The burden and correlates of hypertension among Chinese rural population in Han, Uygur, and Kazak: a cross-sectional study

J Am Soc Hypertens. 2017 Nov;11(11):737-745.e3. doi: 10.1016/j.jash.2017.09.010. Epub 2017 Sep 28.

Abstract

The present study was conducted to investigate the prevalence, awareness, treatment, control, and associated risk factors of hypertension among rural population in Xinjiang Province in Northwest China. The Cardiovascular Risk Survey study was conducted on a representative sample of the Northwest China adult population. A four-stage stratified cluster random sampling scheme was adopted to recruit representative samples. The data were collected by trained staff. Multivariable logistic regression models were used to identify the associated risk factors. Overall, 8295 study participants aged 35-101 years were enrolled. The overall hypertension prevalence was 35.01%. The prevalence of hypertension in Han, Uygur, and Kazak population was 36.84%, 33.32%, and 52.57%, respectively. The hypertension awareness, treatment, control, and control among treated participants were 56.1%, 44.7%, 10.9%, and 24.3%, respectively. Multivariate logistic regression showed that age, body mass index, central obesity, ethnic, and drinking status were identified as risk factors for hypertension. Hypertension was found to be highly prevalent in rural adults in Xinjiang, China, especially in Kazak population. Although the levels of awareness, treatment, and control have improved, it was still lower than developed countries. Effective measures should be adopted to promote the prevention and control of hypertension.

Keywords: Awareness; control; hypertension; treatment.

MeSH terms

  • Adult
  • Age Factors
  • Antihypertensive Agents / therapeutic use
  • Body Mass Index
  • China / epidemiology
  • Cross-Sectional Studies
  • Ethnicity / statistics & numerical data*
  • Female
  • Health Knowledge, Attitudes, Practice / ethnology
  • Humans
  • Hypertension / drug therapy
  • Hypertension / epidemiology*
  • Male
  • Middle Aged
  • Minority Groups / statistics & numerical data*
  • Minority Health / statistics & numerical data*
  • Prevalence
  • Risk Factors
  • Rural Health / statistics & numerical data*
  • Rural Population / statistics & numerical data*
  • Surveys and Questionnaires

Substances

  • Antihypertensive Agents