Département de médecine sociale et préventive, Université Laval, Quebec City, QC, Canada.
Centre de recherche du CHU de Québec - Université Laval, Quebec City, QC, Canada.
Can J Public Health. 2024 Jan;115(Suppl 1):168-179. doi: 10.17269/s41997-023-00774-5. Epub 2023 May 8.
To assess the prevalence of arterial hypertension among Inuit adults living in Nunavik (northern Quebec, Canada) in 2017 and identify its sociodemographic and lifestyle determinants.
We used data obtained from 1177 Inuit adults aged ≥ 18 years who participated in the cross-sectional Qanuilirpitaa? Nunavik Inuit Health Survey during late summer-early fall of 2017. Resting blood pressure (BP) and anthropometric characteristics were measured during a clinical session, while sociodemographic characteristics and lifestyle habits were documented using validated questionnaires. Information on current medication was retrieved from medical files. Sex-stratified population-weighted log-binomial regressions were conducted to identify determinants of hypertension, adjusting for potential confounders.
Hypertension (systolic BP ≥ 140 mm Hg or diastolic BP ≥ 90 mmHg or taking antihypertensive medication) was present in 23% of the adult population and was more frequent in men than women (29% vs. 18%). About a third of hypertensive individuals (34%) were taking antihypertensive medication. These estimates are prone to biases due to the relatively low participation rate (37%). As expected, the prevalence of hypertension increased with age, but values were surprisingly elevated in 18 to 29-year-old men and women (18% and 8%, respectively) compared with 20 to 39-year-old adults of the general Canadian population (3% in both sexes, according to data from the Canadian Health Measures Survey, 2012-2015). Hypertension was associated with obesity and alcohol consumption in both men and women, and with higher socioeconomic status among men.
This survey revealed a high prevalence of hypertension among young Nunavimmiut adults in 2017 and the need to improve hypertension diagnosis and treatment in the region. Curbing obesity and alcohol consumption, two actionable determinants of hypertension, will require improving food security and addressing the consequences of historical trauma linked to colonization.
评估 2017 年居住在努纳武特（加拿大魁北克北部）的因纽特成年人中动脉高血压的患病率，并确定其社会人口学和生活方式决定因素。
我们使用了 2017 年夏末至初秋期间参加横断面 Qanuilirpitaa？努纳武特因纽特健康调查的 1177 名年龄≥18 岁的因纽特成年人的数据。在临床检查期间测量静息血压（BP）和人体测量特征，同时使用经过验证的问卷记录社会人口学特征和生活方式习惯。从医疗档案中检索当前用药信息。进行性别分层的人群加权对数二项回归分析，以确定高血压的决定因素，并调整潜在的混杂因素。
成年人中高血压（收缩压≥140mmHg 或舒张压≥90mmHg 或服用抗高血压药物）的患病率为 23%，男性高于女性（29%对 18%）。约三分之一的高血压患者（34%）正在服用抗高血压药物。由于相对较低的参与率（37%），这些估计值容易出现偏差。正如预期的那样，高血压的患病率随着年龄的增长而增加，但在 18 至 29 岁的男性和女性中，其患病率令人惊讶地升高（分别为 18%和 8%），而普通加拿大人口中 20 至 39 岁的成年人的患病率（男女均为 3%，根据 2012-2015 年加拿大健康衡量调查的数据）。高血压与男性和女性的肥胖和饮酒有关，与男性的较高社会经济地位有关。
本调查显示，2017 年年轻的努纳武特因纽特成年人中高血压的患病率很高，需要改善该地区的高血压诊断和治疗。控制肥胖和饮酒，这两个高血压的可操作决定因素，需要改善粮食安全并解决与殖民化有关的历史创伤的后果。
