Hu Meiqin, Wan Yi, Yu Lifen, Yuan Jing, Ma Yonghong, Hou Bin, Jiang Xun, Shang Lei
Xi'an Centre for Disease Control and Prevention Department of Health Statistics Department of Health Service, School of Public Health Department of Pediatrics, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
Medicine (Baltimore). 2016 Aug;95(34):e4709. doi: 10.1097/MD.0000000000004709.
To investigate the prevalence, awareness, treatment, and control of hypertension, and the associated risk factors among adults in Xi'an, China.From October to December 2013, participants in Xi'an, China were recruited for the study by using a multiple-stage sampling method. A self-developed questionnaire with an additional health examination was used to collect data on the history of hypertension diagnosis and antihypertensive medication. The status on prevalence, awareness, treatment, and control of hypertension were analyzed and related risk factors were identified by using logistic regression analysis.A total of 8193 participants were included with an overall prevalence of hypertension of 20.4%. Among the hypertensive participants, 63.7% were aware of their conditions, 47.3% took antihypertensive medication, and 17.8% had their blood pressure (BP) controlled within 140/90 mm Hg. More complications and less frequent BP measurements were associated with hypertension. Older participants, non-drinkers, and those with more complications and more frequent BP measurements were more aware of their hypertension. Being older, living in an urban area, and having more frequent BP measurements were all factors for better treatment. Participants who were women, living in an urban area, with a higher educational level and who were not obese were more likely to have their hypertension controlled.The prevalence of hypertension among adults in Xi'an is high with suboptimal low awareness, treatment, and control rates. Further comprehensive integrated strategies based on these risk factors should be taken into account in order to improve the prevention, awareness, treatment, and control of hypertension.
为调查中国西安成年人高血压的患病率、知晓率、治疗率、控制率及其相关危险因素。2013年10月至12月，采用多阶段抽样方法在中国西安招募研究参与者。使用自行编制的问卷并辅以健康检查来收集高血压诊断史和抗高血压药物治疗的数据。分析高血压的患病率、知晓率、治疗率和控制率情况，并采用逻辑回归分析确定相关危险因素。共纳入8193名参与者，高血压总体患病率为20.4%。在高血压患者中，63.7%知晓自己的病情，47.3%服用抗高血压药物，17.8%的血压控制在140/90 mmHg以内。更多的并发症和较少的血压测量频率与高血压相关。年龄较大的参与者、不饮酒者以及并发症较多和血压测量频率较高的人对高血压的知晓程度更高。年龄较大、居住在城市地区以及血压测量频率较高都是治疗效果较好的因素。女性、居住在城市地区、教育水平较高且不肥胖的参与者更有可能使高血压得到控制。西安成年人高血压患病率高，知晓率、治疗率和控制率较低，情况不容乐观。应基于这些危险因素采取进一步的综合策略，以改善高血压的预防、知晓、治疗和控制。
