Prevalence and risk factors of H-type hypertension among community residents in Jinzhou city

ObjectiveTo explore the prevalence and common risk factors of hypertension comorbid with hyperhomocysteinemia(H-type hypertension)among community residents in Jinzhou city.MethodsWe selected residents aged more 18 years from two communities in Jinzhou city with random cluster sampling and conducted a questionnaire survey on risk factors of H-type hypertension.ResultsTotally 2 457 residents participated the survey and the response rate was 98.45%.Of all the participants,681 were hypertensives and the hypertension prevalence rate was 28.15%,and 475 were H-type hypertension patients and the prevalence rate of H-type hypertension was 19.63%.The results of univariate analyses demonstrated that the factors related to H-type hypertension included at the age of 50-60 years,male gender,obesity,abdominal obesity,tobacco smoking,meat-eating dietary habit,lack of exercise,comorbid with coronary heart disease and metabolic syndrome,and familial history of H-type hypertension and stroke(all P<0.05).Multivariate logistic regression analyses showed that the significant risk factors of H-type hypertension were at the age of 50-60 years(odds ratioOR=2.870, 95% confidence interval95%CI=2.049-3.270),abdominal obesity(OR=2.511,95%CI=1.838-2.942),tobacco smoking(OR=3.175,95%CI=2.308-3.365),comorbid with coronary heart disease(OR=3.225, 95%CI=2.165-3.513),and with familial history of stroke (OR=3.225, 95%CI=2.165-3.513).ConclusionThe prevalence of H-type hypertension probably is closely related with aging,abdominal obesity,tobacco smoking,coronary heart disease,and familial history of stroke among community residents in Jinzhou city.