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目的比较新疆维吾尔族和汉族≥50岁人群高血压知晓率、治疗率和控制率。方法使用分层随机整群抽样方式、以现场问卷调查与入户调査相结合的方法,共计调査7 214人(男性3 396人,女性3 818人);其中维吾尔族4 142人(男性2 074人,女性2 068人);汉族3 072人(男性1 322人,女性1 750人),进行血压、身高、体重的测量及一般社会情况的调查。结果所调查的维、汉两民族≥50岁抽样人群的高血压知晓率、治疗率、控制率分别为59.74%、31.58%、14.11%(标化率分别为59.56%、30.99%、14.02%);抽样人群中女性高血压知晓率、治疗率、控制率分別为63.74%、34.81%、14.49%,男性分别为54.66%、27.60%、13.65%,女性知晓率、治疗率高于男性(P值均<0.05);汉族高血压知晓率、治疗率、控制率分别为66.40%、33.00%、13.37%;维吾尔族为54.55%、30.47%、14.69%;汉族知晓率高于维吾尔族(P<0.05);不同年龄段间比较,60~70岁人群高血压知晓率、治疗率、控制率均较其他年龄段略高(P值均<0.05);控制率分析可见,不同年龄段间、不同受文化程度间、城乡户口间、是否吸烟、是否饮酒、不同体重指数间高血压控制率的差异有统计学意义(P<0.05)。结论新疆为高血压病的高发区,维、汉两民族≥50岁人群知晓率、治疗率、控制率均不高,汉族高血压知晓率高于维吾尔族,女性的知晓率和治疗率高于男性;文化程度高、城市户口、不吸烟、不饮酒、体重指数正常者控制率较高。
Objective To compare the awareness rate, treatment rate and control rate of hypertension among Uyghur and Han nationalities over 50 years of age in Xinjiang. Methods A total of 7 214 people (3 396 males and 3 818 females) were surveyed by stratified random cluster sampling method based on a combination of on-the-spot questionnaires and household surveys. Among them, 4 142 Uighurs (males 2 074 women and 2 068 women), 3 072 Han Chinese (1 322 men and 1 750 women), and their blood pressure, height and weight were surveyed and general social conditions were investigated. Results The rates of awareness, treatment and control of hypertension were 59.74%, 31.58% and 14.11% respectively in the population aged ≥50 years of both ethnic Han and Han populations surveyed (standardized rates were 59.56%, 30.99% and 14.02%, respectively) ; The awareness rate, treatment rate and control rate of female hypertension were 63.74%, 34.81% and 14.49% respectively in the sampled population, 54.66%, 27.60% and 13.65% respectively in males and females, and the awareness rate and treatment rate of females were higher than those of males (P0.05); The awareness rate, treatment rate and control rate of Han hypertension were 66.40%, 33.00% and 13.37% respectively; The Uygur people were 54.55%, 30.47% and 14.69% ). Compared with other age groups, the awareness rate, treatment rate and control rate of hypertension in 60-70-year-old people were significantly higher than those in other age groups (P <0.05). The control rate analysis showed that among different age groups, There were significant differences in the control rates of hypertension between different education levels, between urban and rural areas, whether smoking, whether drinking, and different body mass index (P <0.05). Conclusion The prevalence of hypertension in Xinjiang is high. The awareness rate, treatment rate and control rate are not high between Han and Uygur nationality people over 50 years old. The awareness rate of hypertension in Han nationality is higher than that of Uyghur nationality women. Men; high education, urban hukou, non-smoking, non-alcohol consumption, body mass index normal control rate.