Analysis of Prevalence and Risk Factors of Hypertension Among Uygur Adults in Tushala and Hetian Xinjiang Uygur Autonomous Region

Abstract

This study was designed to survey the prevalence and risk factors of hypertension in Uygur adults in Tushala Township, Hetian area of Xinjiang Uygur Autonomous Region. Cross-sectional study of possible risk factors for hypertension was conducted in Tushala and in 28 surrounding villages using a stratified random sampling method. A modified version of the WHO STEP wise approach for risk factor survey was employed. Data collection on these relevant risk factors was performed using the WHO STEPS approach. Physical and body parameters were collected and used for analysis of variance. In addition, risk factors for hypertension were screened using a multifactor logistic regression analysis. The prevalence of hypertension in Hetian Township was 25.6%. The incidence of hypertension was positively correlated with body mass index and triglyceride cholesterol. There was also a positive correlation between risk of hypertension and levels of waist-to-hip ratio as well as abdominal circumference (AC). Logistic regression analysis exhibited AC as the predominant risk factor while high-density lipoprotein as the main protective factor for hypertension. In conclusion, our results indicated that high caloric food intake may trigger hyperlipidemia and subsequently elevated blood pressure, with elevated BMI and cholesterol levels being the major risk factors for hypertension.