延边地区朝鲜族和汉族人群高血压分布特点及影响因素分析

[目的]研究延边地区朝鲜族及汉族高血压与相关危险因素的分布特点及其相关关系.[方法]采取随机整群抽样法,抽取延边地区30～70岁朝鲜族和汉族常住居民3011人,进行问卷调查,测量身高、体重、腰围、臀围及血压,并采集空腹静脉血,测定血清总胆固醇、甘油三酯及血糖值.[结果]朝鲜族和汉族居民血压及其相关因素的分布特征间存在差异,朝鲜族男女高血压粗患病率分别为53.5%,41.6%,年龄调整后标准化患病率分别为45.9%,31.3%,汉族男女高血压粗患病率分别为40.1%,30.6%,年龄调整后标准化患病率分别为37.7%,28.6%,无论男女朝鲜族的高血压患病水平均显著高于汉族,本地区朝鲜族及汉族男女高血压患病率均随年龄增长而升高.多因素回归分析结果显示,高血压与民族、性别、年龄、周围型肥胖、腹型肥胖、吸烟和血脂异常密切相关.[结论]朝鲜族和汉族高血压及其相关因素的分布特征间存在差异,而高血压与民族、性别、年龄、周围型肥胖、腹型肥胖、吸烟和血脂异常存在相关性.

Analysis of distribution characteristics and its related factors of hypertension between Korean-Chinese and Han nationality in Yanbian area of China

OBJECTIVE To analyze the distribution characteristics and its related factors of hypertension between Korean-Chinese and Han nationality in Yanbian area of China. METHODS 3 011 subjects aged 30～70 years were selected. Information on demographic characteristics and lifestyle factors was collected. Height,weight,waist,blood pressure,serum lipids,and glucose were measured,and body mass index and waist-to-height ratio were employed as the obesity indices. RESULTS The mean level of blood pressure and related factors had significant ethnic differences. The crude rates of hypertension of Korean-Chinese nationality male and female were 53.5% and 41.6%,while those of Han nationality were 40.1% and 30.6%,and the age-adjusted prevalences were 45.9%,31.3%,37.7% and 28.6%,respectively. The crude and the age-adjusted prevalence of hypertension in Korean-Chinese nationality were significantly higher than those in Han and it was progressively higher with the increases of age.Multiple logistic regression analysis shows that the prevalence of hypertension was positively correlated with nationality （Korean-Chinese）,sex,age,generally obesity,centrally obesity,smoking,and dyslipidemia. CONCLUSION There were significant differences in the distribution of hypertension and its related factors between Korean-Chinese and Han nationality. The prevalence of hypertension was positively correlated with nationality （Korean-Chinese）,sex,age,generally obesity,centrally obesity,smoking,and dyslipidemia in combined population of Korean-Chinese and Han nationality.