1] Department of Neuroepidemiology, Beijing Neurosurgical Institute, Capital Medical University, Beijing 100050, China [2] Beijing Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing, China.
Sci Rep. 2014 May 2;4:4845. doi: 10.1038/srep04845.
The aim of this study was to analyse high blood pressure detection, management, control and associated factors among residents accessing community health services (CHSs) in Beijing. We screened for HBP in 9524 individuals aged 50 years or older who accessed care in four Beijing CHSs. Among the 9397 residents with questionnaire responses that qualified them for inclusion in the study, 5029 patients with HBP were identified, 1510 (i.e., 30% of the HBP patient group) of whom were newly identified cases. The rate of hypertension detection was 53.5%. Among the 5029 HBP patients, the rates of awareness, treatment and control of hypertension were 70.0%, 62.1% and 29.6%, respectively. In general, the rate of hypertension control was higher when the rates of hypertension awareness and treatment were higher in subgroups stratified by different sociodemographic and risk factors, except for the overweight and obesity subgroups. In conclusion, suboptimal HBP awareness, treatment, and control are still major problems confronting CHSs in Beijing. Control of hypertension in the population may be improved by increasing awareness and improving the treatment of hypertension in CHSs.
本研究旨在分析北京社区卫生服务中心（CHS）就诊居民的高血压检出、管理、控制情况及其相关因素。我们对 4 家北京 CHS 中 9524 名年龄在 50 岁及以上的就诊者进行了高血压筛查。在符合研究纳入标准的 9397 名有问卷调查回复的居民中，共发现 5029 例高血压患者，其中 1510 例（即高血压患者组的 30%）为新发现病例。高血压检出率为 53.5%。在 5029 例高血压患者中，高血压知晓率、治疗率和控制率分别为 70.0%、62.1%和 29.6%。一般来说，除了超重和肥胖亚组外，在按不同社会人口学和危险因素分层的亚组中，高血压知晓率和治疗率较高的亚组，高血压控制率也较高。总之，北京 CHS 仍面临高血压知晓率、治疗率和控制率不理想的问题。提高 CHS 对高血压的知晓率和治疗率，可能会改善人群的高血压控制率。
