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Factors Associated With Hypertension Awareness, Treatment, and Control in a Representative Sample of the Chinese Population

 

作者: Paul,   Muntner Dongfeng,   Gu Xiqui,   Wu Xiufang,   Duan Gan,   Wenqi Paul,   Whelton Jiang,  

 

期刊: Hypertension: Journal of The American Heart Association  (OVID Available online 2004)
卷期: Volume 43, issue 3  

页码: 578-585

 

ISSN:0194-911X

 

年代: 2004

 

出版商: OVID

 

关键词: hypertension, detection and control;cross-sectional studies;population

 

数据来源: OVID

 

摘要:

Abstract—We studied factors associated with awareness, treatment, and control of hypertension (systolic/diastolic blood pressure measurements ≥140/90 mm Hg, respectively, and/or current drug treatment for hypertension) in a representative sample of the Chinese population (n=15 838). Awareness, treatment, and control were defined by self-report of a hypertension diagnosis, self-report of current antihypertensive medication use, and a systolic and diastolic blood pressure <140/90 mm Hg, respectively. Higher awareness (OR; 95% CI) was noted for persons who were married (1.43; 1.09, 1.88) and had their blood pressure measured in 1 year (47.4; 31.7, 70.4) or 1 to 5 years (11.4; 7.09, 18.2) preceding their study visit; lower awareness was found among men (0.62; 0.52, 0.74) and current smokers (0.79; 0.63, 0.99). Among those aware of their hypertension, treatment was more common (OR; 95% CI) at higher income (1.24 [0.87, 1.75], 1.46 [1.01, 2.12] and 1.58 [1.06, 2.37] for increasing versus the lowest quartile of income) and for participants who had their blood pressure measured during the preceding year (3.87; 1.89, 7.93) and was less common among men (0.76; 0.59, 0.98). Controlled hypertension was more common (OR; 95% CI) among persons whose blood pressure had been measured 1 year (4.93; 1.51, 16.1) and 1 to 5 years (14.8; 3.63, 60.5) prior to their study visit and, among persons aware of their hypertension diagnosis, those who undertook lifestyle modification (1.59; 1.11, 2.27). These data identify potential methods for improving blood pressure control in China through the identification, follow-up, and lifestyle modification of persons with high blood pressure.

 

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