四川彝族人群原发性高血压移民流行病学调查  

Prevalence and risk fcators of essential hypertension in Yi people in Sichuan province,China

作　　者：王斌[1,2] 王淳秀[1,2] 卫大英[3] 张建华[3] 潘莉[1,2] 马名驹[3] 薛芳[1,2] 单广良[1,2] 

机构地区：[1]中国医学科学院基础医学研究所 [2]北京协和医学院基础学院流行病与统计学系,北京100005 [3]四川省凉山州疾病预防控制中心

出　　处：《中国公共卫生》2010年第4期472-473,共2页Chinese Journal of Public Health

基　　金：国家自然基金面上项目(30671811)

摘　　要：目的比较四川省凉山彝族农民与移民原发性高血压患病率水平及其影响因素。方法2007-2008年对四川凉山地区(包括西昌市、金阳县、昭觉县、布拖县、喜德县、德阳县、宁南县)彝族人群进行问卷调查及血样生化检测,对原发性高血压可能危险因素进行多因素非条件Logistic回归分析。结果彝族农民原发性高血压患病率为3.19%,其中男性为4.73%,女性为1.92%。彝族移民原发性高血压患病率为15.10%,其中男性为17.74%,女性为10.83%。彝族农民和移民血压正常高值分别为12.53%(男性为16.05%,女性为9.68%)和25.93%(男性为32.65%,女性为16.52%)。年龄和糖尿病是彝族农民原发性高血压危险因素。年龄、超重或肥胖是彝族移民原发性高血压危险因素,而血压尿酸异常是其保护因素。结论彝族农民移居城镇后,生活环境发生变化,原发性高血压患病风险增加。Objective To explore the difference in the prevalence and risk factors of essential hypertension（EH） between Yi farmer and Yi migrant.Methods A representative sample of 2 966 Yi people aged 16 to 76 years were randomly selected in Sichuan province,China,2007-2008.EH was diagnosed according to the WHO criteria.Questionnaire survey,anthropometric measurement and blood test were carried out,and logistic regression analylsis was used to study the related risk factors.Results The prevalence of EH in Yi farmers was 3.19%（male：4.73%,female：1.92%）,and that of Yi migrants was 15.10%（male：17.74%,female：10.83%）.The borderline hypertension prevalence in Yi farmers was 12.53%,and that of Yi migrants was 25.9%.For Yi farmers,age and diabetes were the risk factors of EH.For Yi migrants,age and fat/overweight were the risk factors of EH,and hyperuricemia was a protective factor.Conclusion With the change of environmental condition,the risk of EH becomes higher when Yi farmers migrate to town.

关 键 词：原发性高血压 彝族 移民 患病率 危险因素 

分 类 号：R181.34[医药卫生—流行病学]