云南西双版纳傣族农村居民高血压患病率及相关危险因素流行病学调查

Prevalence and Associated Risk Factors of Hypertension in Dai Ethnic Minority in Rural Xishuangbanna,Yunnan Province

目的调查了解云南西双版纳傣族农村居民高血压患病率及相关危险因素。方法选择云南省西双版纳傣族景波族自治州农村社区进行人口调查,随机整群抽样,对2149名年龄在50岁以上的成人进行了问卷调查,测量了他们的血压、身高、体重等。高血压的定义为收缩压≥140 mmHg,和(或)舒张压≥90 mmHg;目前正在接受降压药物治疗的高血压患者。采用多因素logistic回归分析高血压的危险因素(P<0.05)。结果高血压患病率为41.7%(898/2149),男性患病率44.4%(351/789);女性患病率40.1%(547/1360)。多因素logistic回归分析显示,高血压的危险因素有年龄、超重和肥胖、吸烟、饮酒、高血压家族史,保护因素为低体重和高文化程度。结论云南西双版纳傣族成人高血压患病率较高,建议在该地区开展健康教育和高血压筛查,积极开展高血压防治工作。

Objective To assess the prevalence of hypertension and their associated factors among Dai ethnic population in the rural Xishuangbanna,Yunnan.Methods A population-based survey was conducted with a randomly cluster sampling in rural communities in Xishuangbanna,Yunnan.A total of 2149 adults aged 50 or above were interviewed,and their blood pressure,height and weight were measured.Hypertension was defined as a mean SBP≥140 mmHg,and/or DBP≥90 mmHg,and/or current use of antihypertesive medications.Data of the risk factors were analyzed with multiple factor logistic regression(P<0.05).Results The prevalence of hypertesion was 41.7%(898/2149),with male prevalence being 44.4%(351/789),and female prevalence being 40.1%(547/1360).Mutiple factor Logistic regression analysis showed that age,overweight and obesity,smoking,alcohol drinking and family history of HBP were risk factors of the hypertesion,while protective factors included being slim and higher education.Conclusions Hypertesion prevalence is high among the population of Dai ethnic group in Xishuangbanna,Yunnan.It suggests that health education and hypertension screening programs be carried out in the area for hypertesive prevention and control.