title: Prevalence of Hypertension among Adults in Remote Rural Areas of Xinjiang, China.
abstract: The present study aimed to estimate prevalence of hypertension among adults in rural remote areas of Xinjiang, China and evaluate the associated factors of hypertension.
  
  
  
  The survey was based on questionnaire interviews and clinical measurements of 11,340 individuals (≥18 years old), and was conducted during 2009-2010 via a stratified cluster random sampling method in the remote rural areas of Xinjiang, about 4407 km away from the capital Beijing. Hypertension was defined according to WHO/ISH criteria.
  
  
  
  Systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the population were (126.3 ± 21.4) and (80.9 ± 13.4) mmHg. Compared with Han nationality subjects, SBP and DBP of Kazakh nationality subjects were significantly high (p < 0.05), while the SBP and DBP of Uyghur subjects were significantly low (Kazakh: (128.7 ± 23.9) and (83.0 ± 14.6) mmHg, Uyghur: (123.6 ± 19.3) and (77.4 ± 12.7) mmHg, Han: (126.5 ± 20.5) and (82.6 ± 11.9) mmHg, p < 0.05). Prevalence of hypertension of the population was 32.1%, and was greater among Kazakhs and lower among Uyghur than Han (Kazakh: 36.9%, Uyghur: 26.1%, Han: 33.7%, p < 0.05). The age-standardized prevalence of hypertension was 30.2%, and was greater among Kazakhs while lower among Uyghurs than Han subjects (Kazakh: 37.0%, Uyghur: 26.0%, Han: 33.8%, p < 0.05, p < 0.05). Multivariate logistic regression analyses showed Gender (OR = 1.324), age (OR = 2.098, 3.681, 6.794, 9.473, 14.646), nationality (OR = 1.541), occupation (OR = 1.659, 1.576), education (OR = 1.260), BMI (OR = 1.842), WC (OR = 1.585), WHR (OR = 1.188), WHR (OR = 1.188), diabetes (OR = 1.879), hypertriglyceridemia (OR = 1.361), hypercholesterolemia (OR = 1.131) and high blood low density lipoprotein cholesterol (LDL-C) (OR = 1.956) were all positively correlated with hypertension, while low blood high density lipoprotein cholesterol (HDL-C) (OR = 0.765) was negatively correlated with hypertension.
  
  
  
  Prevalence of hypertension among adults in remote rural areas of Xinjiang was higher than the national average. Prevalence of hypertension was greater among Kazakhs and lower among Uyghurs than Han nationals, thus indicating significant differences between regions and nationalities. Gender, age, nation, occupation, education, overweight or obesity, abdominal obesity, diabetes, hyperlipidemia, hypercholesterolemia, high LDL-C were positively correlated with hypertension, low HDL-C was negatively correlated with hypertension.
authors.affiliation: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China. nihaowangyulin@163.com.|Department of Pathology and Key Laboratory of Xinjiang Endemic and Ethnic Diseases (Ministry of Education), School of Medicine, Shihezi University, Beier Road, Shihezi 832002, China. nihaowangyulin@163.com.
authors.forename: Yulin
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China. yfyxxzjy@126.com.|Department of Pathology and Key Laboratory of Xinjiang Endemic and Ethnic Diseases (Ministry of Education), School of Medicine, Shihezi University, Beier Road, Shihezi 832002, China. yfyxxzjy@126.com.
authors.forename: Jingyu
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China. 13399931625@163.com.|Department of Pathology and Key Laboratory of Xinjiang Endemic and Ethnic Diseases (Ministry of Education), School of Medicine, Shihezi University, Beier Road, Shihezi 832002, China. 13399931625@163.com.
authors.forename: Yusong
authors.initials: Y
authors.lastname: Ding
authors.affiliation: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China. zmberry@foxmail.com.|Department of Pathology and Key Laboratory of Xinjiang Endemic and Ethnic Diseases (Ministry of Education), School of Medicine, Shihezi University, Beier Road, Shihezi 832002, China. zmberry@foxmail.com.
authors.forename: Mei
authors.initials: M
authors.lastname: Zhang
authors.affiliation: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China. liujiaming@shzu.edu.cn.|Department of Pathology and Key Laboratory of Xinjiang Endemic and Ethnic Diseases (Ministry of Education), School of Medicine, Shihezi University, Beier Road, Shihezi 832002, China. liujiaming@shzu.edu.cn.
authors.forename: Jiaming
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China. jiaojiaolong881202@163.com.|Department of Pathology and Key Laboratory of Xinjiang Endemic and Ethnic Diseases (Ministry of Education), School of Medicine, Shihezi University, Beier Road, Shihezi 832002, China. jiaojiaolong881202@163.com.
authors.forename: Jiaolong
authors.initials: J
authors.lastname: Ma
authors.affiliation: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China. guoheng@shzu.edu.cn.|Department of Pathology and Key Laboratory of Xinjiang Endemic and Ethnic Diseases (Ministry of Education), School of Medicine, Shihezi University, Beier Road, Shihezi 832002, China. guoheng@shzu.edu.cn.
authors.forename: Heng
authors.initials: H
authors.lastname: Guo
authors.affiliation: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China. erniu19880215@sina.com.|Department of Pathology and Key Laboratory of Xinjiang Endemic and Ethnic Diseases (Ministry of Education), School of Medicine, Shihezi University, Beier Road, Shihezi 832002, China. erniu19880215@sina.com.
authors.forename: Yizhong
authors.initials: Y
authors.lastname: Yan
authors.affiliation: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China. hejia123.shihezi@163.com.|Department of Pathology and Key Laboratory of Xinjiang Endemic and Ethnic Diseases (Ministry of Education), School of Medicine, Shihezi University, Beier Road, Shihezi 832002, China. hejia123.shihezi@163.com.
authors.forename: Jia
authors.initials: J
authors.lastname: He
authors.affiliation: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China. kwang311@hotmail.com.|Department of Pathology and Key Laboratory of Xinjiang Endemic and Ethnic Diseases (Ministry of Education), School of Medicine, Shihezi University, Beier Road, Shihezi 832002, China. kwang311@hotmail.com.
authors.forename: Kui
authors.initials: K
authors.lastname: Wang
authors.affiliation: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China. lishugang@ymail.com.|Department of Pathology and Key Laboratory of Xinjiang Endemic and Ethnic Diseases (Ministry of Education), School of Medicine, Shihezi University, Beier Road, Shihezi 832002, China. lishugang@ymail.com.
authors.forename: Shugang
authors.initials: S
authors.lastname: Li
authors.affiliation: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China. marulin@126.com.|Department of Pathology and Key Laboratory of Xinjiang Endemic and Ethnic Diseases (Ministry of Education), School of Medicine, Shihezi University, Beier Road, Shihezi 832002, China. marulin@126.com.
authors.forename: Rulin
authors.initials: R
authors.lastname: Ma
authors.affiliation: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China. murat08123@163.com.|Department of Pathology and Key Laboratory of Xinjiang Endemic and Ethnic Diseases (Ministry of Education), School of Medicine, Shihezi University, Beier Road, Shihezi 832002, China. murat08123@163.com.
authors.forename: Bek
authors.initials: B
authors.lastname: Murat
authors.affiliation: Department of Public Health, School of Medicine, Shihezi University, Beier Road, Shihezi 832000, China. pge888@sina.com.|Department of Pathology and Key Laboratory of Xinjiang Endemic and Ethnic Diseases (Ministry of Education), School of Medicine, Shihezi University, Beier Road, Shihezi 832002, China. pge888@sina.com.
authors.forename: Shuxia
authors.initials: S
authors.lastname: Guo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001794:Blood Pressure; D002681:China / Q000453:epidemiology; D003920:Diabetes Mellitus / Q000453:epidemiology; D050171:Dyslipidemias / Q000453:epidemiology; D005006:Ethnicity; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D050177:Overweight / Q000453:epidemiology; D015995:Prevalence; D012424:Rural Population / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: epidemiological studies; hypertension; nation; prevalence; rural