Epidemiological status quo of hypertension in elderly population in Changchun, China: a cross-sectional study.

Epidemiological status quo of hypertension in elderly population in Changchun, China: a cross-sectional study.
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中国,长春市老年人群高血压流行病学现状横断面研究。

DOI:
10.1136/bmjopen-2021-053086
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发表时间:
2022-03-30
期刊:
影响因子:
2.9
通讯作者:
Liu Y
Liu Y
中科院分区:
医学3区
文献类型:
--
作者:
Ren Y;Shi J;Qiao Y;Gu Y;Li Y;Liu Y;Cheng Y;Liu Y

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调查我国长春市老年人群高血压的流行现状,为该地区老年人群高血压的防治策略提供参考。作为东北地区综合项目的一部分,一项横断面研究计划在长春市的 10 个区进行。采用随机抽样的方法,共选取了 6846 名 60 岁以上的参与者。高血压流行病学现状.长春市高血压患病率为52.6%。在纳入本研究的高血压参与者中,87.6%的参与者在研究前已被诊断为高血压,69.1%的参与者正在服用降压药物,66.9%的参与者血压得到有效控制。肥胖、鳏夫/寡妇、疾病史和高血压家族史是高血压的危险因素(均p<0.05)。肥胖、有心脏病个人史或高血压家族史的参与者容易意识到高血压的风险(所有p<0.05)。然而,患有糖尿病、高脂血症或高血压家族史的参与者很难将血压控制在正常范围内(均p<0.05)。此外,92.6%的服用抗高血压药物的参与者使用单一药物,钙通道阻滞剂是单一疗法中最常用的抗高血压药物。长春市高血压知晓率、治疗率和控制率均高于全国,表明长春市高血压防治工作是有效的。但我国老年人群高血压患病率低于长春,这也给长春的高血压监管带来了不小的挑战。
To investigate the epidemiological status quo of hypertension in elderly population in Changchun, China, and provide a reference for the prevention and control strategies of hypertension of elderly population in this region. A cross-sectional study, as a part of a comprehensive project in Northeast China, was designed to perform in 10 districts in Changchun. A total of 6846 participants who were ≥60 years old were selected using a random sampling method. The epidemiological status quo of hypertension. The prevalence of hypertension in Changchun was 52.6%. Among participants with hypertension enrolled in this study, 87.6% of the participants had been diagnosed with hypertension before the study, 69.1% was taking antihypertensive medications and 66.9% had effective blood pressure control. Obesity, widower/widow, history of diseases and family history of hypertension were risk factors of hypertension (all p<0.05). Participants with obesity, a personal history of heart coronary disease, or a family history of hypertension were susceptible to realising risks of hypertension (all p<0.05). However, participants with diabetes, hyperlipidaemia, or a family history of hypertension were difficult to control blood pressure within the normal range (all p<0.05). In addition, 92.6% participants taking antihypertensive medications used a single medication, and calcium channel blockers was the most commonly used antihypertensive medications in monotherapy. The rates of awareness, treatment and control of hypertension are greater in Changchun than those in China, indicating that the prevention and control of hypertension in Changchun are effective. However, the prevalence of hypertension in the elderly population in China is lower than that in Changchun, also rendering Changchun a substantial challenge for the supervision of hypertension.
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