Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, 130021, China.
Jilin Women and Children Health Hospital, Changchun, 130061, China.
Sci Rep. 2018 Nov 19;8(1):17019. doi: 10.1038/s41598-018-34923-5.
Hypertension not only has a high prevalence, but also brings disease burden to the affected patients. To assess the level of awareness, treatment and control of hypertension in the northeast of China, we investigated the rates of awareness, treatment and control of hypertension and identified its related factors among hypertensive patients aged 18 to 59 years old in Jilin, China. The data (n = 4632) for the present study were extracted from a cross-sectional study in Jilin. Among individuals with hypertension, the standardized rates of awareness, treatment and control of hypertension were 44.9%, 36.5%, 24.3%, respectively. The rates of awareness and treatment of hypertension among middle aged patients were higher than those among young patients. Compared to patients with normal Body Mass index (BMI), obese hypertensive patients had a higher rate of treatment (43.7% vs. 25.9%) and a lower rate of control (18.9% vs. 29.6%). Compared to patients with normal BMI, patients who were obese were more likely to take measures to treat hypertension (OR = 2.50, 95%CI: 2.05-3.05); but were less likely to have well-controlled blood pressure (OR = 0.55, 95%CI: 0.40-0.78). BMI is one of the influencing factors of hypertension awareness, treatment and control among patients 18 to 59 years old with hypertension.
高血压不仅患病率高，而且给患者带来疾病负担。为评估中国东北地区高血压的知晓率、治疗率和控制率水平，我们调查了中国吉林 18 至 59 岁高血压患者的高血压知晓率、治疗率和控制率，并确定了其相关因素。本研究的数据（n=4632）来自吉林的一项横断面研究。在高血压患者中，高血压的知晓率、治疗率和控制率的标准化率分别为 44.9%、36.5%和 24.3%。中年患者的高血压知晓率和治疗率均高于青年患者。与正常体重指数（BMI）的高血压患者相比，肥胖高血压患者的治疗率更高（43.7% vs. 25.9%），控制率更低（18.9% vs. 29.6%）。与正常 BMI 的患者相比，肥胖患者更有可能采取措施治疗高血压（OR=2.50，95%CI：2.05-3.05）；但血压控制良好的可能性较小（OR=0.55，95%CI：0.40-0.78）。BMI 是影响 18 至 59 岁高血压患者高血压知晓率、治疗率和控制率的因素之一。
