Prevalence, Awareness, Treatment, and Control of Hypertension in China: Results From a National Survey

BACKGROUND Hypertension is one of the major risk factor for cardiovascular disease worldwide. The objective of this study was to investigate the prevalence, awareness, treatment, and control of hypertension in China. METHODS A multistage, stratified sampling method was used to obtain a representativ...

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Bibliographic Details
Published in:American journal of hypertension Vol. 27; no. 11; pp. 1355 - 1361
Main Authors: Wang, Jinwei, Zhang, Luxia, Wang, Fang, Liu, Lisheng, Wang, Haiyan
Format: Journal Article
Language:English
Published: United States Oxford University Press 01.11.2014
Subjects:
Adolescent
Adult
Alcohol
Antihypertensive Agents - therapeutic use
Antihypertensives
Asian Continental Ancestry Group - psychology
Awareness
Blood pressure
Blood Pressure - drug effects
Cardiovascular disease
China - epidemiology
Diabetes
Epidemiology
Family medical history
Female
Health Behavior - ethnology
Health Care Surveys
Health Knowledge, Attitudes, Practice - ethnology
Health surveys
Humans
Hypertension
Hypertension - diagnosis
Hypertension - drug therapy
Hypertension - ethnology
Hypertension - physiopathology
Hypertension - psychology
Kidney diseases
Life Style - ethnology
Lifestyles
Male
Middle Aged
Original
Prevalence
Public health
Risk Factors
Risk Reduction Behavior
Rural areas
Sex Distribution
Sex Factors
Treatment Outcome
Young Adult
China
blood pressure
epidemiology
prevalence
hypertension
China
ISSN:0895-7061, 1941-7225, 1941-7225
Online Access:Get full text
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Summary:BACKGROUND Hypertension is one of the major risk factor for cardiovascular disease worldwide. The objective of this study was to investigate the prevalence, awareness, treatment, and control of hypertension in China. METHODS A multistage, stratified sampling method was used to obtain a representative sample of persons aged 18 years or older in the general population of China. Blood pressure (BP) was measured by sphygmomanometer 3 times at 5-minute intervals. Hypertension was defined as a systolic BP ≥ 140mm Hg, or diastolic BP ≥ 90mm Hg, or self-reported use of antihypertensive medications in the last 2 weeks irrespective of the BP. RESULTS Altogether 50,171 subjects finished the survey across the entire country. The adjusted prevalence of hypertension was 29.6% (95% confidence interval (CI) = 28.9%-30.4%) and was higher among men than among women (31.2%, 95% CI = 30.1%-32.4%; vs. 28.0%, 95% CI = 27.0%-29.0%). The awareness, treatment among all hypertensive participants, control among all hypertensive participants, and control among treated hypertensive participants were 42.6%, 34.1%, 9.3%, and 27.4%, respectively. Multiple lifestyle factors were independently associated with presence of hypertension, including physical inactivity, habitual drinking, chronic use of nonsteroidal anti-inflammatory drugs, high body mass index, and central obesity. CONCLUSIONS Hypertension is an important public health burden in China, and control of hypertension is still suboptimal. Several modifiable lifestyle activities were associated with hypertension and thus should be considered potential targets for intervention, with special attention to socioeconomically disadvantaged subpopulations in China.
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ISSN:0895-7061
1941-7225
1941-7225
DOI:10.1093/ajh/hpu053