Prevalence, Awareness, Treatment, and Control of Hypertension in China: Results From a National Survey
Prevalence, Awareness, Treatment, and Control of Hypertension in China: Results From a National Survey
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DOI：
10.1093/ajh/hpu053
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发表时间：
2014-11-01
影响因子：
3.2
通讯作者：
Wang, Haiyan
中科院分区：
文献类型：
--
作者：
Wang, Jinwei;Zhang, Luxia;Wang, Haiyan
高血压是世界范围内心血管疾病的主要危险因素之一。本研究的目的是调查中国高血压的患病率、认知、治疗和控制。采用多阶段分层抽样方法，从中国一般人群中抽取18岁及以上具有代表性的样本。用血压计测量血压（BP），每隔5分钟测量3次。高血压的定义是收缩压每千日元140毫米汞柱，或舒张压每千日元90毫米汞柱，或自我报告在过去两周内使用抗高血压药物，而不考虑血压。全国共有50171人完成了调查。调整后的高血压患病率为29.6%(95%可信区间(CI) = 28.9%-30.4%)，男性高于女性（31.2%,95% CI = 30.1%-32.4%; 28.0%, 95% CI = 27.0%-29.0%）。高血压患者的知晓率为42.6%，接受治疗者为34.1%，接受控制者为9.3%，接受治疗者为控制者为27.4%。多种生活方式因素与高血压的存在独立相关，包括缺乏运动、习惯性饮酒、长期使用非甾体类抗炎药、高体重指数和中心性肥胖。在中国，高血压是一个重要的公共卫生负担，而高血压的控制仍然不够理想。一些可改变的生活方式活动与高血压有关，因此应考虑干预的潜在目标，特别关注中国社会经济弱势亚人群。
Hypertension is one of the major risk factor for cardiovascular disease worldwide. The objective of this study was to investigate the prevalence, awareness, treatment, and control of hypertension in China.A multistage, stratified sampling method was used to obtain a representative sample of persons aged 18 years or older in the general population of China. Blood pressure (BP) was measured by sphygmomanometer 3 times at 5-minute intervals. Hypertension was defined as a systolic BP a parts per thousand yen 140mm Hg, or diastolic BP a parts per thousand yen 90mm Hg, or self-reported use of antihypertensive medications in the last 2 weeks irrespective of the BP.Altogether 50,171 subjects finished the survey across the entire country. The adjusted prevalence of hypertension was 29.6% (95% confidence interval (CI) = 28.9%-30.4%) and was higher among men than among women (31.2%, 95% CI = 30.1%-32.4%; vs. 28.0%, 95% CI = 27.0%-29.0%). The awareness, treatment among all hypertensive participants, control among all hypertensive participants, and control among treated hypertensive participants were 42.6%, 34.1%, 9.3%, and 27.4%, respectively. Multiple lifestyle factors were independently associated with presence of hypertension, including physical inactivity, habitual drinking, chronic use of nonsteroidal anti-inflammatory drugs, high body mass index, and central obesity.Hypertension is an important public health burden in China, and control of hypertension is still suboptimal. Several modifiable lifestyle activities were associated with hypertension and thus should be considered potential targets for intervention, with special attention to socioeconomically disadvantaged subpopulations in China.