Wang Yong-Tao, Adi Dilare, Yu Zi-Xiang, Ma Yi-Tong, Yang Yi-Ning, Li Xiao-Mei, Ma Xiang, Liu Fen, Chen Bang-Dang
Department of Cardiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, P.R. China; Xinjiang Key Laboratory of Cardiovascular Disease Research, Urumqi, P.R. China.
Department of Cardiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, P.R. China; Xinjiang Key Laboratory of Cardiovascular Disease Research, Urumqi, P.R. China.
J Am Soc Hypertens. 2017 Nov;11(11):737-745.e3. doi: 10.1016/j.jash.2017.09.010. Epub 2017 Sep 28.
The present study was conducted to investigate the prevalence, awareness, treatment, control, and associated risk factors of hypertension among rural population in Xinjiang Province in Northwest China. The Cardiovascular Risk Survey study was conducted on a representative sample of the Northwest China adult population. A four-stage stratified cluster random sampling scheme was adopted to recruit representative samples. The data were collected by trained staff. Multivariable logistic regression models were used to identify the associated risk factors. Overall, 8295 study participants aged 35-101 years were enrolled. The overall hypertension prevalence was 35.01%. The prevalence of hypertension in Han, Uygur, and Kazak population was 36.84%, 33.32%, and 52.57%, respectively. The hypertension awareness, treatment, control, and control among treated participants were 56.1%, 44.7%, 10.9%, and 24.3%, respectively. Multivariate logistic regression showed that age, body mass index, central obesity, ethnic, and drinking status were identified as risk factors for hypertension. Hypertension was found to be highly prevalent in rural adults in Xinjiang, China, especially in Kazak population. Although the levels of awareness, treatment, and control have improved, it was still lower than developed countries. Effective measures should be adopted to promote the prevention and control of hypertension.
本研究旨在调查中国西北新疆农村地区人群高血压的患病率、知晓率、治疗率、控制率及相关危险因素。心血管风险调查研究针对中国西北成年人群的代表性样本开展。采用四阶段分层整群随机抽样方案招募代表性样本。数据由经过培训的工作人员收集。使用多变量逻辑回归模型确定相关危险因素。总体而言，共纳入8295名年龄在35 - 101岁的研究参与者。总体高血压患病率为35.01%。汉族、维吾尔族和哈萨克族人群的高血压患病率分别为36.84%、33.32%和52.57%。高血压的知晓率、治疗率、控制率以及治疗参与者中的控制率分别为56.1%、44.7%、10.9%和24.3%。多变量逻辑回归显示，年龄、体重指数、中心性肥胖、种族和饮酒状况被确定为高血压的危险因素。研究发现，中国新疆农村成年人中高血压患病率很高，尤其是哈萨克族人群。尽管知晓率、治疗率和控制率有所提高，但仍低于发达国家。应采取有效措施促进高血压的预防和控制。
