Jo I, Ahn Y, Lee J, Shin K R, Lee H K, Shin C
Division of Cardiovascular Research, Department of Biomedical Sciences, National Institute of Health, Seoul, Korea.
J Hypertens. 2001 Sep;19(9):1523-32. doi: 10.1097/00004872-200109000-00002.
To determine prevalence, awareness, treatment, and control of hypertension, and its risk factors in an urban Korean population.
A cross-sectional survey in Ansan-city, Korea.
Population-based samples of people aged 18-92 years in Ansan-city, Korea, were selected, yielding 2278 men and 1948 women, and their blood pressures were measured using a highly standardized protocol. Hypertension was defined as a systolic BP > or = 140 mmHg or diastolic BP > or = 90 mmHg or reported treatment with antihypertensive medications, and subclassified according to 1999 WHO-ISH guidelines. Isolated systolic hypertension (ISH) defined as a systolic BP > or = 140 mmHg and diastolic BP < 90 mmHg was also examined. Data were stratified by age and sex.
The overall prevalence of hypertension in this study was 33.7%. Among these, 64.9% had Grade 1 hypertension, 22.5% Grade 2, and 12.5% Grade 3. Age-specific prevalence of hypertension increased progressively with age, from 14.19% in 18 to 24 year-olds to 71.39% in those 75 years or older. Hypertension prevalence was significantly higher in men (41.5%) than in women (24.5%) (P < 0.001). Isolated systolic hypertension had significantly lower prevalence (4.33%) within the population, although in the elderly aged 55 years or more it rose by 11.13%. Overall, 24.6% of hypertensive individuals were aware that they had high blood pressure, as much as 78.6% were being treated with antihypertensive medications, and 24.3% were under control. Hypertension awareness as well as treatment and control rates varied by sex, with women higher in all three rates. Multivariate analysis revealed that age, body mass index and abdomen circumference were significantly associated with prevalence of hypertension both in men and women.
Hypertension is highly prevalent in Korea. Despite the high rate of treatment, the rates of awareness and control are relatively low, suggesting the nationwide demand for preventing and controlling high blood pressure in Korea in order to avert an epidemic of cardiovascular disease.
确定韩国城市人口中高血压及其危险因素的患病率、知晓率、治疗率和控制率。
韩国安山市的一项横断面调查。
选取韩国安山市18 - 92岁的基于人群的样本，共2278名男性和1948名女性，采用高度标准化方案测量其血压。高血压定义为收缩压≥140 mmHg或舒张压≥90 mmHg或报告正在接受抗高血压药物治疗，并根据1999年世界卫生组织 - 国际高血压学会（WHO - ISH）指南进行亚分类。还对定义为收缩压≥140 mmHg且舒张压<90 mmHg的单纯收缩期高血压（ISH）进行了检查。数据按年龄和性别分层。
本研究中高血压的总体患病率为33.7%。其中，64.9%为1级高血压，22.5%为2级，12.5%为3级。高血压的年龄别患病率随年龄逐渐增加，从18至24岁人群中的14.19%增至75岁及以上人群中的71.39%。男性高血压患病率（41.5%）显著高于女性（24.5%）（P < 0.001）。单纯收缩期高血压在总体人群中的患病率显著较低（4.33%），尽管在55岁及以上的老年人中其患病率上升至11.13%。总体而言，24.6%的高血压患者知晓自己患有高血压，78.6%正在接受抗高血压药物治疗，24.3%的患者血压得到控制。高血压知晓率以及治疗率和控制率因性别而异，女性在这三个率方面均较高。多变量分析显示，年龄、体重指数和腹围在男性和女性中均与高血压患病率显著相关。
高血压在韩国非常普遍。尽管治疗率较高，但知晓率和控制率相对较低，这表明韩国全国范围内需要预防和控制高血压，以避免心血管疾病的流行。
