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目的了解新疆阜康牧区高血压患病率、知晓率、治疗率、控制率及其危险因素。方法采用多级随机抽样的方法对新疆阜康牧区30～70岁哈萨克族人群进行高血压流行病学调查。结果该人群中高血压年龄标化患病率为46.8%,高血压知晓率、治疗率及控制率分别为51.4%、25.9%和1.6%;高血压患病率男性高于女性而高血压知晓率男性低于女性(P<0.05),高血压治疗率和控制率男性也低于女性,但差异无统计学意义;高血压患病率、知晓率、治疗率随年龄增长而增加(P<0.01);高血压控制率>60岁年龄段最高,30～40次之,>50～60年龄段最低;Logistic分析提示随年龄、体质量指数(BMI)、总胆固醇和空腹血糖的增加,患高血压的危险也增加(P<0.01)。结论新疆阜康牧区哈萨克族人群高血压患病率高,而治疗率及控制率很低。年龄、BMI、总胆固醇和空腹血糖增高是该人群患高血压的主要危险因素。
Objective To understand the prevalence of hypertension, awareness rate, treatment rate, control rate and risk factors in Fukang pastoral area of Xinjiang. Methods A multistage random sampling method was used to investigate the prevalence of hypertension in Kazak ethnicity in Fukang, Xinjiang from 30 to 70 years old. Results The age-standardized prevalence rate of hypertension in this population was 46.8%. The prevalence rate of hypertension, treatment rate and control rate were 51.4%, 25.9% and 1.6% respectively. The prevalence of hypertension in males was higher than that in females and the rate of awareness of hypertension Men were lower than women (P <0.05). Hypertension treatment rate and control rate were also lower in males than in females, but the difference was not statistically significant. Hypertension prevalence, awareness rate and treatment rate increased with age (P <0.01) ); Hypertension control rate> 60 years old highest, 30 to 40 times,> 50 to 60 years minimum; Logistic analysis showed that with age, body mass index (BMI), total cholesterol and fasting blood glucose increased, The risk of blood pressure also increased (P <0.01). Conclusion The prevalence of hypertension in Kazaks in Fukang and pastoral areas in Xinjiang is high, but the treatment rate and control rate are very low. Age, BMI, total cholesterol and fasting blood glucose are the major risk factors for hypertension in this population.