University of Miami School of Medicine, Florida, USA.
Am J Hypertens. 2011 Nov;24(11):1209-14. doi: 10.1038/ajh.2011.127. Epub 2011 Aug 11.
Hypertension (HTN) is a growing cause of morbidity and mortality among rural Chinese. While HTN has been studied in various regions of China, little is known about HTN among ethnic minorities in rural China.
A total of 36 villages were randomly selected from Yunnan province, China. From these villages, a total of 1,676 subjects from 10 ethnic minorities and the Han ethnic majority were selected for interview and blood pressure (BP) measurement. From each village, 50-80 men and women between the ages of 50 and 70 years were randomly selected. HTN prevalence, treatment, and control rates of HTN were evaluated in these 11 ethnic groups.
After controlling for age, gender, body mass index (BMI), smoking, alcohol, and monosodium glutamate intake, prevalence of HTN varied between 25% in the Hani minority and 64% in the Tibetan minority (P < 0.001). Treatment rates varied between 0% in the Hani minority and 41% in the Tibetan minority (P = 0.006). Control rates varied between 0% in the Hani minority and 17% in the Tibetan minority (P = 0.28). Prevalence, treatment, and control rates in the Han ethnic group were 35, 22, and 12%, respectively.
The prevalence of HTN varies widely among China's ethnic groups. Treatment and control rates of HTN also vary and are inadequate in the minority ethnic groups as well as in the Han majority.
高血压（HTN）是中国农村地区发病率和死亡率不断上升的主要原因。虽然中国的不同地区都对 HTN 进行了研究，但对于中国农村少数民族中的 HTN 知之甚少。
从云南省随机抽取了 36 个村庄。从这些村庄中，共选取了来自 10 个少数民族和汉族的 1676 名受试者进行访谈和血压（BP）测量。每个村庄随机选取 50-80 名 50-70 岁的男女。评估了这 11 个民族的 HTN 患病率、治疗率和 HTN 控制率。
在控制年龄、性别、体重指数（BMI）、吸烟、饮酒和谷氨酸钠摄入后，哈尼族的 HTN 患病率为 25%，藏族的 HTN 患病率为 64%（P<0.001）。治疗率在哈尼族为 0%，在藏族为 41%（P=0.006）。控制率在哈尼族为 0%，在藏族为 17%（P=0.28）。汉族的患病率、治疗率和控制率分别为 35%、22%和 12%。
中国各民族的 HTN 患病率差异很大。少数民族和汉族的 HTN 治疗和控制率也各不相同，且不足。
