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凉山彝族城乡居民高血压患病率及控制情况的调查分析

高赟, 陈涛, 冉兴无等

高赟, 陈涛, 冉兴无等. 凉山彝族城乡居民高血压患病率及控制情况的调查分析[J]. 四川大学学报(医学版), 2014, 45(1): 74-78.
引用本文: 高赟, 陈涛, 冉兴无等. 凉山彝族城乡居民高血压患病率及控制情况的调查分析[J]. 四川大学学报(医学版), 2014, 45(1): 74-78.
GAO Yun, CHEN Tao, RAN Xing-wu. et al. Prevalence and Factors Associated with the Prevention and Control of Hypertension in Chinese Yi Populations[J]. Journal of Sichuan University (Medical Sciences), 2014, 45(1): 74-78.
Citation: GAO Yun, CHEN Tao, RAN Xing-wu. et al. Prevalence and Factors Associated with the Prevention and Control of Hypertension in Chinese Yi Populations[J]. Journal of Sichuan University (Medical Sciences), 2014, 45(1): 74-78.

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凉山彝族城乡居民高血压患病率及控制情况的调查分析

Prevalence and Factors Associated with the Prevention and Control of Hypertension in Chinese Yi Populations

  • 摘要: 目的 了解四川省凉山州彝族城乡居民高血压患病率、知晓率、治疗率和控制情况。 方法 对自然人群采用整群随机抽样的方法,于2007年6~9月在四川省凉山州西昌市区及3个乡村的20岁以上的彝族居民开展横断面调查。本研究纳入1 255例有完整人口学资料和实验室检查资料的调查对象进行分析,分为城市/农村、男/女两个层次进行高血压患病率、知晓率、治疗率和控制率的比较。 结果 彝族居民高血压标化患病率为17.3%,城市居民标化患病率高于农村居民 (25.9% vs.8.9%,P<0.001)。彝族居民高血压知晓率、治疗率和控制率分别为29.8%、26.1%、8.8%;城市居民的知晓率(35.0% vs.13.6%,P<0.001)和治疗率(31.1% vs.10.6%,P<0.001)均高于农村居民。年龄增大、女性、年收入≥10 000元、超重或肥胖、总胆固醇升高是彝族城市居民高血压的独立危险因素;而彝族农村居民高血压的患病率仅与年龄和总胆固醇呈独立正相关。 结论 彝族居民高血压患病率高,而知晓率、治疗率和控制率低,需加强防控力度。

     

    Abstract: Objective?To estimate the prevalence of hypertension and to identify factors associated with the prevention and control of hypertension in Chinese Yi populations. Methods?A cross-sectional study was conducted in Liangshan Yi Autonomous Prefecture of Sichuan province. Random cluster sampling method was adopted to recruit participants. A total of 1 255 Yi people who were 20 years or older from one urban district and three rural villages participated in this study. Demographic and medical and laboratory data were collected from July to September 2007. The prevalence of hypertension and levels of awareness and control of hypertension were calculated and compared between genders and urban and rural residencies. Results?The age-standardized prevalence of hypertension reached 17.3% in the Chinese Yi populations. Urban residents had a significantly higher level of prevalence of hypertension than that of rural residents (25.9% vs.8.9%, P<0.001). Among the hypertensive patients, 2.8% were aware of their high blood pressure, 26.1% were taking antihypertensive medications, and 8.8% had their blood pressures controlled (<140/90 mm Hg). Urban residents had significantly higher levels of awareness (35%) and endorsement of treatment (31.1%) than their rural counterparts (13.6% for awareness and 10.6% for treatment, P<0.001). For those living in urban areas, higher prevalence of hypertension was associated with older age, being a woman, having higher annual income (≥¥10 000), overweight/obesity and higher levels of total cholesterol. Older age and high levels of total cholesterol were also found to be associated with increased risk of hypertension in the rural residents. Conclusion?Hypertension is prevalent in Yi populations. The awareness and control of hypertension in Yi populations is poor. Public health interventions are needed.

     

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  • 发布日期:  2014-01-19

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