Prevalence, awareness, medication, control, and risk factors associated with hypertension in Yi ethnic group aged 50 years and over in rural China: the Yunnan minority eye study.
Prevalence, awareness, medication, control, and risk factors associated with hypertension in Yi ethnic group aged 50 years and over in rural China: the Yunnan minority eye study.
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中国农村50岁及以上彝族人群高血压患病率、知晓率、用药、控制及危险因素：云南少数民族眼科研究
DOI：
10.1186/s12889-015-1687-4
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发表时间：
2015-04-15
影响因子：
4.5
通讯作者：
Zhong H
中科院分区：
文献类型：
--
作者：
Chen L;Zong Y;Wei T;Sheng X;Shen W;Li J;Niu Z;Zhou H;Zhang Y;Yuan Y;Chen Q;Zhong H
背景高血压是中国重要的公共卫生问题，但对云南少数民族高血压的研究很少。这项研究，云南少数民族眼科研究（YMES），最初的目的是确定的患病率和影响的眼科疾病，包括高血压和糖尿病。作为YMES的一部分，高血压的患病率，认识，治疗和控制和相关的危险因素之间的彝族人口在rural China.MethodsA人群为基础的调查，在2012年进行了50岁以上的成年参与者从农村社区在石林彝族自治县，云南省，位于中国西南部。采用随机整群抽样的方法，选取具有代表性的样本。测量了参与者的血压、身高、体重和腰围。高血压定义为平均收缩压≥140 mmHg和/或舒张压≥90 mmHg，和/或目前使用的抗高血压药物。高血压患病率为38.5%，年龄和性别调整后的患病率为37.0%。高血压患者中知晓自己高血压的占24.8%。在知道自己患有高血压的人群中，23.6%的人服用过降压药。在所有高血压患者中，仅7.2%的患者的高血压得到控制（<140/90 mmHg）。高血压的危险因素是年龄较大、吸烟、饮酒、高血压家族史、超重和肥胖。保护因素包括苗条和高等教育。ConclusionsHypertension是高度流行的彝族在中国的这一人群。高血压知晓率、治疗率和控制率均较低。建议在中国农村开展高血压教育和筛查项目，以改善这一人群的健康状况。
BackgroundHypertension is an important public health issue in China, but there are few studies examining hypertension in ethnic groups in Yunnan, China. This study, Yunnan Minority Eye Study (YMES), was initially designed to determine the prevalence and impact of eye diseases, including hypertension and diabetes mellitus. As a part of YMES, the prevalence, awareness, treatment, and control of hypertension and the associated risk factors among the Yi ethnic population in rural China are reported.MethodsA population-based survey was conducted in 2012 with adult participants over 50 from rural communities in Shilin Yi Autonomous County, Yunnan Province, located in southwest China. A random cluster sampling method was used to select a representative sample. The participants’ blood pressure, height, weight, and waist circumference were measured. Hypertension was defined as mean systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg, and/or current use of antihypertensive medications.ResultsA total of 2208 adults were assessed. The prevalence of hypertension was 38.5%, and the age- and gender-adjusted prevalence was 37.0%. The proportion of patients who were aware of their hypertension among those diagnosed with hypertension was 24.8%. Of those aware of having hypertension, 23.6% took antihypertensive drugs. Among all hypertensive patients, only 7.2% had controlled their hypertension (<140/90 mmHg). Risk factors for hypertension were older age, smoking, alcohol consumption, family history of high blood pressure, overweight, and obesity. Protective factors included being slim and higher education.ConclusionsHypertension was highly prevalent among this population of the Yi ethnic group in China. The ratio of awareness, treatment, and control of hypertension were considerately low. Hypertension education and screening programs in rural China are recommended to improve the health status of this population.
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影响因子：
37.8
作者：
Wu, Yangfeng;Huxley, Rachel;Yang, Xiaoguang
通讯作者：
Yang, Xiaoguang
大理白族农村成人青光眼患病率：云南少数民族眼科研究
影响因子：
4.4
作者：
Zhong, Hua;Li, Jun;Yuan, Yuansheng
通讯作者：
Yuan, Yuansheng
影响因子：
4.9
作者：
Afridi, I;Canny, J;Whitworth, J
通讯作者：
Whitworth, J
影响因子：
3.2
作者：
Wang, Jinwei;Zhang, Luxia;Wang, Haiyan
通讯作者：
Wang, Haiyan
影响因子：
2.8
作者：
Huang, Jinping;Zhang, Wei;Chen, Gang
通讯作者：
Chen, Gang