title: Prevalence and risk factors associated with prehypertension and hypertension in the Chinese She population.
abstract: BACKGROUND
  Little is known about the prevalence and cardiovascular risk factors for prehypertension and hypertension in the She ethnic minority population of Fujian province in China.
  
  
  RESULTS
  Between April 2009 and September 2009, 5,523 participants of She nationality aged between 20 and 80 years participated in this survey and 5,357 were eventually enrolled in analyses. The survey was carried out to assess blood pressure and cardiovascular risk factors. The prevalence of prehypertension and hypertension was 35.87 and 38.42%, respectively, in all participants. Only 26.63% of the subjects with hypertension were aware of their diagnosis. Multivariate logistic regression showed that age, gender, overweight/obesity, dyslipidemia and alcohol use were risk factors for prehypertension, and age, overweight/obesity, dyslipidemia, alcohol use, family history of hypertension and hyperuricemia were risk factors for hypertension. The clustering of 2 and ≥ 3 risk factors was in higher proportion for subjects with hypertension and prehypertension when compared with those with prehypertension and normotension, respectively. After adjusting for other confounding factors, multivariable logistic regression showed that the greater the number of clustering cardiovascular risk factors, the greater the odds ratios for prehypertension and hypertension are.
  
  
  CONCLUSIONS
  Hypertension and prehypertension were common in the She population of Fujian province. Cardiovascular risk factors cluster during prehypertension and awareness of hypertension was minimal. Early lifestyle modifications could be advocated to prevent the transition from prehypertension to hypertension and cardiovascular disease.
authors.affiliation: Department of Endocrinology, Ningde Municipal Hospital, Ningde, PR China.
authors.forename: Yinghua
authors.initials: Y
authors.lastname: Lin
authors.forename: Xiaolan
authors.initials: X
authors.lastname: Lai
authors.forename: Gang
authors.initials: G
authors.lastname: Chen
authors.forename: Yuan
authors.initials: Y
authors.lastname: Xu
authors.forename: Baoying
authors.initials: B
authors.lastname: Huang
authors.forename: Zichun
authors.initials: Z
authors.lastname: Chen
authors.forename: Shaoheng
authors.initials: S
authors.lastname: Zhu
authors.forename: Jin
authors.initials: J
authors.lastname: Yao
authors.forename: Qiqin
authors.initials: Q
authors.lastname: Jiang
authors.forename: Huibin
authors.initials: H
authors.lastname: Huang
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D044466:Asian People / Q000706:statistics & numerical data*; D001794:Blood Pressure; D002681:China / Q000453:epidemiology; D016000:Cluster Analysis; D005260:Female; D006306:Health Surveys; D006801:Humans; D006973:Hypertension / Q000208:ethnology*; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D058246:Prehypertension / Q000208:ethnology*; D015995:Prevalence; D012307:Risk Factors; D017678:Sex Distribution; D055815:Young Adult