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The impact of changes in population blood pressure on hypertension prevalence and control in China.

中国人群血压变化对高血压患病率及控制的影响。

  • 影响因子:1.66
  • DOI:10.1111/jch.13820
  • 作者列表:"Fan WG","Xie F","Wan YR","Campbell NRC","Su H
  • 发表时间:2020-01-31
Abstract

:In China, there are approximately 250 million adults who have hypertension with low rates of awareness, treatment and control. Changes in lifestyles at a population level have the potential to enhance or deteriorate the prevention and control of hypertension. We used data from a regional hypertension survey to examine the impact of 2/1 mm Hg decreases or increases in population blood pressure on hypertension prevalence, and rates of unawareness of the hypertension diagnosis, treatment, and control. The primary analysis was based on the average blood pressure of respondents from three visits and a diagnostic threshold of 140/90 mm Hg for hypertension. Secondary analyses examined average blood pressure from the first survey visit and also a diagnostic threshold of 130/80 mm Hg for hypertension. The baseline hypertension prevalence was 33.4%, and rates of unawareness of the hypertension diagnosis, treatment, and control were 74.2%, 25.8%, and 9.7%, respectively. Decreases or increases in blood pressure by 10/5 mm Hg resulted in changes in hypertension prevalence (22.1% vs 53.4%) and rates of unawareness of the diagnosis (60.9% vs 83.8%), treatment (39.1% vs 16.2%), and control (21.2% vs 3.6%), respectively. Similar trends were seen in the secondary analyses. Population changes in lifestyle could have a very large impact on the prevalence and control of hypertension in China. The results support implementation of programs to improve population lifestyles while implementing health services policies to enhance the clinical management of hypertension.

摘要

在中国,大约有 2.5亿成年人患有高血压,知晓率、治疗率和控制率较低。在人口水平上生活方式的改变有可能增强或恶化高血压的预防和控制。我们使用来自地区高血压调查的数据来检查人群血压降低或升高 2/1mm Hg 对高血压患病率的影响,以及对高血压诊断、治疗、和控制。主要分析基于三次就诊的受访者的平均血压和高血压的诊断阈值为 140/90mm Hg。二次分析检查了第一次调查访视的平均血压,以及高血压的诊断阈值为 130/80mm Hg。基线高血压患病率为 33.4%,对高血压的诊断、治疗和控制不知晓率分别为 74.2% 、 25.8% 和 9.7%。血压降低或升高 10/5mm Hg 导致高血压患病率 (22.1% vs 53.4%) 和对诊断的不知晓率 (60.9% vs 83.8%) 发生变化, 治疗 (39.1% vs 16.2%) 和对照 (21.2% vs 3.6%)。在次要分析中观察到类似的趋势。人群生活方式的改变可能对中国高血压的患病率和控制产生非常大的影响。结果支持实施改善人口生活方式的方案,同时实施卫生服务政策,以加强高血压的临床管理。

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