Higher risk of hypertension in indigenous type 2 diabetic patients in Taiwan
Journal
Journal of Hypertension
Journal Volume
24
Journal Issue
9
Pages
1817-1821
Date Issued
2006
Author(s)
Abstract
BACKGROUND: This study compared the risk of hypertension between indigenous and Han adults with type 2 diabetes mellitus (T2DM) in Taiwan. METHODS: The data of 89 857 (747 indigenous and 89 110 Han people) T2DM patients aged ?18 years were extracted from an established cohort of 93 484 diabetic patients using the National Health Insurance system of Taiwan. The prevalence of hypertension before diabetes diagnosis and at the time of survey, and the incidence of hypertension after diabetes diagnosis were compared between the two ethnicities. RESULTS: The indigenous people had a higher prevalence of hypertension before diabetes diagnosis (39.0% versus 29.4%, P < 0.001) and at the time of survey (66.9% versus 54.4%, P < 0.001); and showed poorer blood pressure control, with systolic pressure ? 140 mmHg (38.4% versus 30.3%, P < 0.001) and diastolic pressure ? 90 mmHg (20.4% versus 15.5%, P < 0.001). Logistic and Cox's regression models showed an adjusted risk of hypertension of about twofold in indigenous people compared to the Han people. CONCLUSIONS: The indigenous diabetics are more prone to develop hypertension than their Han counterparts in Taiwan. ? 2006 Lippincott Williams & Wilkins.
Other Subjects
adult; article; blood pressure regulation; cohort analysis; diastolic blood pressure; ethnic group; female; high risk population; human; hypertension; indigenous people; logistic regression analysis; major clinical study; male; national health insurance; non insulin dependent diabetes mellitus; prevalence; priority journal; proportional hazards model; risk assessment; systolic blood pressure; Taiwan
Publisher
Lippincott Williams and Wilkins
Type
journal article