Prevalence and distribution of hypertension and related risk factors in Jilin Province, China 2015: a cross-sectional study

Wu, Junduo; Li, Tianyi; Song, Xianjing; Sun, Wei; Zhang, Yangyu; Liu, Yingyu; Li, Longbo; Yu, Yunpeng; Liu, Yihang; Qi, Chao; Liu, Bin

doi:10.1136/bmjopen-2017-020126

Cited by 36 publications

(29 citation statements)

References 41 publications

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“…Our study also showed that the effect of gender on hypertension was mediated by body composition, physical inactivity, and sleep quality. This was contrary to a previous study in China [36] . The precise reason for this discrepancy requires further exploration.…”

Section: Discussioncontrasting

confidence: 99%

Socioeconomic and lifestyle determinants of prevalence of hypertension among the elderly in rural southwest China: a structural equation modeling approach

Li¹,

Cai²,

Wang³

et al. 2020

Preprint

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Background: This study examines the association between socioeconomic and lifestyle factors and the prevalence of hypertension among the elderly in rural southwest China.Methods: A cross-sectional survey of 4,833 consenting adults aged ≥60 years in rural regions of Yunnan Province, China was conducted in 2017. Data on individual socioeconomic status, sleep quality, physical activity level, and family history of hypertension were collected with a standardized questionnaire. Blood pressure, fasting blood glucose, height, weight, and waist circumference were also measured. An individual socioeconomic position (SEP) index was constructed using principal component analysis. Structure equation modeling (SEM) was applied to analyze the association between socioeconomic and lifestyle factors and the prevalence of hypertension. Results: The overall prevalence of hypertension was 50.6% in the study population. The following associated factors had statistically significant effect on hypertension: body composition, including measures of obesity and central obesity, had the greatest total effect on hypertension (0.21), followed by family history of hypertension (0.14), gender (0.08), sleep quality (-0.07), SEP (-0.06), physical inactivity (0.06), and diabetes (0.06). Body composition, SEP, and family history of hypertension had both direct and indirect effects on hypertension, whereas those of physical inactivity, diabetes, and sleep quality were directly associated with prevalence of hypertension. Gender was indirectly associated with prevalence of hypertension. Conclusion: Individual SEP, body composition, physical inactivity, diabetes, and sleep quality critically influence the prevalence of hypertension. Future interventions to prevent and control hypertension should give increased attention to individuals with low SEP and should focus on controlling diabetes and obesity, increasing physical activity levels, and improving quality of sleep among older adults aged ≥60 years in rural southwest China.

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Section: Discussioncontrasting

confidence: 99%

Socioeconomic and lifestyle determinants of prevalence of hypertension among the elderly in rural southwest China: a structural equation modeling approach

Li¹,

Cai²,

Wang³

et al. 2020

Preprint

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show abstract

“…In the study, the prevalence of pre-hypertension (50.0%) in Yunnan Province was greater than that observed in central China (27.4%) [15] or Iran (31.6%) [16]. The hypertension prevalence (39.5%) in Yunnan Province was also higher than in other parts of China (24.7%) [17] and other Asian countries, including Myanmar (34.2%) [10], Vietnam (18.4%) [18], and other low-and middle-income countries (32.3%) [19]. The prevalence of pre-hypertension and hypertension was relatively high in rural Yunnan Province across the study period.…”

Section: Discussioncontrasting

confidence: 56%

Socioeconomic Differentials in Trends in the Prevalence of Hypertension and Pre-hypertension and Hypertension Awareness, Treatment, and Control in Rural Southwestern China

Fan

Wang

Zhao

et al. 2020

Preprint

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Background: This study examines the socioeconomic differentials in trends in the prevalence of hypertension and pre-hypertension and hypertension awareness, treatment, and control in rural Southwestern China.Methods: Two cross-sectional interviews and health examination surveys were administered in rural Yunnan Province, including 6,350 consenting participants in 2009 and 6,359 consenting participants in 2016 (aged ≥ 35 years). Participant demographics, socioeconomic status (SES), and ethnicity, along with information about hypertension awareness, treatment, and control, were collected using similar questionnaires in the two surveys. The participants’ blood pressure levels were also measured.Results: From 2009 to 2016, the prevalence of hypertension substantially increased from 28.4% to 39.5% (P < 0.01), and awareness and control rose from 42.2 and 25.8% to 53.1 (P < 0.01) and 30.6% (P < 0.05), respectively. Although people with a higher education level also had higher awareness and control rates than the lower education level ones, there were no conspicuous differences in the improvement of awareness and control between publics with different education levels over the 7 years studied. Increases were observed in both rates of awareness and control in people with a high level of income (P < 0.01). However, only the awareness rate increased in participants with a low level of income. Furthermore, the prevalence (P < 0.01) and treatment (P < 0.05) of hypertension were higher in the Han people than in ethnic minorities.Conclusions: Individual SES has clear associations with trends in the prevalence, awareness, and control of hypertension. Future interventions to improve hypertension prevention and control should be tailored to address individual SES.

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“…However, in the present study, hypertension was defined according to the previous guideline, since the current Chinese guidelines for the management of hypertension recommended a blood pressure treatment goal of 140/90 mmHg [16,27]. Second, we did not obtain information regarding the risk factors of hypertension, including obesity, diabetes, dyslipidemia, and lifestyle change, since it was well established recently [28,29].…”

Section: Discussionmentioning

confidence: 99%

Trends in Prevalence, Awareness, Treatment, and Control of Hypertension in Rural Northeast China: 2008 to 2018

Xing

Liu

et al. 2020

BioMed Research International

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Objective. This study is aimed at exploring the trends in the prevalence, awareness, treatment, and control of hypertension in rural northeast China from 2008 to 2018. Methods. Two successive cross-sectional surveys were conducted in Liaoning rural areas in 2008 and 2018, which included 131520 and 10926 representative participants aged≥40 years, respectively. Results. Overall, the age-standardized prevalence of hypertension increased from 44.7% to 53.6%, and male residents showed a faster pace of increase and a 2.1-fold increase than female residents (25.5% vs. 10.6%) from 2008 to 2018. Moreover, the mean systolic and diastolic blood pressures increased by 9.0% and 4.1%, respectively, and the increase rates were greater in men than in women (9.2% vs. 8.9% and 5.3% vs. 3.5%, P<0.05). Additionally, the prevalence of stage 2 and above hypertension was significantly higher in men than in women. However, the awareness, treatment, and control rates showed no improvement and remained unacceptably low. Control rates were 3.7% in 2008 and 3.6% in 2018. Even among individuals who received medical treatment, only 8.7% and 10.1% had controlled hypertension in 2008 and 2018, respectively. Conclusions. The prevalence of hypertension and mean blood pressure increased steadily in the past 10 years in rural northeast China, especially in men. However, the awareness, treatment, and control rates of hypertension remained extremely low. Therefore, long-term comprehensive strategies are urgently needed to prevent further development of cardiovascular diseases in these areas.

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Prevalence and distribution of hypertension and related risk factors in Jilin Province, China 2015: a cross-sectional study

Cited by 36 publications

References 41 publications

Socioeconomic and lifestyle determinants of prevalence of hypertension among the elderly in rural southwest China: a structural equation modeling approach

Socioeconomic and lifestyle determinants of prevalence of hypertension among the elderly in rural southwest China: a structural equation modeling approach

Socioeconomic Differentials in Trends in the Prevalence of Hypertension and Pre-hypertension and Hypertension Awareness, Treatment, and Control in Rural Southwestern China

Trends in Prevalence, Awareness, Treatment, and Control of Hypertension in Rural Northeast China: 2008 to 2018

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