广西黑衣壮族中老年人群高血压患病率调查

目的探讨广西黑衣壮族中老年人群高血压的患病情况及其影响因素.方法采用整群抽样方法对657例≥40岁黑衣壮族人群的血压、身高、体重、体重指数、血脂及载脂蛋白进行测定,并将其结果与520例当地的汉族人群作比较.结果黑衣壮族人群高血压的患病率明显高于汉族人群(32.9%比24.6%,P＜0.01),黑衣壮族人群单纯收缩期高血压的患病率也明显高于汉族人群(16.7%比5.2%,P＜0.001).黑衣壮族和汉族人群高血压患病率受总胆固醇、甘油三酯、年龄、性别、饮酒、民族和体重指数的影响.黑衣壮族和汉族人群高血压知晓率为7.9%比19.5%(P＜0.01),治疗率4.2%比13.3%(P＜0.01),控制率1.4%比9.4%(P＜0.01).结论广西黑衣壮族中老年人群高血压患病率显著高于汉族,而高血压知晓率、治疗率和控制率则显著低于汉族.

A prevalence survey of hypertension in the middle-aged and elderly in Guangxi Hei Yi Zhuang population

Objective To investigate the prevalence rate of hypertension and the risk factors in the middle-aged and elderly in Guangxi Hei Yi Zhuang population.Methods A total of 657 people of Hei Yi Zhuang nationality aged 40 and over were surveyed.Blood pressure,body height,body weight,serum lipid and apolipoprotein levels were measured,and the body surface areas and body mass index(BMI) were calculated.The results were compared with those in 520 people of Han nationality who also live in that district.Results The prevalence rate of hypertension in Hei Yi Zhuang population was significantly higher than that in Han population(32.9% vs 24.6%,P<0.01),and the prevalence rate of isolated systolic hypertension was also significantly higher than that in Han population(16.7% vs 5.2%,P<0.001).The prevalence rate of hypertension in Hei Yi Zhuang and Han population was affected by total cholesterol,triglyceride,age,sex,alcohol consumption,nationality,and body mass index.Awareness rate of established hypertension in Hei Yi Zhuang and Han populations was 7.9% vs.19.5%(P<0.01),the treatment rate of established hypertension was 4.2% vs 13.3%(P<0.01) and control rate was 1.4% vs 9.4%(P<0.01) respectively.Conclusion The prevalence rate of hypertension in Guangxi Hei Yi Zhuang population is significantly higher than that in Han nationality group,while the awareness,treatment and the control rates of hypertension in Hei Yi Zhuang population are significantly lower than those in Han population.