Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam-si, Korea.
Department of Internal Medicine, Seoul National University, Seoul, Korea.
Sci Rep. 2019 Jul 29;9(1):10970. doi: 10.1038/s41598-019-46965-4.
The purpose of the present study was to describe the temporal trends in prevalence and management status of hypertension in Korea between 1998 and 2015. Data of adults who were aged 30 years or older were extracted from the Korea National Health and Nutrition Examination Survey, a nationwide representative population-based survey. Hypertension was prevalent in 30.5% of Korean adults. The age and sex standardized prevalence showed little change between 1998 and 2015. The elderly population and men showed higher prevalence. The rates of awareness, treatment, and control showed substantial improvements among hypertensive subjects between 1998 and the time period of 2007‒2009 (awareness, from 23.5 to 66.3%; treatment, from 20.4 to 60.3%; and control, from 4.9 to 42.1%), after which the numbers reached a plateau and no significant changes were observed subsequently (67.3%, 63.6%, and 46.2%, respectively, between 2013 and 2015). The management status remained poor especially among the young population and in men. In conclusion, the hypertension prevalence remained stable at approximately 30% in Korea between 1998 and 2015. While awareness, treatment, and control of hypertension improved remarkably, the young population and particularly men showed a suboptimal management status.
本研究旨在描述 1998 年至 2015 年韩国高血压的流行趋势和管理状况。从韩国全国代表性的人口普查韩国国民健康营养调查中提取了 30 岁或以上成年人的数据。高血压在韩国成年人中的患病率为 30.5%。1998 年至 2015 年，年龄和性别标准化患病率变化不大。老年人口和男性的患病率较高。在高血压患者中，知晓率、治疗率和控制率在 1998 年至 2007-2009 年期间（知晓率从 23.5%提高到 66.3%；治疗率从 20.4%提高到 60.3%；控制率从 4.9%提高到 42.1%）有了实质性的改善，此后趋于平稳，此后没有观察到显著变化（2013 年至 2015 年，分别为 67.3%、63.6%和 46.2%）。管理状况仍然不佳，特别是在年轻人群和男性中。总之，1998 年至 2015 年，韩国的高血压患病率稳定在 30%左右。尽管高血压的知晓率、治疗率和控制率显著提高，但年轻人，尤其是男性的管理状况仍不理想。
