| 张周斌,薛振香,陈海燕,王童敏,利耀辉,晁先锋,王岗,罗冬梅,吴雪霁,乃孜班木·努尔麦麦提,阿依夏穆姑丽·巴吾顿,古丽巴哈·艾力亚斯,周自严,孙宝山,王玉忠,王鸣.新疆喀什地区维吾尔族人群高血压流行现状及危险因素分析[J].中华流行病学杂志,2017,38(6):709-714 |
| 新疆喀什地区维吾尔族人群高血压流行现状及危险因素分析 |
| Prevalence of hypertension and risk factors in Uygur population in Kashgar area of Xinjiang Uygur Autonomous Region |
| 收稿日期:2016-12-21 出版日期:2017-06-19 |
| DOI：10.3760/cma.j.issn.0254-6450.2017.06.004 |
| 中文关键词: 维吾尔族 高血压 患病率 危险因素 |
| 英文关键词: Uygur Hypertension Prevalence Risk Factors |
| 基金项目:国家科技重大专项（2012ZX10004213005）；广州市医学重点学科建设项目（2017-2019-07）；广东省科技计划项目（2014A020209006） |
| 作者 | 单位 | E-mail | | 张周斌 | 510440 广州市疾病预防控制中心主任室 | | | 薛振香 | 844100 喀什, 疏附县疾病预防控制中心免疫规划股 | | | 陈海燕 | 510440 广州市疾病预防控制中心基层公共卫生部 | | | 王童敏 | 844100 喀什地区疾病预防控制中心免疫规划科 | | | 利耀辉 | 510440 广州市疾病预防控制中心基层公共卫生部 | | | 晁先锋 | 844100 喀什, 疏附县疾病预防控制中心免疫规划股 | | | 王岗 | 844100 喀什, 疏附县卫生局 | | | 罗冬梅 | 844100 喀什, 疏附县疾病预防控制中心免疫规划股 | | | 吴雪霁 | 510440 广州市疾病预防控制中心基层公共卫生部 | | | 乃孜班木·努尔麦麦提 | 844100 喀什, 疏附县疾病预防控制中心免疫规划股 | | | 阿依夏穆姑丽·巴吾顿 | 844100 喀什, 疏附县疾病预防控制中心免疫规划股 | | | 古丽巴哈·艾力亚斯 | 844100 喀什, 疏附县疾病预防控制中心免疫规划股 | | | 周自严 | 510440 广州市疾病预防控制中心免疫规划部 | | | 孙宝山 | 844100 喀什, 广东省对口支援新疆工作前方指挥部人事教育处
510060 广州, 广东省卫生和计划生育委员会疾病预防控制处 | | | 王玉忠 | 844100 喀什, 疏附县卫生局 | | | 王鸣 | 510440 广州市疾病预防控制中心主任室 | wangming@gzcdc.org.cn |
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| 中文摘要: |
| 目的 了解新疆喀什地区维吾尔族成年人高血压患病现状及危险因素，为当地高血压防控提供科学依据。方法 采用分层整群随机抽样法，对喀什地区疏附县18岁以上维吾尔族常住居民进行调查，包括问卷调查、体格检查及实验室检查等，计算高血压的患病率、知晓率、治疗率及控制率，采用非条件logistic回归分析高血压患病危险因素。结果 调查人数为4 748人，有高血压的747例。高血压总患病率为15.73%（标化患病率为13.75%）；男性为16.36%（标化患病率为12.96%），女性为15.39%（标化患病率为14.34%）。全人群、男性及女性高血压患病率均低于中国居民营养与慢性病状况报告（2015年）的全国人群水平。高血压知晓率、治疗率、控制率分别为59.57%、52.74%、21.29%。多因素分析显示，高血压的患病率随着年龄的增高而升高，相对于18～34岁人群，55～64、65岁以上人群高血压的患病风险明显增高，OR值男性分别为10.53、20.96，女性为16.27、33.20，P值均<0.05；超重（男性OR=1.47，女性OR=1.82， P值均<0.05）及肥胖（男性OR=1.88，女性OR=2.66，P值均<0.05）也会增加高血压的患病风险；高血压家族史（男性OR值为3.85，女性OR=2.34，P值均<0.05）是高血压患病的危险因素。男性高TG血症者（OR=1.62，95% CI：1.09～2.41）也与高血压患病呈正相关。结论 新疆喀什地区维吾尔族人群高血压的患病率相对较低，男性年龄、超重或肥胖、家族史及高TG血症，女性年龄、超重或肥胖及家族史是当地维吾尔族高血压患病的危险因素。 |
| 英文摘要: |
| Objective To investigate the prevalence of hypertension and risk factors in Uygur adults in Kashgar of Xinjiang. Methods A total of 4 748 Uygur adults aged ≥ 18 years selected through cluster random sampling in Shufu county of Kashgar prefecture were surveyed by means of questionnaire survey, physical examination and laboratory test. The prevalence, awareness, treatment and control rate of hypertension of different groups were calculated and risk factors of hypertension was analyzed by using non-conditional logistic regression model. Results The overall prevalence of hypertension was 15.73% (age-adjusted prevalence was 13.75%). The prevalence rates of hypertension in men and women were 16.36% (age-adjusted prevalence was 12.96%), 15.39% (age-adjusted prevalence was 14.34%), respectively. The rates of awareness, treatment and control of hypertension were 59.57%, 52.74%, 21.29%, respectively. The prevalence of hypertension increased with age. Compared with age group 18-34 years, the age groups 55-64, ≥ 65 years had higher risk of hypertension and the OR values were 10.53, 20.96 for men and 16.27, 33.20 for women. The overweight (OR=1.47 for men, OR=1.82 for women, P<0.05) and obesity (OR=1.88 for men, OR=2.66 for women, P<0.05) also increased the risk of hypertension. The groups with family history of hypertension (OR=3.85 for men, OR=2.34 for women, P<0.05) also had higher risk of hypertension. Hypertriglyceridemia was positively correlated with the prevalence of hypertension in men (OR=1.62, 95%CI:1.09-2.41). Conclusions The prevalence of hypertension in Uygur adults in Kashgar area of Xinjiang was at relatively low level. The related risk factors were age, overweight, obesity, family history and hypertriglyceridemia in men and the risk factors were similar in women except hypertriglyceridemia. |
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