A cross-sectional study of the prevalence, awareness, treatment and control of hypertension in Shenzhen, China
Autor: | Yi Luo, Haitao Li, Sijing Cao, Shaojuan Zhao, Jianfeng Zou, Xinfeng Yan, Xiaoting Deng, Lizhen Yang |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Adult
Male medicine.medical_specialty China Health Knowledge Attitudes Practice hypertension Quality Assurance Health Care Cross-sectional study Epidemiology prevalence Psychological intervention Primary care 030204 cardiovascular system & hematology Health Services Accessibility 03 medical and health sciences Young Adult 0302 clinical medicine medicine Cluster Analysis Humans awareness 030212 general & internal medicine Salt intake Risk factor Sex Distribution Antihypertensive Agents Aged treatment Primary Health Care business.industry Public health Research General Medicine Blood Pressure Monitoring Ambulatory Middle Aged Cross-Sectional Studies Community health Cluster sampling Female business control Demography |
Zdroj: | BMJ Open |
ISSN: | 2044-6055 |
Popis: | Objectives An understanding of the awareness, treatment and control of hypertension is helpful to guide decision-making regarding interventions to reduce the risk for diseases with hypertension as a key risk factor. This study aimed to estimate the prevalence, awareness, treatment, and control of hypertension in Shenzhen, China. Methods A cross-sectional study was conducted. We employed multistage cluster random sampling methods to select participants. A survey involving face-to-face interviews was conducted to collect the data. A total of 1676 participants finished the survey and formed the final analysis. Results We found that the prevalence of hypertension was 17.6%. The rates of hypertension awareness, treatment and control were 48.8%, 51.4% and 43.2% respectively. Only 6.8% hypertensives were found to be managed by community health centres. Compared with the female participants, the males were found to have higher rates of prevalence (19.7% vs 15.7%; OR 1.47, 95% CI 1.10 to 1.97) and awareness (42.9% vs 38.1%; OR 2.35, 95% CI 1.28 to 4.33), but lower rates of medication treatments (20.5% vs 30.2%; OR 0.83, 95% CI 0.05 to 0.92) and control (12.8% vs 23.0%; OR 0.45, 95% CI 0.21 to 0.96). Migrants were more likely to be aware of hypertension (32.5% vs 44.3%; OR 0.57, 95% CI 0.30 to 0.90), reduce their salt intake (8.8% vs 18.1%; OR 0.40, 95% CI 0.15 to 0.94), and undertake regular monitoring of hypertension (1.3% vs 11.0%; OR 0.14, 95% CI 0.02 to 0.92) when compared with the locals. Conclusions Our study finds that hypertension is an important public health burden in Shenzhen. It implies that strategies need to be developed to improve effective primary care management of hypertension. It also suggests a need to develop gender and household register tailored strategies for the prevention, detection, treatment and control of hypertension. |
Databáze: | OpenAIRE |
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