Department of Chronic Non-Communicable Diseases Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.
PLoS One. 2013 May 9;8(5):e62469. doi: 10.1371/journal.pone.0062469. Print 2013.
The aim of this study was to investigate factors associated with prevalence, awareness, treatment and control of hypertension in southern China. A cross-sectional, population-based survey was conducted in 180 villages across 15 counties in southern China from July to November 2010. Totally, 17437 persons completed all of the questionnaires, measurement examination and blood specimen collection. Adjusted rate of hypertension was 22.59% (95%CI: 22.52%-22.66%), for men 23.36% (95%CI: 23.25%-23.47%) and for women 21.77% (95%CI: 21.68%-21.86%). Multivariate logistic regression showed that old age, education attainment, alcohol use, diabetes, obesity, high TC and high TG were associated with hypertension. Among the hypertensive individuals, 54.33% were aware of their hypertension, and 46.34% were currently taking antihypertensive medication, but only 18.26% had their blood pressure controlled. Among all the hypertensive subjects, awareness was more common in those who were female, living in the urban, old age, low education attainment, diabetes, overweight, obese, Low HDL-C. Among the subjects aware of their diagnosis of hypertension, medication treatment was more common in those living in the urban, old age, nonsmoker and diabetes. Among the individuals who receiving medication treatment, controlled hypertension were less common in those living in the urban, young age, low education attainment, overweight and obese. Despite high rate of hypertension, awareness, treatment and control of hypertension still need to be strengthened.
本研究旨在调查中国南方地区高血压的流行率、知晓率、治疗率和控制率的相关因素。2010 年 7 月至 11 月，在中国南方 15 个县的 180 个村庄进行了一项横断面、基于人群的调查。共有 17437 人完成了所有问卷、测量检查和血样采集。调整后的高血压患病率为 22.59%（95%CI：22.52%-22.66%），男性为 23.36%（95%CI：23.25%-23.47%），女性为 21.77%（95%CI：21.68%-21.86%）。多变量 logistic 回归显示，年龄较大、教育程度、饮酒、糖尿病、肥胖、高 TC 和高 TG 与高血压有关。在高血压患者中，54.33%知晓自己患有高血压，46.34%正在服用降压药，但只有 18.26%的患者血压得到控制。在所有高血压患者中，女性、城市居民、年龄较大、教育程度较低、糖尿病、超重、肥胖和低 HDL-C 的患者知晓率更高。在知晓自己患有高血压的患者中，城市居民、年龄较大、不吸烟和糖尿病的患者更常接受药物治疗。在接受药物治疗的患者中，城市居民、年龄较小、教育程度较低、超重和肥胖的患者血压控制率较低。尽管高血压患病率较高，但仍需加强对高血压的知晓率、治疗率和控制率的重视。
