A Trend Analysis of the Prevalence, Awareness, Treatment, and Control of Hypertension by Age Group

Moon, Jong Youn; Park, Kwan Jun; Hwangbo, Young; Lee, Mee Ri; Yoo, Byoung In; Won, Jong Hye; Park, Yoon Hyung

doi:10.3961/jpmph.2013.46.6.353

Cited by 26 publications

(23 citation statements)

References 18 publications

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“…We found that gender is associated with hypertension awareness and treatment; men had larger hypertension prevalence than women among young and middle-aged hypertensive patients but had a lower incidence of awareness and treatment of hypertension than women. This result is similar to those reported in a study in north China 31 , a study in Korea 32 and a study in Malaysian 33 . There are some researchers in China who concluded that the rates of awareness, treatment and control of hypertension in women were higher than that in men 14 , 34 , 35 .…”

Section: Discussionsupporting

confidence: 92%

Awareness, treatment and control of hypertension among hypertensive patients aged 18 to 59 years old in the northeast of China

Niu

et al. 2018

Sci Rep

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Hypertension not only has a high prevalence, but also brings disease burden to the affected patients. To assess the level of awareness, treatment and control of hypertension in the northeast of China, we investigated the rates of awareness, treatment and control of hypertension and identified its related factors among hypertensive patients aged 18 to 59 years old in Jilin, China. The data (n = 4632) for the present study were extracted from a cross-sectional study in Jilin. Among individuals with hypertension, the standardized rates of awareness, treatment and control of hypertension were 44.9%, 36.5%, 24.3%, respectively. The rates of awareness and treatment of hypertension among middle aged patients were higher than those among young patients. Compared to patients with normal Body Mass index (BMI), obese hypertensive patients had a higher rate of treatment (43.7% vs. 25.9%) and a lower rate of control (18.9% vs. 29.6%). Compared to patients with normal BMI, patients who were obese were more likely to take measures to treat hypertension (OR = 2.50, 95%CI: 2.05–3.05); but were less likely to have well-controlled blood pressure (OR = 0.55, 95%CI: 0.40–0.78). BMI is one of the influencing factors of hypertension awareness, treatment and control among patients 18 to 59 years old with hypertension.

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Section: Discussionsupporting

confidence: 92%

Awareness, treatment and control of hypertension among hypertensive patients aged 18 to 59 years old in the northeast of China

Niu

et al. 2018

Sci Rep

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“…Our study identified several non‐modifiable factors for the worse management of hypertension, such as male gender and younger age. These observations are in keeping with the results of numerous previous studies 19,20 . We might have to build technological platforms to tackle the problems in these special populations.…”

Section: Discussionsupporting

confidence: 87%

Barriers to blood pressure control in China in a large opportunistic screening

Chen

Guo

et al. 2020

J of Clinical Hypertension

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We investigated the prevalence, awareness, treatment, and control of hypertension in a large opportunistic screening study in China. Our study participants had to be ≥18 years of age and had ideally not taken blood pressure (BP) for ≥1 year. BP was measured three times consecutively in the sitting position with a 1-minute interval, using a validated electronic BP monitor or mercury sphygmomanometer. Trained volunteer investigators administered a questionnaire to collect information on medical history, lifestyle, and use of medications. The 364 000 participants (52.6% women, and mean age 53.4 years) had a mean systolic/diastolic BP of 124.2/76.4 mm Hg. The proportion of hypertension was 24.7%. In all hypertensive subjects (n = 89 925), the awareness, treatment, and control rates of hypertension were 60.1%, 42.5%, and 25.4%, respectively. In multiple stepwise logistic regression analyses, the odds for unawareness vs awareness of hypertension was higher in men and lower with age advancing, current smoking, and the presence of diabetes mellitus, coronary heart disease, and stroke or transient ischemic attack (P < .0001). The odds for uncontrolled vs controlled hypertension was higher with age advancing and current smoking, and lower with the presence of diabetes mellitus and coronary heart disease (P ≤ .03) in 38 207 treated hypertensive patients, and it was also higher with the use of antihypertensive monotherapy (odds ratio 1.13, P = .0003) in 19 523 treated hypertensive patients with specific antihypertensive drugs. Our study identified several factors as barriers to BP control in China, such as male gender, younger age, current smoking, and the under-use of combination therapy. | INTRODUC TI ONAccording to the most recent China nationwide hypertension survey in 2012-2015, the crude prevalence of hypertension was 27.9%, and the awareness, treatment and control rates of hypertension were 46.9%, 40.7%, and 15.3%, respectively. 1 If this survey would be compared with the previous one in 2002, 2 the prevalence was substantially increased by an absolute percentage of 9.1% from 18.8%,

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“…Systolic and diastolic BPs were measured 3 times, and the average of the second and third measurements was used for analysis (9,10 (11,12). The National Health Examination followed a standard procedure, the details of which were published previously (9).…”

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confidence: 99%