Wang Z Q, Zhao Y F, Yang J, Wang L M, Zhao Z P, Zeng X Y, Wang L H
National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2017 Dec 6;51(12):1086-1090. doi: 10.3760/cma.j.issn.0253-9624.2017.12.007.
To analyze the rate of prevalence, awareness, treatment and control of hypertension among women at reproductive age (18-49 years old) in China in 2013. The analysis used data obtained from the China Chronic and non-communicable disease surveillance in 2013.The surveillance included 176 534 adults aging ≥18 years old, who were selected from 302 surveillance points by multi-stage cluster random sampling method. A total of 46 674 women at reproductive age (18-49 years old) were investigated. Blood pressures were measured by electronic blood pressure monitor. After being weighted according to complex sampling scheme and post-stratification, the rate of prevalence, awareness, treatment and control of hypertension were compared by different characteristics such as age, education, urban and rural areas, and geographic locations. The prevalence of hypertension among women at reproductive age (18-49 years old) in China in 2013 was 13.5%. The rate in the rural areas was higher than that in urban areas (χ(2)=46.23, 0.05), which were 14.5% and 12.3%, respectively. The prevalence in eastern, central and western geographic locations were separately 13.9%, 13.2% and 13.1%, there was no statistical difference (χ(2)=0.56, 0.05). The hypertension prevalence in all age groups (18-24, 25-29, 30-34, 35-39, 40-44, 45-49 years old) were 6.6%, 9.2%, 9.6%, 12.0%, 17.9% and 28.3%, respectively. The prevalence of hypertension showed a rising trend with age increasing (12.32, 0.05). The awareness, treatment and control rates of hypertension were separately 25.8%, 22.7% and 7.4% in women at reproductive age (18-49 years old), which were 31.6%, 28.2% and 9.4%, respectively in urban areas; and 21.3%, 18.5% and 5.9%, respectively in rural areas. The rates in urban areas were all higher than those in rural areas (chi square were separately 18.98, 21.31, and 6.80, values <0.05). The treatment rate of hypertension was 86.8% among who had been aware of hypertension, and the treatment rate of hypertension was 31.8% among who received control of hypertension. The treatment rate among who had been aware of hypertension in eastern, central and western locations were 89.3%, 88.3% and 79.5%, respectively. The control rates in eastern, central and western locations were 8.5%, 8.1% and 4.7%, respectively. The treatment rate among who had been aware of hypertension and control rate in the eastern and central geographic locations was higher than that in western locations (chi square were separately 10.05 and 7.25, values <0.05). The prevalence of hypertension in women at reproductive age (18-49 years old) was comparatively high, and the rates of awareness, treatment and control were low. The differences showed statistical significance between urban and rural areas.
分析2013年中国18 - 49岁育龄女性高血压的患病率、知晓率、治疗率及控制率。该分析使用了2013年中国慢性病与非传染性疾病监测的数据。该监测纳入了176534名年龄≥18岁的成年人,这些人通过多阶段整群随机抽样方法从302个监测点选取。共调查了46674名18 - 49岁的育龄女性。血压由电子血压计测量。根据复杂抽样方案和事后分层进行加权后,按年龄、教育程度、城乡及地理位置等不同特征比较高血压的患病率、知晓率、治疗率及控制率。2013年中国18 - 49岁育龄女性高血压患病率为13.5%。农村地区患病率高于城市地区(χ² = 46.23,P < 0.05),分别为14.5%和12.3%。东部、中部和西部地理位置的患病率分别为13.9%、13.2%和13.1%,无统计学差异(χ² = 0.56,P > 0.05)。各年龄组(18 - 24岁、25 - 29岁、30 - 34岁、35 - 39岁、40 - 44岁、45 - 49岁)高血压患病率分别为6.6%、9.2%、9.6%、12.0%、17.9%和28.3%。高血压患病率随年龄增长呈上升趋势(χ² = 12.32,P < 0.05)。18 - 49岁育龄女性高血压的知晓率、治疗率及控制率分别为25.8%、22.7%和7.4%,城市地区分别为31.6%、28.2%和9.4%;农村地区分别为21.3%、18.5%和5.9%。城市地区各项率均高于农村地区(卡方值分别为18.98、21.31和6.80,P值均< 0.05)。知晓高血压者的治疗率为86.8%,血压得到控制者的治疗率为31.8%。东部、中部和西部知晓高血压者的治疗率分别为89.3%、88.3%和79.5%。东部、中部和西部的控制率分别为8.5%、8.1%和4.7%。东部和中部地理位置知晓高血压者的治疗率及控制率高于西部(卡方值分别为10.05和7.25,P值均< 0.05)。18 - 49岁育龄女性高血压患病率相对较高,知晓率、治疗率及控制率较低。城乡差异具有统计学意义。