Prevalence, Awareness, Treatment, Control, and Related Factors of Hypertension among Tajik Nomads Living in Pamirs at High Altitude
Joint Authors
Li, Nanfang
Shao, Liang
Zhang, Yu
Wang, Lin
Cao, Mei
Hu, Junli
Abulikemu, Suofeiya
Zhang, Delian
Luo, Qin
Zhou, Ling
Cai, Li
Zhao, Xin
Sun, Le
Source
International Journal of Hypertension
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-07-14
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Hypertension is a global problem, for which high-altitude residents exhibit higher burden.
Hypertension in Tajik nomads from Pamirs with an average altitude above 4000 m remains less studied.
We aimed to determine the prevalence, awareness, treatment, control, and risk factors associated with hypertension among Tajik population in Pamirs.
Methods.
A cross-sectional survey was conducted between August and September 2015 using stratified three-stage random sampling in Taxkorgan county, Pamirs, China.
Hypertension is defined as mean systolic and/or diastolic blood pressure (SBP, DBP) ≥140/90 mmHg and/or taking antihypertensive medication within the past two weeks.
The prevalence (SBP ≥130 or DBP ≥80 mmHg) was also estimated using the 2017 American College of Cardiology (ACC)/American Heart Association (AHA) High Blood Pressure Guideline.
The awareness, treatment, and control of hypertension and associated factors were evaluated.
Results.
Totally, 797 subjects aged ≥18 years were enrolled with 46.3% men and 88.8% nomads with the mean age of 42.3 ± 15.2 years.
The prevalence of hypertension was 24.2% (140/90 mmHg), and the prevalence was as high as 40.3%, based on the 2017 ACC/AHA guideline.
Overall awareness, treatment, and control of hypertension were 52.8%, 40.9%, and 9.3%, respectively.
In multivariate logistic regression, BMI ≥24.0 kg/m2 (OR: 2.41, 95% CI: 1.44–4.04) was a risk factor for prehypertension, and age ≥60 years (OR: 2.04, 95% CI: 1.15–3.61), BMI ≥24.0 kg/m2 (OR: 2.04, 95% CI: 1.15–3.61), and abdominal obesity (OR: 1.87, 95% CI: 1.09–3.22) were risk factors for hypertension.
Angiotensin-converting enzyme inhibitors/angiotensin receptor blockers were the most commonly used antihypertensive medication (45.4%) as monotherapy, and 13.6% of treated hypertensive patients used two drugs.
Conclusions.
There is a considerable prevalence of hypertension with low awareness, treatment, and control rates among Tajik nomads in Pamirs, where health programs improving the hypertension status are urgently needed, with the excess weight loss as a strategy.
American Psychological Association (APA)
Wang, Lin& Li, Nanfang& Zhang, Yu& Abulikemu, Suofeiya& Zhang, Delian& Luo, Qin…[et al.]. 2020. Prevalence, Awareness, Treatment, Control, and Related Factors of Hypertension among Tajik Nomads Living in Pamirs at High Altitude. International Journal of Hypertension،Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1171676
Modern Language Association (MLA)
Wang, Lin…[et al.]. Prevalence, Awareness, Treatment, Control, and Related Factors of Hypertension among Tajik Nomads Living in Pamirs at High Altitude. International Journal of Hypertension No. 2020 (2020), pp.1-10.
https://search.emarefa.net/detail/BIM-1171676
American Medical Association (AMA)
Wang, Lin& Li, Nanfang& Zhang, Yu& Abulikemu, Suofeiya& Zhang, Delian& Luo, Qin…[et al.]. Prevalence, Awareness, Treatment, Control, and Related Factors of Hypertension among Tajik Nomads Living in Pamirs at High Altitude. International Journal of Hypertension. 2020. Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1171676
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1171676