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Prevalence and risk factors associated with chronic kidney disease in a Z huang ethnic minority area in C hina
Author(s) -
Pan Ling,
Ma Rui,
Wu Yue,
Feng Li,
Song Yashan,
Ye Xudong,
Zhang Yinghua,
Yang Zhenhua,
Liao Yunhua
Publication year - 2015
Publication title -
nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.752
H-Index - 61
eISSN - 1440-1797
pISSN - 1320-5358
DOI - 10.1111/nep.12510
Subject(s) - medicine , albuminuria , kidney disease , ethnic group , demography , renal function , china , cross sectional study , environmental health , population , disease , risk factor , pathology , geography , archaeology , sociology , anthropology
Aim Numerous studies have examined and reported a high prevalence of chronic kidney disease ( CKD ) in the general population in various countries including C hina. However, the situation may be different in undeveloped rural minority regions in C hina because of C hina's economic diversity. The aim of the present study was to estimate the prevalence of CKD and to analyze its associated factors in a Z huang ethnic minority area in S outhwest C hina. Methods A cross‐sectional survey of a rural minority area populated by people of Zhuang ethnicity in Southwest C hina using multistage, cluster random sampling methods was performed. The prevalence of indicators of kidney damage and CKD were calculated and risk factors associated with the presence of CKD were analyzed. Results In total, 7588 people participated in the study. After adjustment for age and gender, the prevalence of albuminuria, haematuria and reduced estimated glomerular filtration rate were 2.7%, 3.7%, and 2.2%, respectively. After adjustment for age and gender, the prevalence of CKD was 8.3%, while recognition of the disease was 3.6%. Independent risk factors associated with CKD were age, gender, and hypertension. Risk factors independently associated with kidney damage were age, gender, hyperuricaemia, and hypertension. Conclusion Our data exhibited a lower prevalence and awareness of CKD in undeveloped rural minority regions, especially exhibited a low prevalence of albuminuria. This result attributed to the low prevalence of metabolic disorders in the local region. Risk factors associated with CKD in our study is similar to surveys in other regions of C hina.