a Department of Cardiology , the Second Hospital of Jilin University , Changchun , China.
b Department of Epidemiology and Biostatistics, School of Public Health , Jilin University , Changchun , China.
Clin Exp Hypertens. 2019;41(4):366-372. doi: 10.1080/10641963.2018.1489544. Epub 2018 Jun 25.
Hypertension is a significant global public health problem and an important risk factor for cardiovascular diseases. We aimed to determine treatment and control rates of hypertension and to explore related risk factors by urban and rural areas.
A cross-sectional survey of 14,956 participants (≥ 15 years) was conducted in Jilin Province, China from July 2014 to December 2015 using questionnaire forms and physical measurements.
Total rates of hypertension treatment, control, and controlled blood pressure among treated subjects were 31.7%, 8.8%, and 27.9% in the Jilin Province. Rates of hypertension treatment, control, and controlled blood pressure among treated subjects were 35.9%, 13.7%, and 38.3% in urban areas and 28.4%, 5.0%, and 17.5% in rural areas, respectively. Higher treatment of hypertension was associated with older age, female sex, other races (except Han), and higher body fat percentage in both areas. Among urban residents, higher education was additionally associated with higher treatment of hypertension; among rural residents, a family history of coronary artery disease and unemployment were associated with higher treatment of hypertension. Higher control of hypertension was associated with unemployment, married status, higher education, healthy body mass index, lower abdominal waist circumference, non-smoking status, and lower visceral adiposity index in urban residents; higher control of hypertension was associated with younger age in rural residents.
Treatment and control rates of hypertension in urban and rural areas were lower than the national average; blood pressure control in patients taking antihypertensive drugs needs further improvement.
高血压是一个严重的全球公共卫生问题，也是心血管疾病的重要危险因素。我们旨在确定高血压的治疗和控制率，并按城乡地区探讨相关的危险因素。
2014 年 7 月至 2015 年 12 月，我们在中国吉林省进行了一项横断面调查，共有 14956 名（≥15 岁）参与者，使用问卷和体格测量。
吉林省高血压患者的治疗率、控制率和降压达标率分别为 31.7%、8.8%和 27.9%。在城市地区，高血压患者的治疗率、控制率和降压达标率分别为 35.9%、13.7%和 38.3%，农村地区分别为 28.4%、5.0%和 17.5%。在两个地区，高血压治疗率较高与年龄较大、女性、其他种族（除汉族外）和体脂百分比较高有关。在城市居民中，较高的受教育程度与较高的高血压治疗率有关；在农村居民中，冠心病家族史和失业与较高的高血压治疗率有关。高血压的控制率较高与城市居民中的失业、已婚状态、较高的教育程度、健康的体重指数、较低的腰围、不吸烟状态和较低的内脏脂肪指数有关；在农村居民中，高血压的控制率较高与年龄较小有关。
城乡高血压的治疗和控制率低于全国平均水平；需要进一步改善服用抗高血压药物患者的血压控制。
