云南大理白族高血压患病率及相关危险因素流行病学调查
Prevalence Rate and Associated Risk Factors of Hypertension in Bai Ethnic Group in Yunnan
-
摘要:
目的 调查了解云南大理白族成人高血压患病率及相关危险因素.方法 选择云南省大理白族自治区白族村落中大于50岁的白族村民为研究对象, 且该村民为村中常住人口 (每年在村中居住的时间大于6个月) , 采用整群抽样的方法, 抽取50岁人以上人群, 按国际血压测量方法和有关质量控制规定进行血压测定, 调查内容包括问卷和体检两部分, 问卷部分主要有:一般状况、职业、学历、吸烟史、饮酒史和家族史等.体检部分包括:测量血压、身高、体重.采用多因素logistic回归分析高血压的危险因素 (P<0.05) .结果 云南省大理白族自治区白族村落中大于50岁的白族村民人高血压患病率为41.7%, 男性患病率为41.5%, 女性患病率为41.9%.多因素logistic回归分析显示, 年龄、肥胖、高血压家族史、吸烟、饮酒为高血压危险因素.结论 云南大理白族成人高血压患病率高于全国部份地区, 高血压防治力度有待加强.
Abstract:Objective To observe the risk factors and prevalence rate of hypertension in Bai ethnic group in Dali, Yunnan. Methods Bai ethnic minority villagers aged over 50 and been living in the villages in Dali for more than 6 months each year were recruited by cluster sampling and their blood pressure were taken.Data of the risk factors including occupation, smoking, drinking, family history, height and weight were collected and then analyzed with multiple factor logistic regression (P<0.05). Results The prevalence rate of all the villagers enrolled was 41.7%, with male prevalence rate being 41.5%, and female rate being 41.9%. Multiple factor Logistic regression analysis showed that age, obesity, family history, smoking and drinking were risk factors of the hypertension (P<0.05). Conclusions The prevalence rate of hypertension in Bai ethnic adults is higher than some regions of China. The prevention and treatment of hypertension should be reinforced.
-
Key words:
- Hypertension /
- Prevalence /
- Bai ethnic group /
- Risk factors
-
[1]李立明, 饶克勤, 孔灵芝, 等, 中国居民2002年营养与健康状况调查[J].中国流行病学杂志, 2005, 26 (7) :478-484. [2]陈伟伟, 高润霖, 刘力生, 等.中国心血管病报告2016概要[J].中国循环杂志, 2017, 32 (6) :521-530. [3] [3]JINMAN ZHANG, QIN HUANG, MINBIN Y U, et al.Prevalence, awareness, medication, control, and risk factors associated with hypertension in bai ethnic group in rural China:The Yunnan minority eye study[J].PLOS ONE, 2013, 8 (8) :e70886. [4]张金鹏.白族文化与现代文明[J].云南民族大学学报, 2009, 26 (4) :22-27. [5] [5]CHOBANIAN A V, BAKRIS G L, BLACK H R, et al.The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure:the JNC 7 report[J].JAMA, 2003, 289 (19) :2560-2572. [6]中国肥胖问题工作组数据汇总分析协作组.我国成人体重指数和腰围对相关疾病危险因素异常的预测价值:适宜体重指数和腰围切点的研究[J].中华流行病学杂志, 2002, 23 (1) :5-10. [7] [7]PORAPAKKHAMY, PATTARAARCHACHAI J, AEKPLAKORN W.Prevalence, awareness, treatment and control of hypertension and diabetes mellitus among the elderly:the 2004 National Health Examination Survey III, Thailand[J].Singapore Med J, 2008, 49 (11) :868-873. [8] [8]LEE H S, PARK Y M, KWON H S, et al.Prevalence, awareness, treatment, and control of hypertension among people over 40 years old in a rural area of the republic oF Korea:The Chungju Metabolic Disease Cohort (CMC) Study[J].Clin Exp Hypertens, 2010, 32:166-178. [9] [9]WU Y, HUXLEY R, LI L, et al.Prevalence, awareness, treatment, and control of hypertension in China:data from the China National.Nutrition and Health Survey 2002[J].Circulation, 2008, 118 (25) :2679-2686. [10] [10]YANG J, LU F, ZHANG C, et al.Prevalence of prehypertension and hypertension in a Chinese rural area from 1991 to 2007[J].Hypertens Res, 2010, 33 (4) :331-337. [11] [11]HAJJAR I, KOTCHEN J M, KOTCHEN T A.Hypertension:trends in prevalence, incidence, and control[J].Annual Renew of Public Health, 2006, 27 (1) :465-490. [12] [12]PARKER E D, SCHMITZ KH, JACOBS DR J R, et al.Physical activity in young adults and incident hypertension over 15 year of follow-up:the CARDIA study[J].American Journal of Public Health, 2007, 97 (4) :703-709. [13] [13]LESSA I, MAGALHAES L, ARAUJO MJ, et al.Arterial hypertension in the adult population of Salvador-Brazil[J].Arquivos Brasil Eirosde Cardiologia, 2006, 87 (6) :747-756. [14]赵连成, 武阳丰, 周北凡, 等.不同体重指数和腰围人群的血压均值及高血压患病率调查[J].中华流行病学杂志, 2003, 24 (6) :471-475. [15] [15]HANNINEN M R, NIIRANEN T J, PUUKKA P J, et al.Determinants of masked hypertension in the general population:the Finn-Home study[J].Journal of Hypert-ension, 2010, 29 (10) :1880-1888. [16] [16]KANGAVARI S, MATETZKY S, SHAH P K.Smoking increases inflammation and metalloproteinase expression in human carotid atheroschlerotic plaques[J].Journal of Cardiovascular Pharmacdogy&Therapeutics, 2004, 9 (4) :291-298. [17]冯娟, 大量饮酒对高血压患者降压效果的影响研究[J].中国医药指南, 2012, 10 (27) :9-10.
计量
- 文章访问数: 3032
- HTML全文浏览量: 1129
- PDF下载量: 150
- 被引次数: 0