25-Year trends in hypertension prevalence, awareness, treatment, and control in an Indian urban population: Jaipur Heart Watch
25-Year trends in hypertension prevalence, awareness, treatment, and control in an Indian urban population: Jaipur Heart Watch
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DOI：
10.1016/j.ihj.2017.11.011
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发表时间：
2018-11-01
影响因子：
1.5
通讯作者：
Deedwania, Prakash C.
中科院分区：
文献类型：
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作者：
Gupta, Rajeev;Gupta, Vijay P.;Deedwania, Prakash C.
目的：我们评估了印度城市人群25年来高血压患病率、知晓率、治疗和控制的趋势。趋势预计到2030年，以确定实现世界卫生组织（WHO）的全球监测框架targets.Methods：成年参与者（n = 7440，男性4237，女性3203）参加了连续的人口为基础的研究，印度斋浦尔，从1991年至2015年进行了高血压患病率，认识，治疗和控制。这些研究在1991 - 93年（n = 2212）、1999 - 01年（n = 1123）、2003 - 04年（n = 458）、2006 - 07年（n = 1127）、2009 - 10年（n = 739）和2012 - 15年（n = 1781）进行。报告描述性统计量。我们使用对数预测到2030年，并将结果与WHO的目标（患病率降低25%，控制率> 50%）进行比较。结果：在连续的研究中，成年人的年龄校正高血压患病率（%）从29.5，30.2，36.5，42.1，34.4增加到36.1（R-2 = 0.41）。观察到高血压意识的增加趋势（13、44、49、44、49、56; R-2 = 0.63）;所有治疗（9，22，38，34，41，36; R-2 = 0.68）和意识到的高血压患者（61，66，77，79，70，64; R-2 = 0.46）;对照组全部（2，14，13，18，21，21; R-2 = 0.82）、知晓（12，33，27，46，37，37; R-2 = 0.54）和治疗（9，20，21，48，36，49; R-2 = 0.80）的高血压受试者。到2030年的预测显示，患病率增加到44%（95%CI 43 - 45），知晓率增加到82%（81 - 83），治疗率增加到62%（61 - 63），控制率增加到36%（35 - 37）。更好的意识与更大的控制有关。这一增长率超出了世卫组织全球监测框架和联合国可持续发展目标的目标。(C)2017年由Elsevier B.V.代表印度心脏病学会发表。
Objectives: We evaluated trends in hypertension prevalence, awareness, treatment and control in an Indian urban population over 25 years. Trends were projected to year 2030 to determine attainment of World Health Organization (WHO) Global Monitoring Framework targets.Methods: Adult participants (n=7440, men 4237, women 3203) enrolled in successive population based studies in Jaipur, India from years 1991 to 2015 were evaluated for hypertension prevalence, awareness, treatment and control. The studies were performed in years 1991-93 (n=2212), 1999-01 (n = 1123), 2003-04 (n =458), 2006-07 (n=1127), 2009-10 (n = 739) and 2012-15 (n=1781). Descriptive statistics are reported. We used logarithmic forecasting to year 2030 and compared outcomes to WHO target of 25% lower prevalence and >50% control.Results: The age-adjusted hypertension prevalence (%) among adults in successive studies increased from 29.5, 30.2, 36.5, 42.1, 34.4 to 36.1 (R-2 = 0.41). Increasing trends were observed for hypertension awareness (13, 44, 49, 44, 49, 56; R-2 = 0.63); treatment in all (9, 22, 38, 34, 41, 36; R-2 = 0.68) and aware hypertensives (61, 66, 77, 79, 70, 64; R-2 = 0.46); and control in all (2,14,13,18, 21, 21; R-2 = 0.82), aware (12, 33, 27, 46, 37, 37; R-2 =0.54) and treated (9, 20, 21, 48, 36, 49; R-2 =0.80) hypertensive participants. Projections to year 2030 show increases in prevalence to 44% (95% CI 43-45), awareness to 82% (81-83), treatment to 62% (61-63), and control to 36% (35-37).Conclusion: Hypertension prevalence, awareness, treatment and control rates are increasing among urban populations in India. Better awareness is associated with greater control. The rates of increase are off-target for WHO Global Monitoring Framework and UN Sustainable Development Goals. (C) 2017 Published by Elsevier B.V. on behalf of Cardiological Society of India.