Barriers to blood pressure control in China in a large opportunistic screening
Barriers to blood pressure control in China in a large opportunistic screening
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大规模机会性筛查中中国血压控制的障碍
DOI：
10.1111/jch.13850
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发表时间：
2020-05-01
影响因子：
2.8
通讯作者：
Wang, Ji-Guang
中科院分区：
文献类型：
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作者：
Chen, Xin;Xu, Shao-Kun;Wang, Ji-Guang
我们在一项中国大型机会性筛查研究中调查了高血压的患病率、知晓率、治疗和控制情况。我们的研究参与者必须≥ 18岁，理想情况下没有测量血压（BP）≥ 1年。使用经验证的电子血压监测仪或水银血压计，在坐位连续测量血压三次，间隔1分钟。经过培训的志愿者研究者进行问卷调查，以收集病史、生活方式和药物使用信息。364，000名参与者（52.6%为女性，平均年龄53.4岁）的平均收缩压/舒张压为124.2/76.4 mm Hg。高血压患病率为24.7%。在所有高血压患者（n = 89925）中，高血压的知晓率、治疗率和控制率分别为60.1%、42.5%和25.4%。在多元逐步logistic回归分析中，男性不知晓高血压的几率高于知晓高血压的几率，而随着年龄的增长、目前吸烟、糖尿病、冠心病、中风或短暂性脑缺血发作的存在而降低（P <0.0001）。随着年龄的增长和吸烟的增加，高血压未控制的几率高于控制的几率，而糖尿病和冠心病的存在则降低（P
We investigated the prevalence, awareness, treatment, and control of hypertension in a large opportunistic screening study in China. Our study participants had to be >= 18 years of age and had ideally not taken blood pressure (BP) for >= 1 year. BP was measured three times consecutively in the sitting position with a 1-minute interval, using a validated electronic BP monitor or mercury sphygmomanometer. Trained volunteer investigators administered a questionnaire to collect information on medical history, lifestyle, and use of medications. The 364 000 participants (52.6% women, and mean age 53.4 years) had a mean systolic/diastolic BP of 124.2/76.4 mm Hg. The proportion of hypertension was 24.7%. In all hypertensive subjects (n = 89 925), the awareness, treatment, and control rates of hypertension were 60.1%, 42.5%, and 25.4%, respectively. In multiple stepwise logistic regression analyses, the odds for unawareness vs awareness of hypertension was higher in men and lower with age advancing, current smoking, and the presence of diabetes mellitus, coronary heart disease, and stroke or transient ischemic attack (P < .0001). The odds for uncontrolled vs controlled hypertension was higher with age advancing and current smoking, and lower with the presence of diabetes mellitus and coronary heart disease (P