新疆农村地区维吾尔族、哈萨克族与汉族人群高血压患病率

Prevalence of hypertension in Uygur,Kazakhs and Han people in rural areas of Xinjiang

目的探讨新疆维吾尔族、哈萨克族和汉族农村地区人群高血压的患病情况及其危险因素。方法采取多阶段整群随机抽样的方法对新疆伽师县、新源县、博州、石河子地区及沙湾县农村地区18岁及以上的10 791名研究对象进行问卷调查和体格检查,其中维吾尔族3481人,哈萨克族3922人,汉族3388人,比较三民族高血压患病率。结果维吾尔族、哈萨克族和汉族高血压患病率分别为27.8%、36.7%和33.9%,年龄标化患病率分别为29.2%、36.5%和30.2%,哈萨克族高于汉族和维吾尔族(P<0.05),按性别分层后结果相同。三民族的高血压患病率均随年龄增加而上升。随着体质量指数(BMI)和(或)腰围水平的增加,三民族高血压的患病率均呈明显上升趋势。结论三民族的高血压患病率均高于全国的平均水平,哈萨克族高于汉族和维吾尔族。

Objective To study the prevalence of hypertension in Uygur, Kazakhs and Han in rural population of Xinjiang and its risk factors. Methods In Jiashi, Xinyuan, Bortala, Shihezi and Shawan districts of Xinjiang, 10 791 people aged 18 and over, including 3481 Uygur, 3922 Kazakhs and 3388 Han, were surveyed via question- naire and physical examinations by multi-stage cluster random sampling. The prevalence rates of hypertension in the three peoples were compared. Results The prevalence rates of hypertension in Uygur, Kazakhs and Han were 27.8%, 36.7~ and 33.9~ respectively. Their age-standardized prevalence rates were 29.2~, 36.5~ and 30.2% respectively. The hypertension prevalence in Kazakhs was higher than in Uygur and Han （P~ 0.05 ）. After gender stratification, the results remained the same. The hypertension prevalence rates in the three ethnic groups all increased with age, BMI and（or） waist circumference with an ascending tendency. Conclusion The prevalence rates of hypertension in the three peoples are higher than the national average, and that in Kazak is higher than those in Han and Uygur.