Zhongguo quanke yixue (Mar 2022)

Prevalence，Awareness，Treatment and Control Rates of Hypertension in Chinese Adults: Trend and Associated Factors from 1991 to 2015

  • YAO Xi, PEI Xiaoting, QU Zhe

DOI
https://doi.org/10.12114/j.issn.1007-9572.2022.00.004
Journal volume & issue
Vol. 25, no. 07
pp. 803 – 814

Abstract

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BackgroundAs a major common chronic noncommunicable in Chinese adults, hypertension is associated with increased risk of a variety of cardiovascular and cerebrovascular diseases such as coronary atherosclerosis and stroke. Hypertension has become a major public health issue in China due to increasing prevalence but low treatment and control rates.ObjectiveTo estimate the prevalence, awareness, treatment and control rates of hypertension in Chinese adults from 1991 to 2015.MethodsData were collected from nine waves of the China Health and Nutrition Survey conducted between 1991—2015, involving adults (≥18 years old) with complete information, including age, sex, blood pressure values, demographic characteristics, smoking, drinking status, height, weight, waist circumference, blood pressure value and disease history. The trends of hypertension prevalence, awareness, treatment and control rates and associated factors in adults during the period of 25 years were analyzed.ResultsIn 1991, the prevalence, awareness, treatment and control ratesof hypertension in adults were 14.77% (1 291/8 743) , 27.58% (356/1 291) , 15.80% (204/1 291) , and 5.89% (76/1 291) , respectively, while these four indicators in 2015 were 32.67% (4 520/13 834) , 48.08% (2 173/4 520) , 40.51% (1 831/4 520) , and 14.65% (662/4 520) , respectively. There was an increasing tread for prevalence of hypertension from 1991 to 2015. Increasing trends of awareness, treatment and control rates were found from 2000 to 2015. The prevalence, awareness, treatment and control rates of hypertension were alwaysaffected by age, gender, behavior habits, knowledge level and other factors.ConclusionThe treatment and control rates of hypertension in Chinese adults are increasing, but still relatively lower in comparison to its increasing prevalence. So it is recommended for relevant government departments to take measures to enhance hypertension treatment and control rates in adults, so that the progression of hypertension would be delayed.

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