Hypertension Prevalence, Awareness, Treatment, Control, and Associated Factors in Adults in Southern China
Hypertension Prevalence, Awareness, Treatment, Control, and Associated Factors in Adults in Southern China
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DOI：
10.1038/ajh.2012.11
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发表时间：
2012-05-01
影响因子：
3.2
通讯作者：
Yu, Ignatius T. S.
中科院分区：
文献类型：
--
作者：
Ma, Wen J.;Tang, Jin L.;Yu, Ignatius T. S.
高血压是心血管疾病最重要的危险因素。关于中国南方高血压状况的资料很少。因此，我们调查了高血压的患病率，知晓，治疗，控制，和相关因素在中国南方人群85万resident. METHODS分层多阶段整群抽样的概率比例大小的方法在本次调查中使用。方法：对13,889名20岁以上居民进行问卷调查和血压测量。根据1999年世界卫生组织/国际高血压学会指南测量血压。结果广东省高血压患病率为20.5%（16.5%，24.4%），即广东省成年高血压患者980万人。城市人口的高血压患病率高于农村人口（25.1%对16.1%）。城市高血压患者的高血压知晓率、治疗率和控制率分别为42.8%、37.9%和13.5%，均高于农村高血压患者（分别为17.6%、10.4%和3.4%）。近50%的城市成年人和80%的农村成年人在过去12个月内没有测量血压。血压测量的频率与意识和治疗有关。高血压的知晓率、治疗率和控制率较低。迫切需要采取措施，以改善这一庞大的中国人群中高血压的预防、检测和治疗。
BACKGROUNDHypertension is the most important risk factor for cardiovascular diseases. Little information exists on the status of hypertension among southern Chinese. We therefore investigated the hypertension prevalence, awareness, treatment, control, and associated factors in a southern Chinese population with 85 million residents.METHODSStratified multistage cluster sampling with probability proportional to size method was used in this survey. A representative sample of 13,889 residents aged 20 years or above with completed questionnaire and blood pressure (BP) measurement was obtained. BP was measured in accordance with the 1999 World Health Organization/International Society of Hypertension Guidelines. Information related to history of diagnosis and treatment of hypertension was collected through questionnaire.RESULTSThe prevalence of hypertension in this population was 20.5% (16.5%, 24.4%), which translated to 9.8 million adults suffering from hypertension in Guangdong province. The urban population had higher prevalence of hypertension than the rural population (25.1 vs. 16.1%). The prevalence of awareness, treatment, and control of hypertension in hypertensive patients living in urban regions were 42.8, 37.9, and 13.5%, respectively, which were higher than those in rural regions (the corresponding figures were 17.6, 10.4, and 3.4%, respectively). Nearly 50% urban adults and 80% rural adults did not measure their BP in the last 12 months. Frequency of BP measurement was associated with both awareness and treatment.CONCLUSIONSHypertension was prevalent in southern China. The prevalence of awareness, treatment, and control of hypertension is low. Urgent strategies are needed to improve prevention, detection, and treatment of hypertension in this large Chinese population.