Abstract

Background: Hypertension is a significant public health challenge contributing to cardiovascular disease and stroke, and leads to premature mortality and disability both globally and locally. Objective: To estimate the prevalence of hypertension and to determine the awareness, treatment and control of hypertension in an urban Chinese population. Methods: A cross-sectional, quantitative survey design. A total of 1448 community residents were recruited from the SuiGuoHu district using a stratified random sampling strategy. Data were collected using self-report questionnaires and health examination. Results: The prevalence of hypertension was 35.4%, significantly higher in women (40.8%) than in men (30.7%) (P<0.001). More than one third (37.9%) of those with hypertension were not compliant with prescribed medications, significantly higher among women (44.4%) than men (28.6%). Approximately 68% were aware, with women (75.6%) significantly higher than men (60.3%) (P<0.001). The treatment rates were 87.7% and women were less likely (46.7%) to have their blood pressure controlled than men (47.2%).

Highlights

  • Cardiovascular disease (CVD) is one of the top three causes of death in China [1,2,3]

  • Our study showed that the prevalence of hypertension was 35.4%, significantly higher in women (40.8%) than in men (30.7%) (P

  • The treatment rates were 87.7% and women were less likely (46.7%) to have their blood pressure controlled than men (47.2%)

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Summary

Introduction

Cardiovascular disease (CVD) is one of the top three causes of death in China [1,2,3]. Hypertension is a major risk factor for CVD, accounting for about 45% of global CVD morbidity and mortality [5,6] in many developing countries, including China [7]. Data from national surveys suggest that the prevalence of hypertension in the adult Chinese population has increased dramatically, from 5.11% in 1959 to 17.65% in 2002 according to the China National Nutrition and Health Survey [8]. Hypertension is a significant public health challenge contributing to cardiovascular disease and stroke, and leads to premature mortality and disability both globally and locally

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