甘肃省甘南藏族自治州藏族僧侣高血压流行病学调查

Epidemiological survey on hypertension among Tibetan monks in Gannan Tibetan Autonomous Prefecture of Gansu Province

目的 调查甘肃省甘南藏族自治州藏族僧侣的高血压患病率、知晓率、治疗率和控制率,并分析高血压的危险因素.方法 2014年3至6月,采用整群抽样方法入选甘肃省甘南藏族自治州18岁及以上藏族僧侣984名.对研究对象进行问卷调查及血压测量,采用多因素非条件logistic回归分析高血压的危险因素.结果 甘肃省甘南藏族自治州藏族僧侣的高血压患病率为19.3％（190/984）,标化患病率为21.7％.其中,18 ～39、40～59和≥60岁3个年龄段僧侣的患病率分别为16.3％（82/502）、21.0％（60/286）和24.5％（48/196）,标化患病率分别为17.8％、22.1％和26.6％.知晓率、治疗率和控制率分别为9.5％（18/984）、4.2％ （8/984）、1.6％（3/984）.多因素logistic回归分析显示,年龄、体质指数、高血压家族史均是高血压的危险因素（P＜0.01或0.05）.结论 甘肃省甘南藏族自治州18岁及以上藏族僧侣高血压患病率、知晓率、治疗率和控制率均较低;年龄、体质指数和高血压家族史是高血压的危险因素.

Objective To explore the prevalence,awareness,treatment and control rates of hypertension among Tibetan monks in Gannan Tibetan Autonomous Prefecture of Gansu Province,and to analyze risk factors of hypertension in this population.Methods A total of 984 （aged 18 and over） Tibetan monks in Gannan Tibetan Autonomous Prefecture of Gansu Province were included with cluster sampling method from March to June,2014.General information was obtained by questionnaire and blood pressure was measured.Multivariate logistic regression analysis was applied to analyze the risk factors of blood pressure.Results Prevalence of hypertension in this population was 19.3% （190/984）,and standardized prevalence rate was 21.7%.The prevalence of hypertension were 16.3% （82/502）,21.0% （60/286） and 24.5% （48/196）,and standardized prevalence rate was 17.8%,22.1% and 26.6% among Tibetan monks aged 18-39,40-59 and ≥60 years,respectively.Rates of awareness,treatment and control of hypertension in Tibetan monks were 9.5% （18/984）,4.2% （8/984）and 1.6% （3/984）,respectively.Multivariate logistic regression analysis showed that age,body mass index and family history of hypertension were independent risk factors of hypertension in this population （P 〈 0.01 or 0.05）.Conclusions Prevalence,awareness,treatment and control rates of hypertension among Tibetan monks in Gannan Tibetan Autonomous Prefecture of Gansu Province are relatively low.Age,body mass index and family history of hypertension are risk factors of hypertension in this population.