Institute of Preventive Medicine, China Medical University, Shenyang 110005, China.
Department of Chronic Disease Preventive and Control, Liaoning Provincial Center for Disease Control and Prevention, Shenyang 110005, China.
Biomed Res Int. 2020 Jun 27;2020:1456720. doi: 10.1155/2020/1456720. eCollection 2020.
This study is aimed at exploring the trends in the prevalence, awareness, treatment, and control of hypertension in rural northeast China from 2008 to 2018.
Two successive cross-sectional surveys were conducted in Liaoning rural areas in 2008 and 2018, which included 131520 and 10926 representative participants aged ≥ 40 years, respectively.
Overall, the age-standardized prevalence of hypertension increased from 44.7% to 53.6%, and male residents showed a faster pace of increase and a 2.1-fold increase than female residents (25.5% vs. 10.6%) from 2008 to 2018. Moreover, the mean systolic and diastolic blood pressures increased by 9.0% and 4.1%, respectively, and the increase rates were greater in men than in women (9.2% vs. 8.9% and 5.3% vs. 3.5%, < 0.05). Additionally, the prevalence of stage 2 and above hypertension was significantly higher in men than in women. However, the awareness, treatment, and control rates showed no improvement and remained unacceptably low. Control rates were 3.7% in 2008 and 3.6% in 2018. Even among individuals who received medical treatment, only 8.7% and 10.1% had controlled hypertension in 2008 and 2018, respectively.
The prevalence of hypertension and mean blood pressure increased steadily in the past 10 years in rural northeast China, especially in men. However, the awareness, treatment, and control rates of hypertension remained extremely low. Therefore, long-term comprehensive strategies are urgently needed to prevent further development of cardiovascular diseases in these areas.
本研究旨在探讨 2008 年至 2018 年中国东北农村地区高血压的患病率、知晓率、治疗率和控制率的变化趋势。
2008 年和 2018 年在辽宁农村地区连续进行了两次横断面调查，分别纳入了 131520 名和 10926 名年龄≥40 岁的代表性参与者。
总体而言，高血压的年龄标准化患病率从 44.7%上升到 53.6%，男性居民的增长速度更快，从 2008 年到 2018 年，男性居民的高血压患病率增加了 2.1 倍（25.5%比 10.6%）。此外，收缩压和舒张压的平均值分别增加了 9.0%和 4.1%，男性的增长率高于女性（9.2%比 8.9%和 5.3%比 3.5%，<0.05）。此外，男性的 2 期及以上高血压患病率明显高于女性。然而，知晓率、治疗率和控制率并没有改善，仍然处于不可接受的低水平。2008 年和 2018 年的控制率分别为 3.7%和 3.6%。即使在接受治疗的人群中，2008 年和 2018 年仅有 8.7%和 10.1%的患者血压得到了控制。
过去 10 年，中国东北农村地区高血压的患病率和平均血压稳步上升，尤其是男性。然而，高血压的知晓率、治疗率和控制率仍然极低。因此，迫切需要长期的综合策略来预防这些地区心血管疾病的进一步发展。
