文献类型：期刊文献

中文题名：不同海拔地区藏汉族成年人高血压患病率调查及相关因素分析

英文题名：Prevalence and Related Factors of Hypertension among Tibetan and Han Adults at Different Altitudes

作者：叶蓁蓁[1];易剑锋[1];苏露[2];顾巧玲[2]

第一作者：叶蓁蓁

机构：[1]甘肃中医药大学临床医学院,甘肃兰州730000;[2]西北民族大学医学院,甘肃兰州730030

第一机构：甘肃中医药大学临床医学院

年份：2018

卷号：35

期号：5

起止页码：508

中文期刊名：中国社会医学杂志

外文期刊名：Chinese Journal of Social Medicine

收录：CSTPCD

基金：西北民族大学研究生科研创新课题(Yxm2014077)

语种：中文

中文关键词：高血压;藏族;汉族

外文关键词：Hypertension;Tibetan;Han

摘要：目的通过对藏族地区成年人高血压患病率调查及相关因素分析,探讨藏族地区高血压患病特征及影响因素。方法 2014年7月—2016年9月采用多阶段分层整群随机抽样方法,对甘肃省天祝、甘南及西藏自治区的拉萨和日喀则共1 161例18岁以上藏族及移居汉族居民进行身高、体重、血压测定及问卷调查,并分析影响藏族地区成人高血压患病率的相关因素。结果藏族地区成年人高血压患病率为38.9%(452/1 161),藏族、女性、≥60岁、吸烟、饮酒、城镇、居住海拔≥3 000 m及肥胖者的高血压患病率及患病风险均增高(P<0.05)。不同民族、海拔、生活环境及肥胖组内高血压等级分布均存在差异(P<0.01)。结论藏族地区高血压患病率较高,其与民族、性别、年龄、肥胖、生活方式、居住环境等关系密切。控制体重、健康的生活方式仍是藏族地区高血压防治的重要内容,同时应根据民族、性别、生活环境等因素制定不同且针对性强的高血压防治策略。
Objective To investigate the characteristics and related factors of hypertension among Tibetan and Han adults by the investigation on the prevalence of hypertension in Tibetan areas.Methods From July 2014 to September 2016,1 161 adults,sampled by stratified cluster random sampling in Tianzhu,Gannan of Gansu Province,Lhasa,Xigaze of Tibet Autonomous Region,were surveyed by questionnaire and field measurement including height,weight and blood pressure to analyze the related factors of the hypertension prevalence in Tibetan area.Results The hypertension prevalence was 38.9%（452/1 161）in Tibetan area.The hypertension prevalence rate and its risk were increased in people of Tibetan,women,aged≥60,smoking,drinking,towns,living altitude≥3 000 mand obesity（P〈0.05）.There were differences of hypertension grade distribution in different nationalities,altitude,living environment and obese groups.Conclusion The hypertension prevalence in Tibetan areas is high and closely related to nationality,sex,age,obesity,lifestyle and living environment.Weight management and healthy lifestyle are still important parts of the prevention and treatment of hypertension in Tibetan areas.Formulating prevention strategies of hypertension according as the national,gender,living environment and other factors should be considered.