Volume 45 Issue 9
Sep.  2024
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You HUANG, Guohui LI, Duli LIU, Zizi YU, Mei ZUO, Qin LI, Bo LYU, Le CAI. Prevalence of Hypertension and Its Relationship with Clustering of Risk Factors of Cardiovascular Diseases in The Elderly of Han Majority and Ha Ni Ethnic Minority in Rural District of Mojiang County of Yunnan Province[J]. Journal of Kunming Medical University, 2024, 45(9): 42-48. doi: 10.12259/j.issn.2095-610X.S20240907
Citation: You HUANG, Guohui LI, Duli LIU, Zizi YU, Mei ZUO, Qin LI, Bo LYU, Le CAI. Prevalence of Hypertension and Its Relationship with Clustering of Risk Factors of Cardiovascular Diseases in The Elderly of Han Majority and Ha Ni Ethnic Minority in Rural District of Mojiang County of Yunnan Province[J]. Journal of Kunming Medical University, 2024, 45(9): 42-48. doi: 10.12259/j.issn.2095-610X.S20240907

Prevalence of Hypertension and Its Relationship with Clustering of Risk Factors of Cardiovascular Diseases in The Elderly of Han Majority and Ha Ni Ethnic Minority in Rural District of Mojiang County of Yunnan Province

doi: 10.12259/j.issn.2095-610X.S20240907
  • Received Date: 2024-03-25
    Available Online: 2024-09-02
  • Publish Date: 2024-09-25
  •   Objective  To analyze the prevalence of hypertension and its relationship with the clustering of risk factors of cardiovascular diseases(CVD) in the elderly of Han majority and Ha Ni ethnic minority in rural districts of Yunnan Province.   Methods  The multi-stage stratified random sampling method was used to select 1413 Han majority participants and 1402 Ha Ni ethnic minority participants aged ≥60 years from Mo Jiang Hani Autonomous County, respectively, and each participant received a questionnaire survey and physical examination.   Results  The prevalence of hypertension was 64.5% for Han majority and 63.4%for Ha Ni ethnic minority. Female Han older adults, Han older adults with higher annual income and good medical service accessibility had a higher prevalence of hypertension than Ha Ni ethnic minority counterparts (all P < 0.05), while Han older adults with poor medical service accessibility had a lower prevalence of hypertension than Ha Ni ethnic minority counterparts (P < 0.05). Prevalence of hypertension increased with age for both ethnicities (all P < 0.05). The prevalence of clustering of CVD risk factors was 90.4% and 86.9%among Han majority and Ha Ni ethnic minority, respectively, which was higher in the Han majority than in the Ha Ni ethnic minority (P < 0.05). Compared with the Ha Ni ethnic minority elderly. Female Han older adults, Han older adults with higher annual income and good medical service accessibility had a higher prevalence of clustering of CVD risk factors (all P < 0.01). The result of multivariate logistic regression analysis showed that the clustering of CVD risk factors was a risk factor for hypertension in the elderly of Han majority (OR = 1.590, 95%CI: 1.101~2.296, P = 0.013); In addition, for both Han majority and Ha Ni ethnic minority older adults, the individuals with 4(Han: P = 0.016, Ha Ni: P = 0.029) or ≥5 (Han: P < 0.001, Ha Ni: P < 0.001) CVD risk factors had higher prevalence of hypertension than those without clusters of cardiovascular disease risk factors.   Conclusion  The prevalence of hypertension and clustering of CVD risk factors are both at a high level in Han majority and Ha Ni ethnic minority elderly in rural Yunnan Province, the individuals with multiple risk factors should be targeted as a priority population for intervention reducing the number of clusters of CVD risk factors is helpful to decrease the risk of hypertension.
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