The impact of changes in population blood pressure on hypertension prevalence and control in China
| Autor: | Feng Xie, Hai Su, Wei‐guo Fan, Norm R.C. Campbell, Yi‐rong Wan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty China Health Knowledge Attitudes Practice Population level Endocrinology Diabetes and Metabolism Population Blood Pressure 030204 cardiovascular system & hematology 03 medical and health sciences Health services 0302 clinical medicine Hypertension prevalence Internal medicine Internal Medicine medicine Prevalence Humans 030212 general & internal medicine Hypertension diagnosis education Life Style Antihypertensive Agents education.field_of_study business.industry Public health Population Studies Blood pressure Hypertension Cardiology and Cardiovascular Medicine business |
| Zdroj: | J Clin Hypertens (Greenwich) |
| Popis: | In China, there are approximately 250 million adults who have hypertension with low rates of awareness, treatment and control. Changes in lifestyles at a population level have the potential to enhance or deteriorate the prevention and control of hypertension. We used data from a regional hypertension survey to examine the impact of 2/1 mm Hg decreases or increases in population blood pressure on hypertension prevalence, and rates of unawareness of the hypertension diagnosis, treatment, and control. The primary analysis was based on the average blood pressure of respondents from three visits and a diagnostic threshold of 140/90 mm Hg for hypertension. Secondary analyses examined average blood pressure from the first survey visit and also a diagnostic threshold of 130/80 mm Hg for hypertension. The baseline hypertension prevalence was 33.4%, and rates of unawareness of the hypertension diagnosis, treatment, and control were 74.2%, 25.8%, and 9.7%, respectively. Decreases or increases in blood pressure by 10/5 mm Hg resulted in changes in hypertension prevalence (22.1% vs 53.4%) and rates of unawareness of the diagnosis (60.9% vs 83.8%), treatment (39.1% vs 16.2%), and control (21.2% vs 3.6%), respectively. Similar trends were seen in the secondary analyses. Population changes in lifestyle could have a very large impact on the prevalence and control of hypertension in China. The results support implementation of programs to improve population lifestyles while implementing health services policies to enhance the clinical management of hypertension. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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