Analysis Of Different Social-economic Status On The Prevalence Of Hypertension And Its’ Impact On Quality Of Life Among Dai Ethnic Minority In Yunnan Province

Objective:The purpose of this study was to investigate the prevalence of hypertension among Dai ethnic minority over age 35 years old in Mang shi of Yunnan province.and analysis of Different social-economic status on The prevalence of hypertension and its’ impact on quality of life among Dai ethnic minorityMethods:The stratified random sampling method was used to select representative samples of 1,397 Dai ethnic minority aged 35 years and over from Mang Shi of Yunnan province.Information related to hypertension was obtained from questionnaire survey and blood pressure measurement.The SF-36 Scale was used to evaluation the quality of life of the Dai ethnic minority residents;The student’s t test and the analysis of variance method are used to comparing the difference between the socioeconomic status in different groups;Chi-square test was used to comparing the differences of hypertension prevalence between different groups and different social economic status groups;Multiple linear regression analysis was used to analysis hypertension effects on the quality of life among Dai ethnic minority residents.Results:In this survey,Among these 1397 of Dai ethnic minority residents,686 of men,accounting for 49.1%,711 women,accounting for 50.9%.The prevalence rate of hypertension was 55.2%in Dai ethnic minority residents of Mang Shi,58.9%in male and 51.6%in females.The prevalence of hypertension was different among different sexes.The prevalence of hypertension in male was higher than that in female(Chi-square test,P<0.05).The prevalence of hypertension was different among different age groups,and the prevalence of hypertension increased with the increase of age(trend Chi-square test,P<0.01).The prevalence of hypertension was different among different educational levels.The lower education level,indicates the higher the prevalence of hypertension(Chi-square test,P<0.01).The prevalence of hypertension was different in different marital status.The prevalence of hypertension was higher in non-marriages than those in married(Chi-square test,P<0.05).The prevalence of hypertension was different with different per capital income level,hypertension prevalence,and poor per capital income level(Chi-square test,P<0.05).The awareness rate of Hypertension was 42.0%,the treatment rate was 33.1%and the control rate was 5.4%.The awareness rate and treatment rate of hypertension were higher than those of men(Chi-square test,P<0.01).There was no significant difference in the rate of hypertension control among different sexes.The awareness rate,treatment rate and control rate of hypertension were different in different age groups,and the awareness rate and treatment rate of hypertension increased with the increase of age(P<0.01).The comprehensive socioeconomic status of the Dai ethnic minority was 1.93 ± 0.77.2.02 ± 0.79 for male,1.85 ± 1.73 for female,Male was higher than female,the difference was statistically significant(P<0.01);different age groups shows Different socioeconomic status scores,with the growth of age,social and economic status gradually reduced.The difference was statistically significant(P<0.01).The prevalence of hypertension was different among different social-economic status(P<0.01).The lower social-economic status indicates the higher hypertension prevalence.Different gender of Dai ethnic minority in physiological function,Role-Physical,body pain,general health,vitality,social function,emotional function,physical health and mental health dimension score were different The difference was statistically significant(P<0.01),the quality of life score of man is better than female;Different age group the physiological function,Role-Physical,body pain,general health,vitality,social function,emotional function,mental health,physical health and mental health dimension were different.The difference was statistically significant(P<0.01)Different social and economic status of the Dai ethnic minority residents in physiological function,Role-Physical body pain,general health,vitality,emotional function,physical health and mental health dimension score were different.The difference was statistically significant(P<0.01).The higher the social and economic status,the higher score in each dimension.The high blood pressure patients with normal people quality of life score comparison results show that the Dai ethnic minority residents’ physiological function,Role-Physical,body pain,general health,vitality,emotional functions and mental health,physical health and mental health scores were higher than the high blood pressure patients,differences were statistically significant(P<0.05).The male hypertension patients quality of life score is better than that of women.The total score of physical health and mental health scores of quality of life respectively(77.74 士 17.20)and(84.81±9.80).Factors affecting quality of life of multiple linear stepwise regression showed that influencing the residents’ life quality of physical health,mental health of two main influencing factor of the comprehensive dimension scores as follows:age,sex,hypertension,social and economic status;Female,the old,hypertension shows lower score in two comprehensive dimension(P<0.01);the higher the Social and economic status shows the higher score the two comprehensive dimension(P<0.01).Conclusion:The prevalence of hypertension of Dai ethnic minority in Mang Shi is higher,And the prevalence of hypertension was higher in the population with lower socioeconomic status.In addition,Hypertension can reduce the quality of life of Dai ethnic minority.It is suggested that the prevention and control of local hypertension should be intensified and the health education and health promotion of the Dai ethnic minority and the management of patients with hypertension should be strengthened,especially the education of males,the old people and the poor socioeconomic status.Take Comprehensive measures to reduce the prevalence of local hypertension and improve the awareness of the residents of the Dai ethnic minority,treatment and control rates.Then reduce the impact of hypertension on the quality of life of local Dai residents.