Abstract
PurposeThis study aimed to assess the prevalence, awareness, treatment, and control of hypertension and their associated factors among Bai ethnic population in the rural China.MethodsA population-based survey was conducted in 2010 with a randomly cluster sampling in rural communities in Dali, southwest China. A total of 2133 adults aged 50 or above were interviewed, and their blood pressure, height, weight and waist circumference were measured. Hypertension was defined as a mean SBP≥140 mmHg and/or DBP≥90 mmHg, and/or current use of antihypertensive medications.ResultsThe prevalence of hypertension was 42.1% (899/2133), and the age- and gender-adjusted prevalence was 40.0%. Among the hypertensive participants, 28.4% (255/899)were aware of their condition, while 24.6% (221/899) took antihypertensive medications, with only 7.5% (67/899) of those achieving blood pressure control (<140/90 mmHg). Risk factors for hypertension were older age, smoking, alcohol drinking, family history of HBP, overweight, and obesity, while protective factors included being lean, and having finished senior high school or above.ConclusionsHypertension prevalence is high among the population of Bai ethnic group in China, while the associated risk factors of hypertension include overweight/obesity, cigarette smoking, history of hypertension, and older age. The percentages of hypertensive participants aware of their hypertension and those taking antihypertensive medications were low with an incredibly low proportion of hypertensive patients who kept their hypertension under control. It is suggested that health education and hypertension screening programs be carried out in the area for the high blood pressure prevention and control.
Highlights
Cardiovascular diseases (CVD) have become one of the major causes of death and disability among the elderly in rural areas in China, with stroke accounting for over 40% of deaths [1]
According to the China National Nutrition and Health Survey 2002, among the 24% hypertensive participants who were aware of their condition, 78% took medications and 19% were properly controlled
Hypertension prevalence rates were observed high in some rural areas in China, which were
Summary
Cardiovascular diseases (CVD) have become one of the major causes of death and disability among the elderly in rural areas in China, with stroke accounting for over 40% of deaths [1]. The prevalence of hypertension, which is one of the key risk factors of CVD, has gone up dramatically [2]. According to the China National Nutrition and Health Survey 2002, among the 24% hypertensive participants who were aware of their condition, 78% took medications and 19% were properly controlled. The ratio of controlled to treated hypertension was 1:4, similar to an estimate about 20 years ago in 1991 [3]. Hypertension prevalence rates increased with age [3,4,5]. Hypertension prevalence rates were observed high in some rural areas in China, which were
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