Hypertension prevalence, awareness, treatment, and control in northeast China: a population-based cross-sectional survey

Zhang, Fu-Liang; Guo, Zhen‐Ni; Xing, Yingqi; Wu, Yanhua; Liu, Hao-Yuan; Yang, Yi

doi:10.1038/s41371-017-0003-4

Cited by 26 publications

(21 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, our estimated hypertension prevalence (18.3%) is much lower than the national average 57.3% (Zhang et al , 2017), probably simply due to successful and widely available treatment. Individuals who were previously diagnosed with hypertension and comply with the prescribed medication may not show any symptom (high blood pressure) in the physical examination.…”

Section: Results and Interpretationsmentioning

confidence: 59%

Bayesian Double Feature Allocation for Phenotyping With Electronic Health Records

Müller

2019

Journal of the American Statistical Association

View full text Add to dashboard Cite

We propose a categorical matrix factorization method to infer latent diseases from electronic health records (EHR) data in an unsupervised manner. A latent disease is defined as an unknown biological aberration that causes a set of common symptoms for a group of patients. The proposed approach is based on a novel double feature allocation model which simultaneously allocates features to the rows and the columns of a categorical matrix. Using a Bayesian approach, available prior information on known diseases greatly improves identifiability and interpretability of latent diseases. This includes known diagnoses for patients and known association of diseases with symptoms. We validate the proposed approach by simulation studies including misspecified models and comparison with sparse latent factor models. In the application to Chinese EHR data, we find interesting results, some of which agree with related clinical and medical knowledge.

show abstract

Section: Results and Interpretationsmentioning

confidence: 59%

Bayesian Double Feature Allocation for Phenotyping With Electronic Health Records

Müller

2019

Journal of the American Statistical Association

View full text Add to dashboard Cite

show abstract

“…This is in line with the result of zhang’s et al . (2017), reporting that hypertensive people with a family history of coronary heart diseases were more likely to have controlled hypertension 59 .…”

Section: Discussionmentioning

confidence: 99%

Prevalence, awareness, treatment, and control of hypertension and their determinants: Results from the first cohort of non-communicable diseases in a Kurdish settlement

Rajati

Hamzeh

Pasdar

et al. 2019

Sci Rep

View full text Add to dashboard Cite

Hypertension is a public health issue in iran. the study aimed to estimate the prevalence, awareness, treatment, and control of hypertension, and to explore their determinants among 10,040 Kurdish adults from Ravansar Non-Communicable Disease (RaNCD) cohort study in Iran. Univariate, and multivariate analyses were used for statistical analysis. Prevalence of hypertension was 15.7%. Among hypertensive patients, awareness, treatment, and control of hypertension were 80.7%, 73.2%, and 53.3%, respectively. In multivariate analysis, significant associations were found between awareness and female sex, older age, being married rather than being single, literacy, living in rural areas, having family history, and comorbidities, with a higher probability for those who had both diabetes and dyslipidemia. Being married, living in rural areas, being ex-smokers, having less physical activity and individuals who had diabetes and dyslipidemia had higher odds of receiving treatment. Being female had a statistically significant association with the control of hypertension. The Kurdish population had higher awareness, with a greater proportion of treated, and controlled patients compared to populations included in previous studies for the last 20 years in Iran. With the continuing health promotion programs in iran, it is expected to observe a lower prevalence of hypertension, higher awareness and greater number of treated individuals with controlled hypertension. Hypertension is one of the most common risk factors for cardiovascular disease (CVD) 1. Hypertension and its complications are responsible for approximately 9.4 million deaths worldwide every year 2. It is estimated that the the number of hypertensive patients will raise to 1.56 billion worldwide by 2025 3. According to the report from the global burden of disease, systolic blood pressure (SBP) of at least 110 to 115 mm Hg is responsible for more than half of the global Disability-Adjusted Life Years (DALYs) in countries such as India and Indonesia 4. World Health Organization (WHO) reported that the prevalence of raised blood pressure was 24.1% for males and 23.3% for females aged ≥18 years globally in 2014 5. However, almost all hypertension-related complications are preventable. Lifestyle modification helps decrease blood pressure and prevents hypertension, and antihypertensive medication can effectively reduce the cardiovascular events attributed to hypertension 6. Adherence to medication and improving lifestyle in people with hypertension are known to decrease hospitalization, the cost associated with outpatient care, and cardiovascular

show abstract

“…Although serial national surveys showed that the burden of hypertension increased dramatically over the past decade in China, the situation in northeast China seems more serious 7,8. Previous assessments of hypertension in northeast China are limited due to small or unrepresentative sample size, or insufficient estimation of related risk factors, particularly in urban areas 9,10. Furthermore, previous studies reported the steeper increase in prevalence of hypertension both in urban and rural areas in other countries;11,12 however, the current characteristics of hypertension as well as related risk factors in urban and rural areas of northeast China have not been well studied, and are still lacking.…”

Section: Introductionmentioning

confidence: 99%

<p>Urban–Rural disparities in status of hypertension in northeast China: a population-based study, 2017–2019</p>

Xing¹,

Li²,

Tian³

et al. 2019

CLEP

View full text Add to dashboard Cite

Background To investigate the status of hypertension and related risk factor disparities between urban and rural areas of northeast China. Methods A multi-stage, stratified, and cluster random sampling method was used to conduct the cross-sectional survey in Liaoning Province in 2017–2019. Finally, included 18,796 participants (28.9% urban, 71.1% rural) aged ≥40 years. The prevalence and control rate of hypertension were estimated based on Chinese hypertension guidelines and the 2017 American College of Cardiology/American Heart Association (ACC/AHA) guidelines. Results The mean age of the population was 60.4±9.9 years, and 61.0% were women. The overall prevalence of hypertension was 56.8%. Compared to urban areas, hypertension was more prevalent, but the awareness, treatment, and control rates were lower in rural areas (59.2 vs 50.2, 52.5% vs 47.0%, 46.9% vs 34.9%, and 11.4% vs 3.7%, P <0.001, respectively). Multivariate regression analysis identified that the lack of exercise (odds ratio (OR), 1.24; 95% confidence interval (CI), 1.10–1.38) in rural areas, whereas overweight/obesity (OR, 2.01; 95% CI, 1.79–2.27) and alcohol consumption (OR, 1.20; 95% CI, 1.01–1.41) in urban areas were specific risk factors for hypertension, besides common risk factors. Under the 2017 ACC/AHA guidelines, the prevalence of hypertension was 80.6% (urban 76.6%, rural 82.2%), increased 1.4-fold compared with the current Chinese guidelines, with increased rates of 27.9% in urban areas and 25.7% in rural areas. Conclusion A highly diverse prevalence for hypertension was found between urban and rural areas in northeast China. Region-specific strategies targeting the prevention and management of hypertension should be highlighted.

show abstract

Hypertension prevalence, awareness, treatment, and control in northeast China: a population-based cross-sectional survey

Cited by 26 publications

References 35 publications

Bayesian Double Feature Allocation for Phenotyping With Electronic Health Records

Bayesian Double Feature Allocation for Phenotyping With Electronic Health Records

Prevalence, awareness, treatment, and control of hypertension and their determinants: Results from the first cohort of non-communicable diseases in a Kurdish settlement

<p>Urban–Rural disparities in status of hypertension in northeast China: a population-based study, 2017–2019</p>

Contact Info

Product

Resources

About