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[2010 - 2012年中国成年人高血压知晓、治疗与控制状况]

[Status of hypertension awareness, treatment and control among adults in China in 2010-2012].

作者信息

Yu Dongmei, Li Shujuan, Ju Lahong, Guo Qiya, Xu Xiaoli, Fu Ping, Yu Wentao, Zhao Liyun, Ding Gangqiang

机构信息

National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

出版信息

Wei Sheng Yan Jiu. 2019 Nov;48(6):913-918.

PMID:31875815
Abstract

OBJECTIVE

To describe the hypertension awareness, treatment and control among adults in China in 2010-2012.

METHODS

Data was from the China Nutrition and Health Surveillance in 2010-2012. A stratified multistage cluster sampling was used from 31 provinces, autonomous regions, and municipalities and selected 150 districts/counties. The sample was adults aged 18 and over selected through the method of Probability Proportion to Size(PPS). The mercury sphygmomanometer was used to measure the blood pressure. Each person had three measurements. The questionnaire was used to collect the information of hypertension awareness and control.

RESULTS

The sample participants were 120 428 in 2010-2012. Among adults with hypertension, 46. 5%were aware of their hypertension, 41. 1% reported taking hypertension medicine in the last two weeks, and 13. 8% controlled the blood pressure. It was higher for hypertension awareness, treatment and control in women(49. 5%, 44. 2% and 14. 6%) than those of men(43. 0%, 37. 4% and 12. 9%). The three rates were increased with age. The prevalence of control was 33. 6% among the treated hypertensive individuals. It was higher for men and the rate was decreased with age. It was higher for hypertension awareness, treatment and control among hypertension and control among treated hypertensive participates in urban area(52. 7%, 47. 9%, 17. 9% and 37. 3%) than those in rural area(39. 5%, 33. 4%, 9. 2% and 27. 6%). The rates of overall, gender, and age groups were decreased in large city, medium and small city, general county, and poor county.

CONCLUSION

The prevalence of hypertension awareness, treatment and control among hypertension and control among treated hypertensive participates among Chinese adults was increased in 2010-2012. But the rates were still keep a low level. The region and age differences need pay attention.

摘要

目的

描述2010 - 2012年中国成年人高血压知晓率、治疗率和控制率情况。

方法

数据来源于2010 - 2012年中国营养与健康监测。采用分层多阶段整群抽样,从31个省、自治区和直辖市中选取150个区/县。样本为18岁及以上成年人,采用按规模大小成比例的概率抽样(PPS)方法选取。使用汞柱式血压计测量血压,每人测量三次。通过问卷调查收集高血压知晓和控制情况的信息。

结果

2010 - 2012年样本参与者共120428人。高血压成年人中,46.5%知晓自己患有高血压,41.1%报告在过去两周服用过降压药,13.8%血压得到控制。女性的高血压知晓率、治疗率和控制率(分别为49.5%、44.2%和14.6%)高于男性(分别为43.0%、37.4%和12.9%)。这三个率随年龄增长而升高。接受治疗的高血压患者中血压控制率为33.6%,男性该率更高且随年龄降低。城区高血压患者的知晓率、治疗率、控制率以及接受治疗患者的控制率(分别为52.7%、47.9%、17.9%和37.3%)高于农村地区(分别为39.5%、33.4%、9.2%和27.6%)。大城市、中小城市、一般县和贫困县的总体、性别和年龄组的这些率均有所下降。

结论

2010 - 2012年中国成年人高血压知晓率、治疗率、控制率以及接受治疗患者的控制率有所上升,但仍处于较低水平。地区和年龄差异需引起关注。

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