Abstract：Objective To describe the current status of prevalence, awareness, therapy and control of hypertension among citizens aged 35-75 years in Hunan Province, and to explore the relationship between the individual characteristics of patients and the awareness, treatment and control of hypertension. Methods The prevalence, awareness, treatment and control rates of hypertension in Hunan Province were identified through analysis of the data from China Patient-Centered Evaluative Assessment of Cardiac Events (PEACE) Million Persons Project in Hunan Province. The multilevel mixed model was used to analyze the relationship of awareness, treatment and control rates with individual characteristics at the patient level. Results A total of 77,531 participants were enrolled in this study, with an average age of (56.79±9.75) years, and 62.25% were females. The prevalence rate of hypertension in the participants was 47.42%, and the standardized prevalence rate was 35.92%. The awareness, treatment and control rates were 55.04%, 46.56% and 13.32%, respectively. The multilevel mixed model showed that patients with advanced age, highly educated, with obesity, having a history of myocardial infarction, having a history of stroke, and with diabetes had higher awareness, treatment and control rates of hypertension (all P<0.001). Conclusion The prevalence rate of hypertension in residents aged 35-75 years in Hunan Province is high, and the situation of awareness, treatment and control require further improvement. Hypertension prevention, treatment, propaganda and education should be fully carried out.
殷蕾, 刘琼, 刘意, 谢羡, 刘源, 殷黎. 湖南省35～75岁居民高血压患病、知晓、治疗和控制情况分析[J]. 实用预防医学, 2022, 29(2): 133-136.
YIN Lei, LIU Qiong, LIU Yi, XIE Xian, LIU Yuan, YIN Li. Prevalence, awareness, treatment, and control of hypertension among residents aged 35-75 years in Hunan Province. , 2022, 29(2): 133-136.
[1] Wang Z, Chen Z, Zhang L, et al. Status of hypertension in China:results from the China hypertension survey, 2012-2015[J]. Circulation,2018,137(22):2344-2356. [2] Lewington S, Lacey B, Clarke R, et al. The burden of hypertension and associated risk for cardiovascular mortality in China[J]. JAMA Intern Med,2016,176(4):524-532. [3] Wang Y, Peng X, Nie X, et al. Burden of hypertension in China over the past decades: systematic analysis of prevalence, treatment and control of hypertension[J]. Eur J Prev Cardiol,2016,23(8):792-800. [4] Lu J, Xuan S, Downing NS, et al. Protocol for the China PEACE (Patient-centered Evaluative Assessment of Cardiac Events) Million Persons Project pilot[J]. BMJ Open,2016,6(1):e10200. [5] 中国高血压防治指南修订委员会. 中国高血压防治指南2010[J]. 中华高血压杂志,2011,19(8):701-743. [6] Zhou BF. Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults--study on optimal cut-off points of body mass index and waist circumference in Chinese adults[J]. Biomed Environ Sci,2002,15(1):83-96. [7] Lu J, Lu Y, Wang X, et al. Prevalence, awareness, treatment, and control of hypertension in China: data from 1.7 million adults in a population-based screening study (China PEACE Million Persons Project[J]. Lancet,2017,390(10112):2549-2558. [8] 李俊琳,祝淑珍,齐俊锋,等. 湖北省35～75岁人群高血压流行状况及影响因素分析[J]. 现代预防医学,2020,47(7):1158-1163. [9] 许杰,丁贤彬,唐文革,等. 重庆市35～75岁居民高血压患病率及相关因素分析[J]. 公共卫生与预防医学,2020,31(4):31-35. [10] 谢羡,黄跃龙,金东辉,等. 2007-2015年湖南省成人高血压流行趋势分析[J]. 中国慢性病预防与控制,2018,26(11):814-817. [11] 宋佳丽,杨静玮,张丹薇,等. 我国华中地区三省年龄35～75岁成人高血压知晓、治疗和控制情况[J]. 中华高血压杂志,2019,27(11):1054-1060. [12] 杨静玮,袁子焰,张海波,等. 我国东北三省部分地区成人高血压管理现状[J]. 中国分子心脏病学杂志,2019,19(3):2894-2899. [13] 张丹薇,崔建兰,吴超群,等. 我国西南地区年龄35~75岁成人高血压知晓、治疗和控制现状[J]. 中华高血压杂志,2019,27(3):235-241. [14] Joffres M, Falaschetti E, Gillespie C, et al. Hypertension prevalence, awareness, treatment and control in national surveys from England, the USA and Canada, and correlation with stroke and ischaemic heart disease mortality: a cross-sectional study[J]. BMJ Open,2013,3(8):e3423. [15] Yang L, Yan J, Tang X, et al. Prevalence, awareness, treatment, control and risk factors associated with hypertension among adults in Southern China, 2013[J]. PLoS One,2016,11(1):e146181. [16] Guo J, Zhu YC, Chen YP, et al. The dynamics of hypertension prevalence, awareness, treatment, control and associated factors in Chinese adults: results from CHNS 1991-2011[J]. J Hypertens,2015,33(8):1688-1696. [17] 宋涛, 王萍萍, 辛丽红, 等.兰陵县农村高血压患者防治知识知晓与血压控制情况分析[J]. 实用预防医学,2021,28(12):1509-1511.
2022, Vol. 29 
