宁夏农村成年居民高血压的患病率、知晓率、治疗率及控制率

[Prevalence, awareness, treatment and control of hypertension among rural adult residents in Ningxia].

作者信息

Zhao Yi, Liu Xiuying, Liu Ying, Jin Jing, Yang Jianjun, Zhang Yuhong

机构信息

Ningxia Medical University, Yinchuan 750004, China.

出版信息

Wei Sheng Yan Jiu. 2010 Nov;39(6):726-30.

PMID:21351641

Abstract

OBJECTIVE

To describe the prevalence, distribution, current status awareness, and control of hypertension among rural adult residents in Ningxia.

METHODS

Stratified cluster sampling methods was used and the participants were interviewed by trained health workers under a structured questionnaire. The number of research subjects was 3324. Body mass index (BMI) and Blood pressure (BP) of all samples (3324 subjects) were measured. and the data was analyses by the Chinese hypertension prevention and care guideline, 2004.

RESULTS

A total of 3324 adults (age 25-74 years) participated. The age-adjusted prevalence of hypertension was 15.8% in all participant, 15.7% in male subjects and 16.1% in female subjects. Only 31.5% of all hypertensive patients were aware of their status, 13.6% were taking antihypertensive medication and 2.7% were controlled (blood pressure < 140/90 mmHg under antihypertensive medication). More Han ethnic group (36.4%) were aware of their hypertension than were Hui ethnic group (26.8%) (P = 0.019), treatment and control had no statistically significant between Hui ethnic group and Han ethnic group (15.4%, 3.2% vs 11.9%, 2.1%, P = 0.097 P = 0.209).

CONCLUSION

Our results indicate that hypertension is highly prevalent among rural residents in Ningxia. The percentages of those with hypertension who are aware, treated, and controlled are unacceptably low. These results underscore the urgent need to develop national strategies to improve prevention, detection, and treatment of hypertension in the population.

摘要

目的

描述宁夏农村成年居民高血压的患病率、分布情况、现状知晓率及控制情况。

方法

采用分层整群抽样方法，由经过培训的卫生工作者依据结构化问卷对参与者进行访谈。研究对象共3324人。测量了所有样本（3324名受试者）的体重指数（BMI）和血压，并依据《中国高血压防治指南2004》对数据进行分析。

结果

共有3324名成年人（年龄25 - 74岁）参与研究。所有参与者中年龄调整后的高血压患病率为15.8%，男性受试者为15.7%，女性受试者为16.1%。所有高血压患者中仅有31.5%知晓自己的病情，13.6%正在服用降压药物，2.7%得到控制（服用降压药物后血压<140/90 mmHg）。汉族知晓自己患有高血压的比例（36.4%）高于回族（26.8%）（P = 0.019），回族与汉族在治疗和控制方面无统计学差异（15.4%，3.2%对比11.9%，2.1%，P = 0.097，P = 0.209）。