1. Songjiang District Center for Disease Control and Prevention, Shanghai 201620, China; 2. Maogang Community Health Service Center of Songjiang District, Shanghai 201620, China; 3. Sheshan Community Health Service Center of Songjiang District, Shanghai 201620, China; 4. School of Public Health, Fudan University, Shanghai 200032, China
Abstract:Objective To understand the control rate of blood pressure and its related factors among self-reported hypertension patients in Songjiang District, Shanghai, and to provide a scientific basis for hypertension prevention and treatment. Methods A questionnaire survey and physical examinations were performed among permanent residents aged 20-74 years recruited from four streets and towns with the East-China Natural Population-Based Cohort Study Project in Songjiang District, Shanghai from 2016 to 2017. Local clinical diagnosis and medication data were collected, and then analyzed by SPSS 16.0 software. Chi-square test was used to compare the differences in the control rate of blood pressure among hypertension patients with different characteristics. Factors related to the control rate of blood pressure were identified by binary logistic regression analysis. Results A total of 11,849 self-reported hypertension patients were surveyed, with the average age of (61.56±7.84) years and 54.47% being females. The control rate of blood pressure was 38.69%, with the standardized control rate of 36.45%. Multivariate logistic regression analysis indicated that males (OR=1.136, 95%CI:1.029-1.254), age group of 40-59 years (OR=1.831, 95%CI:1.209-2.772), age group of 60-74 years (OR=2.066, 95%CI:1.367-3.124), low weight (OR=1.717, 95%CI:1.083-2.721), smoking cessation (OR=1.264, 95%CI:1.054-1.515), and present smoking (OR=1.240, 95%CI:1.104-1.393) were favorable factors for the control rate of blood pressure. Overweight (OR=0.817, 95%CI:0.745-0.896), obesity (OR=0.683, 95%CI:0.599-0.778), complicating with diabetes (OR=0.883, 95%CI:0.808-0.965), and dyslipidemia (OR=0.872, 95%CI:0.804-0.944) were unfavorable factors for blood pressure control. Conclusion The control rate of blood pressure in the self-reported hypertension patients in Songjiang District, Shanghai was not high. Attention should be paid to control of weight, diabetes, dyslipidemia and other complications while anti-hypertensive agents are used.
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