Open AccessPrevalence, awareness, treatment and control of hypertension among adults in rural north-western China: a cross-sectional population survey
Author(s) -
Caixia Dong,
Pengfei Ge,
Xiaolan Ren,
Fan Huang,
Xiang Yan
Publication year - 2013
Publication title -
journal of international medical research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.421
H-Index - 57
eISSN - 1473-2300
pISSN - 0300-0605
DOI - 10.1177/0300060513488498
Subject(s) - medicine , overweight , obesity , blood pressure , logistic regression , cross sectional study , cluster sampling , environmental health , population , rural area , demography , physical therapy , pathology , sociology
Objective To assess rates and determinants of prevalence, awareness, treatment and control of hypertension in rural north-western China.Methods Adults were recruited from five surveillance areas in Gansu Province using a three-stage cluster sampling plan. A combination of household and community–based surveys was employed and two methods of surveillance (questionnaire and physical measurement) were undertaken.Results A total of 3000 subjects were included; 1100 (36.7%) had hypertension. Hypertension was associated with older age, lower educational levels and being overweight or obese. Only 407 (37%) subjects with hypertension were aware of their condition. Multiple logistic regression showed significant correlations between hypertension awareness and age, obesity and central obesity. Antihypertensive treatment was received by 31.2% of participants with hypertension. Obesity, smoking and older age were associated with treatment. Blood pressure was controlled in 18.1% of participants receiving antihypertensive treatment and in 5.6% of subjects with hypertension overall.Conclusion In conclusion, prevalence of hypertension is rapidly increasing in rural north-western China. Rates of awareness and treatment of hypertension remain low and blood pressure is poorly controlled.