Prevalence and control of hypertension among a Community of Elderly Population in Changning District of shanghai: a cross-sectional study

Abstract

AbstractsBackgroundHypertension is considered a major public health challenge. It is the most important risk factor for cardiovascular disease and is a prominent risk for China’s elderly population. However, few studies have addressed the effect of blood pressure control on elderly hypertension patients in China. In response, this study aimed to investigate the prevalence and control of hypertension in the elderly population in Shanghai’s communities.MethodsA secondary data analysis based on a government-financed health check-up program for an elderly population aged 65 and older from 2012 to 2014 was conducted in a central district of Shanghai.ResultsOf the 44,978 study participants, 20,305 (45.1%) were males and 24,673 (54.9%) were females. The participants’ median age was 72. Half of the participants were overweight or obese (BMI ≥ 24.0 kg/m2). The prevalence of hypertension was 59.9%. In the 18,032 participants without prior diagnosis of hypertension, 5530 (30.7%) had increased blood pressure. Among the 26,946 confirmed hypertension patients, the proportions of treatment and blood pressure control were 32.8% and 43.4% respectively. Multivariate analysis showed that the uncontrolled hypertension was significantly associated with older age, being overweight or obese, a lower level of education, an unbalanced dietary pattern, regular drinking and non-comorbidities.ConclusionsThe prevalence of hypertension was high in China’s elderly population. The proportion of individuals who received treatment remained low, and blood pressure control was poor among hypertension patients. These results indicate that improvement of the ability to manage and control hypertension among urban elderly residents is urgently needed.

Prevalence of hypertension and predictive factors of self-efficacy among elderly people with hypertension in institutional-based rehabilitation in Indonesia

“…There are five factors related to the self-efficacy of elderly people with systolic hypertension, including education, occupation before entering institutional rehabilitation, spiritual ac- tivities, length of stay, and dementia. In this study, education is related to the self-efficacy of the elderly people with systolic hypertension, which is consistent with previous studies indicating that lower education is linked with uncontrolled hypertension among elderly people (Yang et al, 2017). These results suggest that education contributes to the understanding of health information and the health literacy of the elderly.…”

“…The current study found that the prevalence of systolic and diastolic hypertension among the elderly is low compared to the hypertension of elderly people in Shanghai (Yang et al, 2017), although the prevalence of elders with hypertension is higher than in the Indonesian basic health survey (Badan Penelitian dan Pengembangan Kesehatan, 2013). The difference in hypertensive outcomes among the elderly people may be due to differences in the setting of the study site and the character-istics of the elderly people.…”

“…To maintain the blood pressure of elderly people at 140/90 mmHg is very difficult (Currie and Delles, 2018). This is associated with various factors such as age, body weight (obese), lower level of education, an unbalanced dietary pattern, regular drinking and non-comorbidities (Yang et al, 2017). Therefore, behavior management (Douglas and Howard.…”

Developing personal sense of risk: a grounded theory in men with hypertension

“…), especially among an older adult population and men (World Health Organization ; Yang et al. ). Among those, over 1 billion experience uncontrolled hypertension (Rouf et al.…”

“…Globally, it is estimated that 7.5 million people with hypertension die every year as hypertension is a leading risk factor for cardiovascular disease (WHO 2018;Wr a ak et al 2015). Worldwide, the prevalence of hypertension is more than 1.1 billion which rises from 594 million (Forouzanfar et al 2017), especially among an older adult population and men (World Health Organization 2018;Yang et al 2017). Among those, over 1 billion experience uncontrolled hypertension (Rouf et al 2018;World Health Organization 2018;Zhou et al 2018).…”