Inner Mongolia Medical University, Hohhot, China.
Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
J Clin Hypertens (Greenwich). 2021 Sep;23(9):1786-1801. doi: 10.1111/jch.14348. Epub 2021 Aug 16.
The objectives of the study were to comprehend the prevalence of hypertension (HTN) and prehypertension (PHT), awareness, treatment, and control of HTN and its distribution in urban, agricultural, pastoral, and semi-agricultural/semi-pastoral areas, and to explore the related factors of HTN among Mongolian adults in China. From August 2018 to August 2020, a multi-stage stratified cluster random sampling method was conducted to investigate the prevalence of HTN among Mongolian adults aged ≥18 years living in China (n = 2558). Inclusion criteria for HTN were systolic blood pressure ≥ 140 mm Hg and/or diastolic blood pressure ≥ 90 mm Hg and/or had hypertensive history and/or taking antihypertensive drugs for HTN. The prevalence rates of HTN and PHT were 44.77% and 32.03%, respectively. The prevalence rates of PHT in urban, agricultural, pastoral, and semi-agricultural/semi-pastoral areas were 34.93%, 34.73%, 26.03%, and 33.44%, respectively, and the prevalence rates of HTN were 35.97%, 40.15%, 49.68%, and 48.07%, respectively. The awareness, treatment and control rates of HTN were 66.48%, 58.93%, and 16.48%, respectively. In this survey, the overweight, obesity, and central obesity rates were 34.30%, 30.67%, and 58.08%, respectively. Compared with Chinese adults ≥18 years, the prevalence rate of HTN among Mongolian adults in China aged ≥ 18 years was relatively high; the prevalence rate of PHT and HTN awareness, treatment, and control rates were similar. The prevalence of HTN and the rates of obesity and central obesity were higher in pastoral regions than in the other three types of regions, and the rate of overweight was highest in agricultural regions.
本研究旨在了解中国蒙古族成年人高血压（HTN）和高血压前期（PHT）的患病率、知晓率、治疗率和控制率及其在城市、农业、牧业和半农半牧地区的分布情况，并探讨相关因素。2018 年 8 月至 2020 年 8 月，采用多阶段分层整群随机抽样方法，对中国 18 岁及以上蒙古族成年人进行高血压患病率调查（n=2558）。高血压的纳入标准为收缩压≥140mmHg 和/或舒张压≥90mmHg 和/或有高血压病史和/或正在服用抗高血压药物治疗高血压。HTN 和 PHT 的患病率分别为 44.77%和 32.03%。城市、农业、牧业和半农半牧地区 PHT 的患病率分别为 34.93%、34.73%、26.03%和 33.44%，HTN 的患病率分别为 35.97%、40.15%、49.68%和 48.07%。HTN 的知晓率、治疗率和控制率分别为 66.48%、58.93%和 16.48%。本调查中，超重、肥胖和中心性肥胖的发生率分别为 34.30%、30.67%和 58.08%。与中国≥18 岁成年人相比，中国蒙古族≥18 岁成年人高血压的患病率相对较高；高血压前期和高血压的知晓率、治疗率和控制率相似。牧业地区高血压患病率、肥胖率和中心性肥胖率较高，农业地区超重率最高。
