Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul 137-701, South Korea.
Clin Exp Hypertens. 2010 May;32(3):166-78. doi: 10.3109/10641960903254497.
The present study was aimed to assess the prevalence, awareness, treatment, control of hypertension, and the related risk factors in a Korean population. A cross-sectional study was conducted in a rural area of South Korea from 2005 to 2006. Subjects (n = 6388) were selected from individuals aged 40 years or older by stratified random cluster sampling. The age-adjusted prevalence of hypertension was 43.8 % (43.1 % in men, 44.9 % in women). The awareness, treatment, and control of hypertension were 60.1%, 91.7%, and 27.2%, respectively. In men, old age (> or = 60 years old) and low waist circumference (< 90 cm) were positively associated with higher awareness and treatment, whereas body mass index (BMI) was negatively associated with blood pressure (BP) control. Women aged 60 years or older were more aware of their condition, more treated, and more in control of their BP as well. In women, high BMI and a family history of diabetes mellitus were positively associated with higher awareness and treatment, whereas low waist circumference (< 80 cm) was negatively associated with BP control. Our findings indicate that appropriate health care should be given to hypertensive subjects on the basis of these risk factors and according to their sex.
本研究旨在评估韩国人群中高血压的患病率、知晓率、治疗率、控制率及相关危险因素。2005 年至 2006 年在韩国农村地区进行了一项横断面研究。采用分层随机聚类抽样的方法，从 40 岁及以上的个体中选择了 6388 名受试者。年龄校正后的高血压患病率为 43.8%（男性为 43.1%，女性为 44.9%）。高血压的知晓率、治疗率和控制率分别为 60.1%、91.7%和 27.2%。在男性中，高龄（≥60 岁）和低腰围（＜90cm）与更高的知晓率和治疗率呈正相关，而体质指数（BMI）与血压（BP）控制呈负相关。60 岁及以上的女性对自身病情的知晓率更高，治疗率和 BP 控制率也更高。在女性中，高 BMI 和糖尿病家族史与更高的知晓率和治疗率呈正相关，而低腰围（＜80cm）与 BP 控制呈负相关。我们的研究结果表明，应根据这些危险因素和性别，为高血压患者提供适当的医疗保健。
