Prevalence of Hypertension among Adults in Remote Rural Areas of Xinjiang, China

Yulin Wang, Jingyu Zhang, Yusong Ding, Mei Zhang, Jiaming Liu, Jiaolong Ma, Heng Guo, Yizhong Yan, Jia He, Kui Wang, Shugang Li, Rulin Ma, Bek Murat and Shuxia Guo
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Yulin Wang: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China
Jingyu Zhang: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China
Yusong Ding: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China
Mei Zhang: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China
Jiaming Liu: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China
Jiaolong Ma: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China
Heng Guo: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China
Yizhong Yan: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China
Jia He: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China
Kui Wang: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China
Shugang Li: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China
Rulin Ma: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China
Bek Murat: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China
Shuxia Guo: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China

IJERPH, 2016, vol. 13, issue 6, 1-9

Abstract: Objective: The present study aimed to estimate prevalence of hypertension among adults in rural remote areas of Xinjiang, China and evaluate the associated factors of hypertension. Methods: The survey was based on questionnaire interviews and clinical measurements of 11,340 individuals (?18 years old), and was conducted during 2009–2010 via a stratified cluster random sampling method in the remote rural areas of Xinjiang, about 4407 km away from the capital Beijing. Hypertension was defined according to WHO/ISH criteria. Results: Systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the population were (126.3 ± 21.4) and (80.9 ± 13.4) mmHg. Compared with Han nationality subjects, SBP and DBP of Kazakh nationality subjects were significantly high ( p < 0.05), while the SBP and DBP of Uyghur subjects were significantly low (Kazakh: (128.7 ± 23.9) and (83.0 ± 14.6) mmHg, Uyghur: (123.6 ± 19.3) and (77.4 ± 12.7) mmHg, Han: (126.5 ± 20.5) and (82.6 ± 11.9) mmHg, p < 0.05). Prevalence of hypertension of the population was 32.1%, and was greater among Kazakhs and lower among Uyghur than Han (Kazakh: 36.9%, Uyghur: 26.1%, Han: 33.7%, p < 0.05). The age-standardized prevalence of hypertension was 30.2%, and was greater among Kazakhs while lower among Uyghurs than Han subjects (Kazakh: 37.0%, Uyghur: 26.0%, Han: 33.8%, p < 0.05, p < 0.05). Multivariate logistic regression analyses showed Gender (OR = 1.324), age (OR = 2.098, 3.681, 6.794, 9.473, 14.646), nationality (OR = 1.541), occupation (OR = 1.659, 1.576), education (OR = 1.260), BMI (OR = 1.842), WC (OR = 1.585), WHR (OR = 1.188), WHR (OR = 1.188), diabetes (OR = 1.879), hypertriglyceridemia (OR = 1.361), hypercholesterolemia (OR = 1.131) and high blood low density lipoprotein cholesterol (LDL-C) (OR = 1.956) were all positively correlated with hypertension, while low blood high density lipoprotein cholesterol (HDL-C) (OR = 0.765) was negatively correlated with hypertension. Conclusions: Prevalence of hypertension among adults in remote rural areas of Xinjiang was higher than the national average. Prevalence of hypertension was greater among Kazakhs and lower among Uyghurs than Han nationals, thus indicating significant differences between regions and nationalities. Gender, age, nation, occupation, education, overweight or obesity, abdominal obesity, diabetes, hyperlipidemia, hypercholesterolemia, high LDL-C were positively correlated with hypertension, low HDL-C was negatively correlated with hypertension.

Keywords: hypertension; prevalence; epidemiological studies; rural; nation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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