The prevalence and risk factors associated with hypertension subtypes among ethnic Dai adults in rural China

IF 2.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Preventive Medicine Reports Pub Date : 2024-09-17 DOI:10.1016/j.pmedr.2024.102886
Hua Zhong , Hongxia Li , Dan Xu , Yilong Dong , Chenwei Pan , Jun Li , Lixing Chen
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Abstract

This study was conducted from June to September 2020 and conducted a population-based study of 2149 rural Dai residents aged 50 years or above in Xishuangbanna. The definition of hypertension was a systolic blood pressure ≥140 mmHg and/or a diastolic blood pressure ≥90 mmHg, or a current treatment plan with an antihypertensive medication. High blood pressure (HBP) included the following subtypes: SDH, ISH and IDH. All participants were interviewed, had physical examinations performed, and had blood pressure measurements taken. Multivariable logistic regression analysis was applied to analyse the risk factors for hypertension. The prevalence of HBP was 43.2 %. The subtype-specific prevalence of hypertension was 16.5 % for SDH, 24.2 % for ISH and 2.5 % for IDH. Among hypertensive participants, 38.2 % were SDH, 56.0 % were ISH and 5.8 % were IDH. Older age is a risk factor for HBP and ISH. Obesity, smoking, drinking and history of hypertension are risk factors for HBP and its subtypes including SDH and ISH (OR >1). Among all the hypertensive participants, only 25.0 % of the participants were aware of their hypertension while 34.7 % of SDH participants, 20.0 % of ISH participants and 9.3 % of IDH participants knew the individual subtype of hypertension. Among Dai people, the prevalence of hypertension is high, while the awareness and the rate of adequate treatment of hypertension is low. ISH stood out as the most prevalent type of HBP among the rural elderly. Rising ageing population in China, ISH remains an important public health problem and a challenging management issue in rural China.
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中国农村傣族成年人高血压亚型的患病率及相关风险因素
本研究于 2020 年 6 月至 9 月进行,以西双版纳 2149 名 50 岁及以上的傣族农村居民为研究对象。高血压的定义是收缩压≥140 mmHg和/或舒张压≥90 mmHg,或目前正在接受降压药物治疗。高血压(HBP)包括以下亚型:SDH、ISH 和 IDH。所有参与者都接受了访谈、体检和血压测量。多变量逻辑回归分析用于分析高血压的风险因素。HBP 患病率为 43.2%。SDH、ISH和IDH亚型的高血压患病率分别为16.5%、24.2%和2.5%。在高血压患者中,SDH 占 38.2%,ISH 占 56.0%,IDH 占 5.8%。高龄是 HBP 和 ISH 的风险因素。肥胖、吸烟、饮酒和高血压病史是 HBP 及其亚型(包括 SDH 和 ISH)的危险因素(OR >1)。在所有高血压参与者中,只有 25.0% 的人知道自己患有高血压,而 34.7% 的 SDH 参与者、20.0% 的 ISH 参与者和 9.3% 的 IDH 参与者知道自己的高血压亚型。在傣族人中,高血压的患病率很高,而对高血压的认识和适当治疗率却很低。ISH是农村老年人最常见的高血压类型。随着中国人口老龄化的加剧,ISH 仍是中国农村地区一个重要的公共卫生问题,也是一个具有挑战性的管理问题。
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来源期刊
Preventive Medicine Reports
Preventive Medicine Reports Medicine-Public Health, Environmental and Occupational Health
CiteScore
3.90
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0.00%
发文量
353
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