Ghosh Rohini
Epidemiology and Health Services Evaluation Department, S. Daniel Abraham International Center for Health and Nutrition, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Am J Hum Biol. 2007 May-Jun;19(3):409-15. doi: 10.1002/ajhb.20602.
Blood pressure (BP) trends vary cross-culturally, and studies on the risk factors associated with hypertension are limited in periurban regions of India. This study was conducted to examine the effect of socioeconomic factors (income, expenditure, activity time) and anthropometric measurements (skinfolds of biceps, triceps, subscapular, supra iliac, and body mass index) on 102 Munda (tribe) and 135 Pod (caste) women of childbearing age in a periurban area of Kolkata city. Results indicate that Munda women had significantly higher diastolic BP in the 30+ age group. However, no difference in the systolic and diastolic BP was observed between the two groups, when the socioanthropometric factors were controlled as covariates. Also, according to the JNC (JNC, 2004, The JNC 7 Report NIH Publication No. 04-5230) classification of hypertension, no significant difference in hypertension was noted between the women of the two social groups. But the risk factors associated with hypertension varied between the two ethnic groups. Expenditure on alcohol and activity time was associated with hypertension among the Munda, while body mass index was significantly associated with hypertension among the Pod women. Alcohol consumption is a rare phenomenon among Indian women. Yet, Munda women in this transitional periurban environment, in spite of high poverty were more inclined to spent their earnings in alcohol consumption (due to their cultural preferences), increasing the risk of hypertension in their childbearing age.
血压（BP）趋势在不同文化间存在差异，而在印度城市周边地区，关于高血压相关危险因素的研究有限。本研究旨在探讨社会经济因素（收入、支出、活动时间）和人体测量指标（肱二头肌、肱三头肌、肩胛下、髂上皮肤褶厚度以及体重指数）对加尔各答市一个城市周边地区102名蒙达（部落）和135名波德（种姓）育龄妇女的影响。结果表明，30岁及以上年龄组的蒙达妇女舒张压显著更高。然而，当将社会人体测量因素作为协变量进行控制时，两组之间未观察到收缩压和舒张压的差异。此外，根据美国国立卫生研究院联合委员会（JNC，2004年，《JNC 7报告》，NIH出版物编号04 - 5230）的高血压分类，两个社会群体的女性在高血压方面未发现显著差异。但两个种族群体中与高血压相关的危险因素有所不同。饮酒支出和活动时间与蒙达族女性的高血压有关，而体重指数与波德族女性的高血压显著相关。在印度女性中饮酒是一种罕见现象。然而，在这个处于过渡阶段的城市周边环境中，尽管贫困程度高，蒙达族女性由于文化偏好更倾向于将收入用于饮酒，这增加了她们育龄期患高血压的风险。
