Prevalence, awareness, treatment, and control of hypertension in rural China: results from Shandong Province

OBJECTIVESHypertension is an important public health problem in rural China with a rapidly increasing prevalence noted in recent years. This study estimates the prevalence, awareness, treatment and control of hypertension in a rural population in Shandong Province, China. METHODSA cross-sectional st...

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Veröffentlicht in:Journal of hypertension 2010-03, Vol.28 (3), p.432-438
Hauptverfasser: Li, Hui, Meng, Qingyue, Sun, Xiaoyun, Salter, Amy, Briggs, Nancy E, Hiller, Janet E
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container_end_page 438
container_issue 3
container_start_page 432
container_title Journal of hypertension
container_volume 28
creator Li, Hui
Meng, Qingyue
Sun, Xiaoyun
Salter, Amy
Briggs, Nancy E
Hiller, Janet E
description OBJECTIVESHypertension is an important public health problem in rural China with a rapidly increasing prevalence noted in recent years. This study estimates the prevalence, awareness, treatment and control of hypertension in a rural population in Shandong Province, China. METHODSA cross-sectional study was conducted in rural Shandong Province, China, in April 2007 using multistage cluster sampling. A total of 16 364 rural residents aged 25 years and more were interviewed and examined. Two blood pressure (BP) measurements were obtained using a standardized mercury sphygmomanometer after a 5-min seated rest. Information on history of hypertension was obtained using a standard questionnaire. Hypertension was defined as mean systolic BP (SBP) at least 140 mmHg and/or diastolic BP (DBP) at least 90 mmHg, and/or self-reported current use of antihypertensive medication. RESULTSOverall, 43.8% of the population had hypertension. Among hypertensive patients, only 26.2% were aware of their hypertension, 22.2% were currently undergoing antihypertensive treatment, and 3.9% achieved BP control (
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This study estimates the prevalence, awareness, treatment and control of hypertension in a rural population in Shandong Province, China. METHODSA cross-sectional study was conducted in rural Shandong Province, China, in April 2007 using multistage cluster sampling. A total of 16 364 rural residents aged 25 years and more were interviewed and examined. Two blood pressure (BP) measurements were obtained using a standardized mercury sphygmomanometer after a 5-min seated rest. Information on history of hypertension was obtained using a standard questionnaire. Hypertension was defined as mean systolic BP (SBP) at least 140 mmHg and/or diastolic BP (DBP) at least 90 mmHg, and/or self-reported current use of antihypertensive medication. RESULTSOverall, 43.8% of the population had hypertension. Among hypertensive patients, only 26.2% were aware of their hypertension, 22.2% were currently undergoing antihypertensive treatment, and 3.9% achieved BP control (&lt;140/90 mmHg). Lack of knowledge about hypertension and the importance of BP control were associated with poor compliance with nonpharmacological and pharmacological treatments. CONCLUSIONSIn the study population, the prevalence of hypertension is high, but levels of awareness, treatment and control are unacceptably low. There is an urgent need for comprehensive integrated strategies to improve prevention, detection and treatment of hypertension in rural areas in Shandong Province, China.</description><identifier>ISSN: 0263-6352</identifier><identifier>EISSN: 1473-5598</identifier><identifier>DOI: 10.1097/HJH.0b013e328334b39e</identifier><identifier>PMID: 20087215</identifier><identifier>CODEN: JOHYD3</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Adult ; Aged ; Arterial hypertension. Arterial hypotension ; Awareness ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; China - epidemiology ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Cross-Sectional Studies ; Female ; Humans ; Hypertension - epidemiology ; Hypertension - prevention &amp; control ; Hypertension - therapy ; Male ; Medical sciences ; Middle Aged ; Patient Compliance ; Pilot Projects ; Prevalence ; Rural Population</subject><ispartof>Journal of hypertension, 2010-03, Vol.28 (3), p.432-438</ispartof><rights>2010 Lippincott Williams &amp; Wilkins, Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451e-a24993187e435e26934d167e251fbd966beb853f41205400ed0fee72bb2cd5da3</citedby><cites>FETCH-LOGICAL-c451e-a24993187e435e26934d167e251fbd966beb853f41205400ed0fee72bb2cd5da3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=22490967$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20087215$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Hui</creatorcontrib><creatorcontrib>Meng, Qingyue</creatorcontrib><creatorcontrib>Sun, Xiaoyun</creatorcontrib><creatorcontrib>Salter, Amy</creatorcontrib><creatorcontrib>Briggs, Nancy E</creatorcontrib><creatorcontrib>Hiller, Janet E</creatorcontrib><title>Prevalence, awareness, treatment, and control of hypertension in rural China: results from Shandong Province</title><title>Journal of hypertension</title><addtitle>J Hypertens</addtitle><description>OBJECTIVESHypertension is an important public health problem in rural China with a rapidly increasing prevalence noted in recent years. This study estimates the prevalence, awareness, treatment and control of hypertension in a rural population in Shandong Province, China. METHODSA cross-sectional study was conducted in rural Shandong Province, China, in April 2007 using multistage cluster sampling. A total of 16 364 rural residents aged 25 years and more were interviewed and examined. Two blood pressure (BP) measurements were obtained using a standardized mercury sphygmomanometer after a 5-min seated rest. Information on history of hypertension was obtained using a standard questionnaire. Hypertension was defined as mean systolic BP (SBP) at least 140 mmHg and/or diastolic BP (DBP) at least 90 mmHg, and/or self-reported current use of antihypertensive medication. RESULTSOverall, 43.8% of the population had hypertension. Among hypertensive patients, only 26.2% were aware of their hypertension, 22.2% were currently undergoing antihypertensive treatment, and 3.9% achieved BP control (&lt;140/90 mmHg). Lack of knowledge about hypertension and the importance of BP control were associated with poor compliance with nonpharmacological and pharmacological treatments. CONCLUSIONSIn the study population, the prevalence of hypertension is high, but levels of awareness, treatment and control are unacceptably low. There is an urgent need for comprehensive integrated strategies to improve prevention, detection and treatment of hypertension in rural areas in Shandong Province, China.</description><subject>Adult</subject><subject>Aged</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Awareness</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>China - epidemiology</subject><subject>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - prevention &amp; control</subject><subject>Hypertension - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patient Compliance</subject><subject>Pilot Projects</subject><subject>Prevalence</subject><subject>Rural Population</subject><issn>0263-6352</issn><issn>1473-5598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE9v1DAQxS0EotvCN0DIF8SlKf4bx9zQirKgSlQCzpGTTEjAsZex01W_PUa7gMSB04xGvzdv5hHyjLMrzqx5tfuwu2Id4xKkaKRUnbTwgGy4MrLS2jYPyYaJWla11OKMnKf0jTHWWCMfkzNROiO43hB_i3DnPIQeLqk7OIQAKV3SjODyAiGXaRhoH0PG6Gkc6XS_B8wQ0hwDnQPFFZ2n22kO7jVFSKvPiY4YF_ppKtIYvtJbjHdzcXhCHo3OJ3h6qhfky_Xbz9tddfPx3fvtm5uqV5pD5YSyVvLGgJIaRG2lGnhtQGg-doOt6w66RstRccG0YgwGNgIY0XWiH_Tg5AV5edy7x_hjhZTbZU49eO8CxDW1RkrOVS1VIdWR7DGmhDC2e5wXh_ctZ-2vmNsSc_tvzEX2_GSwdgsMf0S_cy3AixPgUu_8iC70c_rLlQ-ZrU3hmiN3iD4Dpu9-PQC2Ezifp__f8BOufpln</recordid><startdate>201003</startdate><enddate>201003</enddate><creator>Li, Hui</creator><creator>Meng, Qingyue</creator><creator>Sun, Xiaoyun</creator><creator>Salter, Amy</creator><creator>Briggs, Nancy E</creator><creator>Hiller, Janet E</creator><general>Lippincott Williams &amp; Wilkins, Inc</general><general>Lippincott Williams &amp; Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201003</creationdate><title>Prevalence, awareness, treatment, and control of hypertension in rural China: results from Shandong Province</title><author>Li, Hui ; Meng, Qingyue ; Sun, Xiaoyun ; Salter, Amy ; Briggs, Nancy E ; Hiller, Janet E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451e-a24993187e435e26934d167e251fbd966beb853f41205400ed0fee72bb2cd5da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Awareness</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>China - epidemiology</topic><topic>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension - epidemiology</topic><topic>Hypertension - prevention &amp; control</topic><topic>Hypertension - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patient Compliance</topic><topic>Pilot Projects</topic><topic>Prevalence</topic><topic>Rural Population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Hui</creatorcontrib><creatorcontrib>Meng, Qingyue</creatorcontrib><creatorcontrib>Sun, Xiaoyun</creatorcontrib><creatorcontrib>Salter, Amy</creatorcontrib><creatorcontrib>Briggs, Nancy E</creatorcontrib><creatorcontrib>Hiller, Janet E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hypertension</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Hui</au><au>Meng, Qingyue</au><au>Sun, Xiaoyun</au><au>Salter, Amy</au><au>Briggs, Nancy E</au><au>Hiller, Janet E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence, awareness, treatment, and control of hypertension in rural China: results from Shandong Province</atitle><jtitle>Journal of hypertension</jtitle><addtitle>J Hypertens</addtitle><date>2010-03</date><risdate>2010</risdate><volume>28</volume><issue>3</issue><spage>432</spage><epage>438</epage><pages>432-438</pages><issn>0263-6352</issn><eissn>1473-5598</eissn><coden>JOHYD3</coden><abstract>OBJECTIVESHypertension is an important public health problem in rural China with a rapidly increasing prevalence noted in recent years. This study estimates the prevalence, awareness, treatment and control of hypertension in a rural population in Shandong Province, China. METHODSA cross-sectional study was conducted in rural Shandong Province, China, in April 2007 using multistage cluster sampling. A total of 16 364 rural residents aged 25 years and more were interviewed and examined. Two blood pressure (BP) measurements were obtained using a standardized mercury sphygmomanometer after a 5-min seated rest. Information on history of hypertension was obtained using a standard questionnaire. Hypertension was defined as mean systolic BP (SBP) at least 140 mmHg and/or diastolic BP (DBP) at least 90 mmHg, and/or self-reported current use of antihypertensive medication. RESULTSOverall, 43.8% of the population had hypertension. Among hypertensive patients, only 26.2% were aware of their hypertension, 22.2% were currently undergoing antihypertensive treatment, and 3.9% achieved BP control (&lt;140/90 mmHg). Lack of knowledge about hypertension and the importance of BP control were associated with poor compliance with nonpharmacological and pharmacological treatments. CONCLUSIONSIn the study population, the prevalence of hypertension is high, but levels of awareness, treatment and control are unacceptably low. There is an urgent need for comprehensive integrated strategies to improve prevention, detection and treatment of hypertension in rural areas in Shandong Province, China.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>20087215</pmid><doi>10.1097/HJH.0b013e328334b39e</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Journals@Ovid Complete
subjects Adult
Aged
Arterial hypertension. Arterial hypotension
Awareness
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
China - epidemiology
Clinical manifestations. Epidemiology. Investigative techniques. Etiology
Cross-Sectional Studies
Female
Humans
Hypertension - epidemiology
Hypertension - prevention & control
Hypertension - therapy
Male
Medical sciences
Middle Aged
Patient Compliance
Pilot Projects
Prevalence
Rural Population
title Prevalence, awareness, treatment, and control of hypertension in rural China: results from Shandong Province
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