Cargando…

Prevalence of Hypertension among Adults in Remote Rural Areas of Xinjiang, China

Objective: The present study aimed to estimate prevalence of hypertension among adults in rural remote areas of Xinjiang, China and evaluate the associated factors of hypertension. Methods: The survey was based on questionnaire interviews and clinical measurements of 11,340 individuals (≥18 years ol...

Descripción completa

Detalles Bibliográficos
Autores principales: Wang, Yulin, Zhang, Jingyu, Ding, Yusong, Zhang, Mei, Liu, Jiaming, Ma, Jiaolong, Guo, Heng, Yan, Yizhong, He, Jia, Wang, Kui, Li, Shugang, Ma, Rulin, Murat, Bek, Guo, Shuxia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4923981/
https://www.ncbi.nlm.nih.gov/pubmed/27231924
http://dx.doi.org/10.3390/ijerph13060524
_version_ 1782439781503860736
author Wang, Yulin
Zhang, Jingyu
Ding, Yusong
Zhang, Mei
Liu, Jiaming
Ma, Jiaolong
Guo, Heng
Yan, Yizhong
He, Jia
Wang, Kui
Li, Shugang
Ma, Rulin
Murat, Bek
Guo, Shuxia
author_facet Wang, Yulin
Zhang, Jingyu
Ding, Yusong
Zhang, Mei
Liu, Jiaming
Ma, Jiaolong
Guo, Heng
Yan, Yizhong
He, Jia
Wang, Kui
Li, Shugang
Ma, Rulin
Murat, Bek
Guo, Shuxia
author_sort Wang, Yulin
collection PubMed
description Objective: The present study aimed to estimate prevalence of hypertension among adults in rural remote areas of Xinjiang, China and evaluate the associated factors of hypertension. Methods: The survey was based on questionnaire interviews and clinical measurements of 11,340 individuals (≥18 years old), and was conducted during 2009–2010 via a stratified cluster random sampling method in the remote rural areas of Xinjiang, about 4407 km away from the capital Beijing. Hypertension was defined according to WHO/ISH criteria. Results: Systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the population were (126.3 ± 21.4) and (80.9 ± 13.4) mmHg. Compared with Han nationality subjects, SBP and DBP of Kazakh nationality subjects were significantly high (p < 0.05), while the SBP and DBP of Uyghur subjects were significantly low (Kazakh: (128.7 ± 23.9) and (83.0 ± 14.6) mmHg, Uyghur: (123.6 ± 19.3) and (77.4 ± 12.7) mmHg, Han: (126.5 ± 20.5) and (82.6 ± 11.9) mmHg, p < 0.05). Prevalence of hypertension of the population was 32.1%, and was greater among Kazakhs and lower among Uyghur than Han (Kazakh: 36.9%, Uyghur: 26.1%, Han: 33.7%, p < 0.05). The age-standardized prevalence of hypertension was 30.2%, and was greater among Kazakhs while lower among Uyghurs than Han subjects (Kazakh: 37.0%, Uyghur: 26.0%, Han: 33.8%, p < 0.05, p < 0.05). Multivariate logistic regression analyses showed Gender (OR = 1.324), age (OR = 2.098, 3.681, 6.794, 9.473, 14.646), nationality (OR = 1.541), occupation (OR = 1.659, 1.576), education (OR = 1.260), BMI (OR = 1.842), WC (OR = 1.585), WHR (OR = 1.188), WHR (OR = 1.188), diabetes (OR = 1.879), hypertriglyceridemia (OR = 1.361), hypercholesterolemia (OR = 1.131) and high blood low density lipoprotein cholesterol (LDL-C) (OR = 1.956) were all positively correlated with hypertension, while low blood high density lipoprotein cholesterol (HDL-C) (OR = 0.765) was negatively correlated with hypertension. Conclusions: Prevalence of hypertension among adults in remote rural areas of Xinjiang was higher than the national average. Prevalence of hypertension was greater among Kazakhs and lower among Uyghurs than Han nationals, thus indicating significant differences between regions and nationalities. Gender, age, nation, occupation, education, overweight or obesity, abdominal obesity, diabetes, hyperlipidemia, hypercholesterolemia, high LDL-C were positively correlated with hypertension, low HDL-C was negatively correlated with hypertension.
format Online
Article
Text
id pubmed-4923981
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-49239812016-07-05 Prevalence of Hypertension among Adults in Remote Rural Areas of Xinjiang, China Wang, Yulin Zhang, Jingyu Ding, Yusong Zhang, Mei Liu, Jiaming Ma, Jiaolong Guo, Heng Yan, Yizhong He, Jia Wang, Kui Li, Shugang Ma, Rulin Murat, Bek Guo, Shuxia Int J Environ Res Public Health Article Objective: The present study aimed to estimate prevalence of hypertension among adults in rural remote areas of Xinjiang, China and evaluate the associated factors of hypertension. Methods: The survey was based on questionnaire interviews and clinical measurements of 11,340 individuals (≥18 years old), and was conducted during 2009–2010 via a stratified cluster random sampling method in the remote rural areas of Xinjiang, about 4407 km away from the capital Beijing. Hypertension was defined according to WHO/ISH criteria. Results: Systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the population were (126.3 ± 21.4) and (80.9 ± 13.4) mmHg. Compared with Han nationality subjects, SBP and DBP of Kazakh nationality subjects were significantly high (p < 0.05), while the SBP and DBP of Uyghur subjects were significantly low (Kazakh: (128.7 ± 23.9) and (83.0 ± 14.6) mmHg, Uyghur: (123.6 ± 19.3) and (77.4 ± 12.7) mmHg, Han: (126.5 ± 20.5) and (82.6 ± 11.9) mmHg, p < 0.05). Prevalence of hypertension of the population was 32.1%, and was greater among Kazakhs and lower among Uyghur than Han (Kazakh: 36.9%, Uyghur: 26.1%, Han: 33.7%, p < 0.05). The age-standardized prevalence of hypertension was 30.2%, and was greater among Kazakhs while lower among Uyghurs than Han subjects (Kazakh: 37.0%, Uyghur: 26.0%, Han: 33.8%, p < 0.05, p < 0.05). Multivariate logistic regression analyses showed Gender (OR = 1.324), age (OR = 2.098, 3.681, 6.794, 9.473, 14.646), nationality (OR = 1.541), occupation (OR = 1.659, 1.576), education (OR = 1.260), BMI (OR = 1.842), WC (OR = 1.585), WHR (OR = 1.188), WHR (OR = 1.188), diabetes (OR = 1.879), hypertriglyceridemia (OR = 1.361), hypercholesterolemia (OR = 1.131) and high blood low density lipoprotein cholesterol (LDL-C) (OR = 1.956) were all positively correlated with hypertension, while low blood high density lipoprotein cholesterol (HDL-C) (OR = 0.765) was negatively correlated with hypertension. Conclusions: Prevalence of hypertension among adults in remote rural areas of Xinjiang was higher than the national average. Prevalence of hypertension was greater among Kazakhs and lower among Uyghurs than Han nationals, thus indicating significant differences between regions and nationalities. Gender, age, nation, occupation, education, overweight or obesity, abdominal obesity, diabetes, hyperlipidemia, hypercholesterolemia, high LDL-C were positively correlated with hypertension, low HDL-C was negatively correlated with hypertension. MDPI 2016-05-24 2016-06 /pmc/articles/PMC4923981/ /pubmed/27231924 http://dx.doi.org/10.3390/ijerph13060524 Text en © 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wang, Yulin
Zhang, Jingyu
Ding, Yusong
Zhang, Mei
Liu, Jiaming
Ma, Jiaolong
Guo, Heng
Yan, Yizhong
He, Jia
Wang, Kui
Li, Shugang
Ma, Rulin
Murat, Bek
Guo, Shuxia
Prevalence of Hypertension among Adults in Remote Rural Areas of Xinjiang, China
title Prevalence of Hypertension among Adults in Remote Rural Areas of Xinjiang, China
title_full Prevalence of Hypertension among Adults in Remote Rural Areas of Xinjiang, China
title_fullStr Prevalence of Hypertension among Adults in Remote Rural Areas of Xinjiang, China
title_full_unstemmed Prevalence of Hypertension among Adults in Remote Rural Areas of Xinjiang, China
title_short Prevalence of Hypertension among Adults in Remote Rural Areas of Xinjiang, China
title_sort prevalence of hypertension among adults in remote rural areas of xinjiang, china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4923981/
https://www.ncbi.nlm.nih.gov/pubmed/27231924
http://dx.doi.org/10.3390/ijerph13060524
work_keys_str_mv AT wangyulin prevalenceofhypertensionamongadultsinremoteruralareasofxinjiangchina
AT zhangjingyu prevalenceofhypertensionamongadultsinremoteruralareasofxinjiangchina
AT dingyusong prevalenceofhypertensionamongadultsinremoteruralareasofxinjiangchina
AT zhangmei prevalenceofhypertensionamongadultsinremoteruralareasofxinjiangchina
AT liujiaming prevalenceofhypertensionamongadultsinremoteruralareasofxinjiangchina
AT majiaolong prevalenceofhypertensionamongadultsinremoteruralareasofxinjiangchina
AT guoheng prevalenceofhypertensionamongadultsinremoteruralareasofxinjiangchina
AT yanyizhong prevalenceofhypertensionamongadultsinremoteruralareasofxinjiangchina
AT hejia prevalenceofhypertensionamongadultsinremoteruralareasofxinjiangchina
AT wangkui prevalenceofhypertensionamongadultsinremoteruralareasofxinjiangchina
AT lishugang prevalenceofhypertensionamongadultsinremoteruralareasofxinjiangchina
AT marulin prevalenceofhypertensionamongadultsinremoteruralareasofxinjiangchina
AT muratbek prevalenceofhypertensionamongadultsinremoteruralareasofxinjiangchina
AT guoshuxia prevalenceofhypertensionamongadultsinremoteruralareasofxinjiangchina