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

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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年我國高血壓的疾病負擔分析[J]. 中國慢性病預防與控制, 2007, 15(3):194-196.
4. 胡建平, 饒克勤, 錢軍程, 等. 中國慢性非傳染性疾病經濟負擔分析[J]. 中國慢性疾病預防與控制, 2007, 15(3):189-193.
5. 中國高血壓防治指南修訂委員會. 中國高血壓防治指南2010[J]. 中華心血管病雜志, 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. 衛生部統計信息中心. 第三次國家衛生服務調查分析報告[J]. 中國醫院, 2005, 9(1):3-11.
8. 陶壽淇, 武陽豐. 醫療衛生人員心血管病防治知識[M]. 北京:中國友誼出版公司, 2000:107-108.
9. 楚潔, 王臨虹, 徐愛強, 等. 山東省成年人高血壓與高血壓前期流行情況及影響因素分析[J]. 中華預防醫學雜志, 2014, 48(1):12-17.
10. 郭宗琳, 付平,周雅南, 等. 成都市高血壓人群慢性腎臟病流行病學調查研究[J]. 四川醫學, 2012, 33(7):1112-1115.
11. 鐘德超, 曹文齋, 張婷, 等. 自貢市農村人群高血壓患病率及危險因素分析[J]. 四川醫學, 2009, 30(7):1056-1058.
12. 李鎰沖, 王麗敏, 姜勇, 等. 2010年中國成年人高血壓患病率情況[J]. 中華預防醫學雜志, 2012, 46(5):409-413.
13. 趙曉云, 路永剛, 趙海利, 等. 河北省51239體檢人群高血壓流行病學分析[J]. 中國老年學雜志, 2013, 33(19):4818-4820.
14. 陳麗竹, 石秋婷, 丁榮晶. 河北省香河縣農村高血壓流行與管理水平現狀調查[J]. 中華內科雜志, 2013, 52(3):185-187.
15. 潘玲, 宋雅珊, 麻銳, 等. 廣西壯族自治區壯族村落成人高血壓流行病學調查[J]. 中華心血管病雜志, 2013, 41(9):790-794.

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