk factors for both SBP and DBP in 4 nationalities. Conclusion The prevalence rate of hypertension was high, however the awareness, treatment and control of hypertension were very low in the multiple nationalities in Boertala Mongol Autonomous Prefecture of Xinjiang. The main risk factors of hypertension were age and BMI, however, male gender was the main risk factors for diastolic blood pressure and the education level was related to blood pressure.