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

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

Abstract

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].Chinese journal of Epidemiology,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

Received:December 21, 2016

DOI：10.3760/cma.j.issn.0254-6450.2017.06.004

KeyWord: 维吾尔族高血压患病率危险因素

English Key Word: Uygur Hypertension Prevalence Risk Factors

FundProject: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）

Author Name	Affiliation	E-mail
Zhang Zhoubin	Office of Director, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
Xue Zhenxiang	Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China Immunization Programme Section, Shufu Center for Disease Control and Prevention, Kashgar 844100, China
Chen Haiyan	Department of Primary Health, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
Wang Tongmin	Department of Immunization Programme, Kashgar Prefecture Center for Disease Control and Prevention, Kashgar 844100, China
Li Yaohui	Department of Primary Health, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
Chao Xianfeng	Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China Immunization Programme Section, Shufu Center for Disease Control and Prevention, Kashgar 844100, China
Wang Gang	Shufu Health Bureau, Kashgar 844100, China
Luo Dongmei	Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China Immunization Programme Section, Shufu Center for Disease Control and Prevention, Kashgar 844100, China
Wu Xueji	Department of Primary Health, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
Nazibam·Nurmamat	Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China Immunization Programme Section, Shufu Center for Disease Control and Prevention, Kashgar 844100, China
Ayxamgul·Bawudun	Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China Immunization Programme Section, Shufu Center for Disease Control and Prevention, Kashgar 844100, China
Gulbahar·Elyas	Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China Immunization Programme Section, Shufu Center for Disease Control and Prevention, Kashgar 844100, China
Zhou Ziyan	Department of Immunization Programme, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
Sun Baoshan	The Front Command of Guangdong Province for the Work of Assistance to Xinjiang, Kashgar 844100, China Department of Disease Control and Prevention, Health and Family Planning Commission of Guangdong Province, Guangzhou 510060, China
Wang Yuzhong	Shufu Health Bureau, Kashgar 844100, China
Wang Ming	Office of Director, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China	wangming@gzcdc.org.cn

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Abstract:

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。

English Abstract:

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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