Study on the Prevalence and Risk Factors of Hypertension in Anyue County from 2011 to 2013_West China Medical Journal

Authors：

 XUYong-bin , LIUQiang , ZHANGWu , XULi , ZHONGCheng-zhi , DAIBo , YUZhong-hui , WANGHong-fang

Department of Cardiology, Anyue People's Hospital, Anyue, Sichuan 642350, P. R. China;

Corresponding author：

Keywords：

Hypertension; Prevalence; Risk factors

DOI：

10.7507/1002-0179.20150347

Video：

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Objective To explore the prevalence and risk factors of hypertension in Anyue County from June 2011 to June 2013. Methods Using stratfied random cluster sampling method, 5 391 people over 15 years of age were selected from 3 residential areas and 3 natural villages to finish a questionnaire and blood pressure measurement. Results The total prevalence rate of hypertension in Anyue County was 18.77%. The prevalence rates of hypertension in urban areas and rural areas were 21.75% and 16.20%, and the difference was significant (χ²=27.120, P<0.001). In both urban and rural areas, the prevalence rate of hypertension increased with age (χ²=475.634, P<0.001; χ²=394.026, P<0.001). The percentages of awareness, treatment and control in Anyue County were 31.30%, 24.41%, and 9.09%. The percentages of awareness, treatment and control in urban areas were 40.15%, 33.70%, and 11.23% and were 20.68%, 13.65%, and 6.61% in rural areas. There were significant differences in the percentages of awareness, treatment and control between urban and rural areas (χ²=44.475, P<0.001; χ²=54.861, P<0.001; χ²=8.202, P=0.004). The logistic regression analysis showed that age (OR=1.061, P<0.001), diabetes (OR=1.550, P<0.001), hyperlipemia (OR=2.372, P<0.001) and smoking (OR=1.335, P<0.001) were the risk factors for hypertension; and it showed that high level of education was a protective factor for hypertension (OR=0.755, P<0.001). Conclusion Because of high prevalence and low percentages of awareness, treatment and control in Anyue County, the prevention and control situation of hypertension are grim. We should focus on the control of smoking, blood lipid and blood glucose.

Citation： XUYong-bin, LIUQiang, ZHANGWu, XULi, ZHONGCheng-zhi, DAIBo, YUZhong-hui, WANGHong-fang. Study on the Prevalence and Risk Factors of Hypertension in Anyue County from 2011 to 2013. West China Medical Journal, 2015, 30(7): 1201-1204. doi: 10.7507/1002-0179.20150347 Copy

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1. Shimamoto K, Kita T, Mabuchi H, et al. The risk of cardiovascular events in Japanese hypertensive patients with hypercholesterolemia:sub-analysis of the Japan Lipid Intervention Trial (J-LIT) study, a large-scale observational cohort study[J]. Hypertens Res, 2005, 28(11):879-887.
2. Ezzati M, Lopez AD, Rodgers A, et al. Comparative quantification of health risks:the global and regional burden of disease attributable to selected major risk factors[M]. Washington DC:World Bank, 2006.
3. 王建生, 姜垣. 金水高. 2002年我国高血压的疾病负担分析[J]. 中国慢性病预防与控制, 2007, 15(3):194-196.
4. 胡建平, 饶克勤, 钱军程, 等. 中国慢性非传染性疾病经济负担分析[J]. 中国慢性疾病预防与控制, 2007, 15(3):189-193.
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]. 中华心血管病杂志, 2011, 39(7):579-616.
6. Gu D, Reynolds K, Wu X, et al. Prevalence, awareness, treatment and control of hypertension in China[J]. Hypertension, 2002, 40(6):920-927.
7. 卫生部统计信息中心. 第三次国家卫生服务调查分析报告[J]. 中国医院, 2005, 9(1):3-11.
8. 陶寿淇, 武阳丰. 医疗卫生人员心血管病防治知识[M]. 北京:中国友谊出版公司, 2000:107-108.
9. 楚洁, 王临虹, 徐爱强, 等. 山东省成年人高血压与高血压前期流行情况及影响因素分析[J]. 中华预防医学杂志, 2014, 48(1):12-17.
10. 郭宗琳, 付平,周雅南, 等. 成都市高血压人群慢性肾脏病流行病学调查研究[J]. 四川医学, 2012, 33(7):1112-1115.
11. 钟德超, 曹文斋, 张婷, 等. 自贡市农村人群高血压患病率及危险因素分析[J]. 四川医学, 2009, 30(7):1056-1058.
12. 李镒冲, 王丽敏, 姜勇, 等. 2010年中国成年人高血压患病率情况[J]. 中华预防医学杂志, 2012, 46(5):409-413.
13. 赵晓云, 路永刚, 赵海利, 等. 河北省51239体检人群高血压流行病学分析[J]. 中国老年学杂志, 2013, 33(19):4818-4820.
14. 陈丽竹, 石秋婷, 丁荣晶. 河北省香河县农村高血压流行与管理水平现状调查[J]. 中华内科杂志, 2013, 52(3):185-187.
15. 潘玲, 宋雅珊, 麻锐, 等. 广西壮族自治区壮族村落成人高血压流行病学调查[J]. 中华心血管病杂志, 2013, 41(9):790-794.

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