Hypertension prevalence, awareness, treatment, and control in northeast China: a population-based cross-sectional survey
| Autor: | Yi Yang, Yan-Hua Wu, Yingqi Xing, Zhen-Ni Guo, Hao-Yuan Liu, Fu-Liang Zhang |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty China Health Knowledge Attitudes Practice Cross-sectional study Population 030204 cardiovascular system & hematology Overweight Article 03 medical and health sciences 0302 clinical medicine Internal medicine Diabetes mellitus Internal Medicine medicine Prevalence Humans 030212 general & internal medicine Risk factor Family history education Antihypertensive Agents Aged education.field_of_study business.industry Middle Aged medicine.disease Blood pressure Cross-Sectional Studies Hypertension Female medicine.symptom business Dyslipidemia |
| Zdroj: | Journal of Human Hypertension |
| ISSN: | 1476-5527 0950-9240 |
| Popis: | Hypertension has been recognized as a major risk factor for cardiovascular disease. We aimed to analyze the current prevalence, awareness, treatment, and control of hypertension in northeast China. This cross-sectional survey adopted the multistage stratified random cluster sampling method to obtain a representative sample of adults aged 40 years or older in the general population of northeast China. Hypertension was defined as a systolic blood pressure (SBP) ≥ 140 mm Hg, or diastolic blood pressure (DBP) ≥ 90 mm Hg, or self-reported use of antihypertensive medications in the last 2 weeks irrespective of BP. Altogether 4052 participants were included with weighted prevalence of hypertension of 57.3%. Among them, 47.4% were aware of their condition; 78.8% took antihypertensive medication, but only 10.2% had their blood pressure controlled. Individuals who were overweight/obesity, with dyslipidemia, or diabetes were at a higher risk of hypertension; these people also more likely to be aware of their condition. Subjects with a personal history of stroke were more inclined to receive antihypertensive medication, but that did not necessarily translate to well-controlled hypertension. Moreover, dyslipidemia (OR = 0.600; 95% CI: 0.375, 0.960) were associated with poor hypertension control. Subjects using combination of antihypertensive medications (OR = 2.924; 95% CI: 1.606, 5.325) or with a family history of coronary heart disease were more likely to have their blood pressure controlled. Our study identified a high prevalence of hypertension in northeast China. Although awareness and treatment rates improved over the last decade, the control rate remained disproportionately and unacceptably low. |
| Databáze: | OpenAIRE |
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