Trends in population blood pressure and prevalence, awareness, treatment, and control of hypertension among middle-aged and older adults in a rural area of Northwest China from 1982 to 2010
To assess trends in average blood pressure levels and prevalence, awareness, treatment, and control of hypertension among adults in a rural area of Northwest China, and to determine associated risk factors. Four cross-sectional population-based surveys were conducted between 1982 and 2010 among rand...
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| Veröffentlicht in: | PloS one 2013-04, Vol.8 (4), p.e61779-e61779 |
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| creator | Zhao, Yaling Yan, Hong Marshall, Roger J Dang, Shaonong Yang, Ruihai Li, Qiang Qin, Xueying |
| description | To assess trends in average blood pressure levels and prevalence, awareness, treatment, and control of hypertension among adults in a rural area of Northwest China, and to determine associated risk factors.
Four cross-sectional population-based surveys were conducted between 1982 and 2010 among randomly selected adults in rural areas of Hanzhong, in Northwest China. Data on blood pressure, body mass index, family history of hypertension, and socio-demographic and lifestyle characteristics were collected in similar way by trained investigators in four surveys. Data of 8575 participants aged 35-64 years was analyzed. Averages and proportions were adjusted for age and sex.
Average blood pressure in the population has increased since 1982 from 76.9 mm Hg to 79.6 mm Hg in 2010 (diastolic) and from 120.9 to 129.7 mm Hg (systolic). Prevalence of hypertension increased from 18.4% in 1982 to 30.5% in 2010, and awareness of hypertension increased from 16.8% to 38.4% in 2010. Treatment of hypertension increased from 1.0% in 1982 to 17.4% in 2010, and control of hypertension increased from 0.1% in 1982 to 3.5% in 2010. All these gradients were statistically significant (P |
| doi_str_mv | 10.1371/journal.pone.0061779 |
| format | Article |
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Four cross-sectional population-based surveys were conducted between 1982 and 2010 among randomly selected adults in rural areas of Hanzhong, in Northwest China. Data on blood pressure, body mass index, family history of hypertension, and socio-demographic and lifestyle characteristics were collected in similar way by trained investigators in four surveys. Data of 8575 participants aged 35-64 years was analyzed. Averages and proportions were adjusted for age and sex.
Average blood pressure in the population has increased since 1982 from 76.9 mm Hg to 79.6 mm Hg in 2010 (diastolic) and from 120.9 to 129.7 mm Hg (systolic). Prevalence of hypertension increased from 18.4% in 1982 to 30.5% in 2010, and awareness of hypertension increased from 16.8% to 38.4% in 2010. Treatment of hypertension increased from 1.0% in 1982 to 17.4% in 2010, and control of hypertension increased from 0.1% in 1982 to 3.5% in 2010. All these gradients were statistically significant (P<0.01 for trend). Population blood pressure and prevalence, awareness and treatment of hypertension were positively associated with increasing age, body mass index and having family history of hypertension.
Average blood pressure levels and the prevalence, awareness, treatment and control of hypertension among adults in rural areas of Hanzhong have increased since 1982. However, awareness, treatment and control rates remain low. Public health programs and practical strategies are required to improve prevention and control of hypertension in rural Northwest China. In particular, attention should be given to the elderly and obese, and to those with a family history of hypertension, while raising awareness and treatment among younger adults.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0061779</identifier><identifier>PMID: 23613932</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Adults ; Alcohol ; Analysis ; Blood ; Blood pressure ; Blood Pressure - physiology ; Body mass ; Body mass index ; Body size ; Cardiovascular disease ; China - epidemiology ; Cross-Sectional Studies ; Data collection ; Demographics ; Developing countries ; Diabetes ; Epidemiology ; Female ; Genetics ; Geriatrics ; Humans ; Hypertension ; Hypertension - epidemiology ; Industrialized nations ; LDCs ; Male ; Medicine ; Mercury ; Middle Aged ; Mortality ; Older people ; Polls & surveys ; Population ; Prevalence ; Public health ; Risk analysis ; Risk factors ; Rural areas ; Rural Population - statistics & numerical data ; Statistical analysis ; Surveys ; Trends</subject><ispartof>PloS one, 2013-04, Vol.8 (4), p.e61779-e61779</ispartof><rights>COPYRIGHT 2013 Public Library of Science</rights><rights>2013 Zhao et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2013 Zhao et al 2013 Zhao et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-6614c22182fcda71252551a1162e28c110b3be45f863dc8773412b5bae9bf8bf3</citedby><cites>FETCH-LOGICAL-c692t-6614c22182fcda71252551a1162e28c110b3be45f863dc8773412b5bae9bf8bf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3627917/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3627917/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23613932$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Li, Shengxu</contributor><creatorcontrib>Zhao, Yaling</creatorcontrib><creatorcontrib>Yan, Hong</creatorcontrib><creatorcontrib>Marshall, Roger J</creatorcontrib><creatorcontrib>Dang, Shaonong</creatorcontrib><creatorcontrib>Yang, Ruihai</creatorcontrib><creatorcontrib>Li, Qiang</creatorcontrib><creatorcontrib>Qin, Xueying</creatorcontrib><title>Trends in population blood pressure and prevalence, awareness, treatment, and control of hypertension among middle-aged and older adults in a rural area of Northwest China from 1982 to 2010</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To assess trends in average blood pressure levels and prevalence, awareness, treatment, and control of hypertension among adults in a rural area of Northwest China, and to determine associated risk factors.
Four cross-sectional population-based surveys were conducted between 1982 and 2010 among randomly selected adults in rural areas of Hanzhong, in Northwest China. Data on blood pressure, body mass index, family history of hypertension, and socio-demographic and lifestyle characteristics were collected in similar way by trained investigators in four surveys. Data of 8575 participants aged 35-64 years was analyzed. Averages and proportions were adjusted for age and sex.
Average blood pressure in the population has increased since 1982 from 76.9 mm Hg to 79.6 mm Hg in 2010 (diastolic) and from 120.9 to 129.7 mm Hg (systolic). Prevalence of hypertension increased from 18.4% in 1982 to 30.5% in 2010, and awareness of hypertension increased from 16.8% to 38.4% in 2010. Treatment of hypertension increased from 1.0% in 1982 to 17.4% in 2010, and control of hypertension increased from 0.1% in 1982 to 3.5% in 2010. All these gradients were statistically significant (P<0.01 for trend). Population blood pressure and prevalence, awareness and treatment of hypertension were positively associated with increasing age, body mass index and having family history of hypertension.
Average blood pressure levels and the prevalence, awareness, treatment and control of hypertension among adults in rural areas of Hanzhong have increased since 1982. However, awareness, treatment and control rates remain low. Public health programs and practical strategies are required to improve prevention and control of hypertension in rural Northwest China. In particular, attention should be given to the elderly and obese, and to those with a family history of hypertension, while raising awareness and treatment among younger adults.</description><subject>Adult</subject><subject>Adults</subject><subject>Alcohol</subject><subject>Analysis</subject><subject>Blood</subject><subject>Blood pressure</subject><subject>Blood Pressure - physiology</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Cardiovascular disease</subject><subject>China - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Data collection</subject><subject>Demographics</subject><subject>Developing countries</subject><subject>Diabetes</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Genetics</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - epidemiology</subject><subject>Industrialized nations</subject><subject>LDCs</subject><subject>Male</subject><subject>Medicine</subject><subject>Mercury</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Older people</subject><subject>Polls & surveys</subject><subject>Population</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Rural areas</subject><subject>Rural Population - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhao, Yaling</au><au>Yan, Hong</au><au>Marshall, Roger J</au><au>Dang, Shaonong</au><au>Yang, Ruihai</au><au>Li, Qiang</au><au>Qin, Xueying</au><au>Li, Shengxu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in population blood pressure and prevalence, awareness, treatment, and control of hypertension among middle-aged and older adults in a rural area of Northwest China from 1982 to 2010</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2013-04-16</date><risdate>2013</risdate><volume>8</volume><issue>4</issue><spage>e61779</spage><epage>e61779</epage><pages>e61779-e61779</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To assess trends in average blood pressure levels and prevalence, awareness, treatment, and control of hypertension among adults in a rural area of Northwest China, and to determine associated risk factors.
Four cross-sectional population-based surveys were conducted between 1982 and 2010 among randomly selected adults in rural areas of Hanzhong, in Northwest China. Data on blood pressure, body mass index, family history of hypertension, and socio-demographic and lifestyle characteristics were collected in similar way by trained investigators in four surveys. Data of 8575 participants aged 35-64 years was analyzed. Averages and proportions were adjusted for age and sex.
Average blood pressure in the population has increased since 1982 from 76.9 mm Hg to 79.6 mm Hg in 2010 (diastolic) and from 120.9 to 129.7 mm Hg (systolic). Prevalence of hypertension increased from 18.4% in 1982 to 30.5% in 2010, and awareness of hypertension increased from 16.8% to 38.4% in 2010. Treatment of hypertension increased from 1.0% in 1982 to 17.4% in 2010, and control of hypertension increased from 0.1% in 1982 to 3.5% in 2010. All these gradients were statistically significant (P<0.01 for trend). Population blood pressure and prevalence, awareness and treatment of hypertension were positively associated with increasing age, body mass index and having family history of hypertension.
Average blood pressure levels and the prevalence, awareness, treatment and control of hypertension among adults in rural areas of Hanzhong have increased since 1982. However, awareness, treatment and control rates remain low. Public health programs and practical strategies are required to improve prevention and control of hypertension in rural Northwest China. In particular, attention should be given to the elderly and obese, and to those with a family history of hypertension, while raising awareness and treatment among younger adults.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23613932</pmid><doi>10.1371/journal.pone.0061779</doi><tpages>e61779</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Adults Alcohol Analysis Blood Blood pressure Blood Pressure - physiology Body mass Body mass index Body size Cardiovascular disease China - epidemiology Cross-Sectional Studies Data collection Demographics Developing countries Diabetes Epidemiology Female Genetics Geriatrics Humans Hypertension Hypertension - epidemiology Industrialized nations LDCs Male Medicine Mercury Middle Aged Mortality Older people Polls & surveys Population Prevalence Public health Risk analysis Risk factors Rural areas Rural Population - statistics & numerical data Statistical analysis Surveys Trends |
| title | Trends in population blood pressure and prevalence, awareness, treatment, and control of hypertension among middle-aged and older adults in a rural area of Northwest China from 1982 to 2010 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T13%3A27%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Trends%20in%20population%20blood%20pressure%20and%20prevalence,%20awareness,%20treatment,%20and%20control%20of%20hypertension%20among%20middle-aged%20and%20older%20adults%20in%20a%20rural%20area%20of%20Northwest%20China%20from%201982%20to%202010&rft.jtitle=PloS%20one&rft.au=Zhao,%20Yaling&rft.date=2013-04-16&rft.volume=8&rft.issue=4&rft.spage=e61779&rft.epage=e61779&rft.pages=e61779-e61779&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0061779&rft_dat=%3Cgale_plos_%3EA478258379%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1344033033&rft_id=info:pmid/23613932&rft_galeid=A478258379&rft_doaj_id=oai_doaj_org_article_09ee73307775485891a5a1210e0e1b4b&rfr_iscdi=true |