Abstract：Objective To investigate the changes in the effectiveness of hypertension prevention and treatment at the grass-roots level, and to provide a scientific basis for improving prevention and treatment measures of community hypertension. Methods Multi-stage stratified cluster random sampling method was used to select 5,000 permanent residents aged 18 years and above in Xiantao city in 2013 and 2016, respectively. Questionnaire surveys and measurement of height, weight, waist circumference and blood pressure were conducted. EpiData 3.02 software was used to establish the database and SPSS 17.0 software was used for statistical analysis. The correlation index of the total population was standardized by using the data of the national permanent population composition published by the National Statistical Bureau in 2013. Rates were compared by χ2 test. Results The prevalence, awareness, treatment and control rates of hypertension in the residents in Xiantao city in 2016 were 32.90%, 48.51%, 47.54% and 11.85%, respectively. Compared with the results of the survey in 2013, the prevalence rates of hypertension in the rural group and the age group of 45-59 years increased (both P<0.05), the awareness rate in the rural group decreased (P<0.05), and the treatment rates in the urban group and the age group of 60 years and above increased (both P<0.05). There were no statistically significant differences in the other rates (all P>0.05). Conclusions Changes in the effectiveness of hypertension prevention and treatment in the residents in Xiantao city during 2013-2016 were not significant. It is necessary to strengthen the comprehensive prevention and control of community hypertension, and focus on hypertension prevention and treatment in the rural and middle-aged populations.
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2020, Vol. 27 
