澜沧江-湄公河区域三国（中国、老挝和柬埔寨）成年人高血压患病率、知晓率、治疗率及控制率的比较

The comparison of the prevalence, awareness, treatment and control of hypertension among adults along the three provinces of the Lancang-Mekong River countries-China, Laos and Cambodia.

作者信息

Wang Huadan, He Liping, Ma Min, Tang Mingjing, Lu Jiang, Sikanha Labee, Darapiseth Sokha, Sun Manli, Wang Teng, Wang Zhongjie, Xia Yu, Zhu Qiuyan, Zhu Da, Duo Lin, Pang Linhong, Pan Xiangbin

机构信息

Fuwai Yunnan Hospital, Chinese Academy of Medical Sciences, Affiliated Cardiovascular Hospital of Kunming Medical University, Kunming, China.

School of Public Health, Kunming Medical University, Kunming, China.

出版信息

Arch Public Health. 2024 Nov 26;82(1):224. doi: 10.1186/s13690-024-01458-3.

DOI:10.1186/s13690-024-01458-3

PMID:39593170

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11590357/

Abstract

BACKGROUND

Under the background of similar geography and culture in Lancang-Mekong countries and rapid changes in the regional economy and lifestyle, this study aimed to describe and compare the prevalence, awareness, treatment, and control of hypertension and assess the hypertension care cascade in three provinces of China, Laos, and Cambodia.

METHODS

A cross-sectional study was conducted between 2021 and 2023 in the three provinces of Lancang-Mekong River countries using consistent investigative procedures. We included 11,005 participants aged ≥ 18 years from three provinces, and data were collected through questionnaires, physical examinations, and biochemical tests. We analyzed the cascade of hypertension care and compared the prevalence, awareness, treatment, and control of hypertension.

RESULTS

The hypertension care cascade indicated that 46.3%, 51.6%, and 63.1% of patients in Yunnan Province (China), Oudomxay Province (Laos), and Ratanakiri Province (Cambodia), respectively, were not diagnosed, and 10.7%, 12.8% and 21.1% of patients, respectively, did not receive treatment. After sex-age standardization, the prevalence rates of hypertension in the three provinces were 33.4%, 34.5%, and 23.6%, respectively. Higher awareness rate in Yunnan Province (53.4%) and Oudomxay Province (46.5%) than in Ratanakiri Province of Cambodia (39.7%). The treatment rate of hypertension in Yunnan Province (42.4%) was higher than that in Oudomxay Province (34.5%), and Ratanakiri Province (16.9%). In addition, less than 20% of the patients in the three provinces had their blood pressure under control. The factors associated with hypertension differed across the three provinces.

CONCLUSIONS

In the three provinces of the Lancang-Mekong River Basin countries, there is a high burden of hypertension and a significant unmet need for hypertension care. Targeted and precise intervention strategies are urgently needed to improve the awareness, treatment, and control of hypertension in low- and middle-income regions.

摘要

背景

在澜湄国家地理和文化相似、区域经济和生活方式快速变化的背景下，本研究旨在描述和比较中国、老挝和柬埔寨三省高血压的患病率、知晓率、治疗率和控制率，并评估高血压防治流程。

方法

2021年至2023年期间，在澜湄国家的三省采用一致的调查程序进行了一项横断面研究。我们纳入了来自三省的11005名年龄≥18岁的参与者，并通过问卷调查、体格检查和生化检测收集数据。我们分析了高血压防治流程，并比较了高血压的患病率、知晓率、治疗率和控制率。

结果

高血压防治流程显示，中国云南省、老挝乌多姆赛省和柬埔寨腊塔纳基里省分别有46.3%、51.6%和63.1%的患者未被诊断，分别有10.7%、12.8%和21.1%的患者未接受治疗。经年龄性别标准化后，三省高血压患病率分别为33.4%、34.5%和23.6%。云南省（53.4%）和乌多姆赛省（46.5%）的知晓率高于柬埔寨腊塔纳基里省（39.7%）。云南省高血压治疗率（42.4%）高于乌多姆赛省（34.5%）和腊塔纳基里省（16.9%）。此外，三省中不到20%的患者血压得到控制。三省中与高血压相关的因素各不相同。