Junxiang Wei1,2,3, Yang Mi4, Yan Li5, Bo Xin6, Youfa Wang6,7. 1. Department of Obstetrics, Northwest Women's and Children's Hospital, Xi'an, 710061, Shaanxi, China. junxiang.wei@xjtu.edu.cn. 2. Global Health Institute, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China. junxiang.wei@xjtu.edu.cn. 3. Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China. junxiang.wei@xjtu.edu.cn. 4. Department of Obstetrics, Northwest Women's and Children's Hospital, Xi'an, 710061, Shaanxi, China. 5. Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA. 6. Global Health Institute, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China. 7. Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China.
Abstract
BACKGROUND: The prevalence of hypertension is high and rising in China, but most people with hypertension do not have their blood pressure under control. This study investigated hypertension awareness, treatment, and control and their associated factors among Chinese adults. METHODS: Data collected from the 2011 China Health and Nutrition Survey (CHNS) from 12,991 Chinese adults were used. Hypertension was defined as systolic blood pressure ≥ 140 mmHg, diastolic blood pressure ≥ 90 mmHg, self-reported prior diagnosed hypertension, or taking antihypertensive medications. Hypertension awareness, treatment, and control were defined as a self-reported diagnosis of hypertension, current use of antihypertensive medication, and blood pressure < 140/90 mmHg, respectively. Multivariate logistic regression was performed to examine factors associated with hypertension awareness, treatment, and control. RESULTS: Overall, 3579 (27.6%) of the CHNS adult participants had hypertension, of whom 55.7% were aware of their diagnosis, 46.5% were treated with antihypertensive medications, but only 20.3% had their blood pressure under control. Higher hypertension treatment was associated with older age (OR = 2.57; 95%CI, 1.65-4.02), urban residency (1.50; 1.14-1.97), living in the Eastern region (1.52; 1.14-2.01), and being overweight/obese (1.99; 1.39-2.84). Hypertension awareness was associated with similar factors as hypertension treatment but was also associated with being female (1.37, 1.12-1.66). Poor hypertension control was associated with being overweight/obese (0.56; 0.42-0.76) and minority ethnicity (0.52; 0.31-0.86). CONCLUSION: Hypertension is a major public health challenge in China. The prevalence of hypertension awareness, treatment, and control are still low despite existing public health policies and programs to reduce the burden of hypertension. More intensive hypertension screening and treatment programs are warranted in China.
BACKGROUND: The prevalence of hypertension is high and rising in China, but most people with hypertension do not have their blood pressure under control. This study investigated hypertension awareness, treatment, and control and their associated factors among Chinese adults. METHODS: Data collected from the 2011 China Health and Nutrition Survey (CHNS) from 12,991 Chinese adults were used. Hypertension was defined as systolic blood pressure ≥ 140 mmHg, diastolic blood pressure ≥ 90 mmHg, self-reported prior diagnosed hypertension, or taking antihypertensive medications. Hypertension awareness, treatment, and control were defined as a self-reported diagnosis of hypertension, current use of antihypertensive medication, and blood pressure < 140/90 mmHg, respectively. Multivariate logistic regression was performed to examine factors associated with hypertension awareness, treatment, and control. RESULTS: Overall, 3579 (27.6%) of the CHNS adult participants had hypertension, of whom 55.7% were aware of their diagnosis, 46.5% were treated with antihypertensive medications, but only 20.3% had their blood pressure under control. Higher hypertension treatment was associated with older age (OR = 2.57; 95%CI, 1.65-4.02), urban residency (1.50; 1.14-1.97), living in the Eastern region (1.52; 1.14-2.01), and being overweight/obese (1.99; 1.39-2.84). Hypertension awareness was associated with similar factors as hypertension treatment but was also associated with being female (1.37, 1.12-1.66). Poor hypertension control was associated with being overweight/obese (0.56; 0.42-0.76) and minority ethnicity (0.52; 0.31-0.86). CONCLUSION:Hypertension is a major public health challenge in China. The prevalence of hypertension awareness, treatment, and control are still low despite existing public health policies and programs to reduce the burden of hypertension. More intensive hypertension screening and treatment programs are warranted in China.
Authors: Jean Dallongeville; Deepak L Bhatt; P H Gabriel Steg; Philippe Ravaud; Peter W Wilson; Kim A Eagle; Shinya Goto; Jean-Louis Mas; Gilles Montalescot Journal: Eur J Prev Cardiol Date: 2011-02-25 Impact factor: 7.804
Authors: Paul Muntner; Dongfeng Gu; Xiqui Wu; Xiufang Duan; Gan Wenqi; Paul K Whelton; Jiang He Journal: Hypertension Date: 2004-01-26 Impact factor: 10.190
Authors: Sharon B Wyatt; Ermeg L Akylbekova; Marion R Wofford; Sean A Coady; Evelyn R Walker; Michael E Andrew; Wanda J Keahey; Herman A Taylor; Daniel W Jones Journal: Hypertension Date: 2008-02-11 Impact factor: 10.190