Prevalence, awareness, treatment, and control of hypertension in rural China: results from Shandong Province

Li, Hui; Meng, Qingyue; Sun, Xiaoxiao; Salter, Amy; Briggs, Nancy; Hiller, Janet E.

doi:10.1097/hjh.0b013e328334b39e

Cited by 62 publications

(58 citation statements)

References 12 publications

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“…The prevalence were 46.6% in Beijing population aged 45 years or above, 37.8% in Liaoning population aged 35 years or above, 43.8% in rural Shandong population aged 25 years or above and 42.0% in inner Mongolian aged 35 years above (references). [5][6][7][8] The prevalence in our population was similar to that in a rural Central Indian population of ages 30+ years in India, which is also a large developing country (reference). 23 Compared to the prevalence of hypertension (around 30%) in adults aged 18 years or above in the United States, 24 our adult population aged 20 years old or above had a relatively lower prevalence (20.5%).…”

Section: Discussionsupporting

confidence: 79%

Hypertension Prevalence, Awareness, Treatment, Control, and Associated Factors in Adults in Southern China

Wen

Tang

Zhang

et al. 2012

American Journal of Hypertension

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Section: Discussionsupporting

confidence: 79%

Hypertension Prevalence, Awareness, Treatment, Control, and Associated Factors in Adults in Southern China

Wen

Tang

Zhang

et al. 2012

American Journal of Hypertension

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“…5,6 The InterASIA Collaborative Group reported that 27.2% of the Chinese adult population aged 35 to 74 years had hypertension in 2000 to 2001. Results from a cross-sectional study conducted in 2007 by Li and colleagues 14 revealed that the prevalence of hypertension was 43.8% in rural residents 25 years and older. A similar trend was also found in India.…”

Section: Discussionmentioning

confidence: 99%

Trends in Hypertension Prevalence, Awareness, Treatment, and Control Rates in Shandong Province of China

Zhao

Lu²,

Sun³

et al. 2012

J of Clinical Hypertension

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J Clin Hypertens (Greenwich). 2012; 14:637–643. © 2012 Wiley Periodicals, Inc. The authors retrospectively examined data from 3 surveys on hypertension according to the 2010 Chinese Guidelines for the Management of Hypertension. These surveys were conducted in 1991, 1999, and 2007, and included 85,371 individuals 18 years and older who were living in Shandong Province, China. Age‐standardized prevalent hypertension increased from 15.6% in 1991 to 17.3% in 1999 and 32.7% in 2007 (both P<.0001). The ascending prevalence can be partially explained by increasing body weight. Among individuals with hypertension, awareness increased significantly from 27.8% in 1991 to 39.1% in 1999 and 49.2% in 2007. The proportion of pharmacologic treatment also considerably improved, with the estimate of 12.9%, 28.1%, and 43.3% in the 3 surveys, respectively. Hypertension control increased from 3.0% to 4.4% to 7.1% in the past 20 years. The upward trend in blood pressure control was mostly attributable to a rise among men and persons at middle age. This study suggests that the prevalence of hypertension increased in the Shandong population from 1991 to 2007. Although substantially improved, control rates were still unacceptably low. Comprehensive strategies are urgently required to put into practice for the management of hypertension in Shandong Province, China.

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“…There was no significant difference associated with age group or gender. These rates are between 15.2 and 47.7% in Europe, [20][21][22][23] 19.6% in Brazil, 24 3.9 and 30.6% in China [25][26][27] and 50.1% in the United States, as determined by the National Health and Nutrition Examination Survey 2007-2008. 28 The signs and symptoms presented on admission to the hospital vary according to the clinical presentation of HC, depending on which target organs are affected most severely.…”

Section: Discussionmentioning

confidence: 99%

Hypertensive crisis: clinical–epidemiological profile

et al. 2010

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Hypertensive crisis (HC) stands out as one type of acute elevation in blood pressure (BP) and can manifest as hypertensive emergency (HE-with target-organ damage (TOD)) or hypertensive urgency (HU-without TOD), usually accompanied by levels of diastolic BP X120 mm Hg. The aim of this study was to characterize the clinical-epidemiological profile of HC over the course of 1 year in a university reference hospital and perform a review of the literature. The study was a cross-sectional study, conducted over a period of 1 year (2006) in 362 patients who presented for treatment at the emergency hospital with HC, as described above. Among all patients examined, 231 individuals met the criteria for HE and 131 met the criteria for HU. Patients with HE were older (Po0.001) and more sedentary (P¼0.026) than those with HU. Furthermore, fewer HE patients than HU patients had previously undergone antihypertensive treatment (P¼0.006). The groups did not differ regarding BP levels, gender, smoking or body mass index. Dyspnea (41.1%), thoracic pain (37.2%) and neurological deficit (27.2%) were common signs/symptoms in those with HE. Meanwhile, in the group with HU, we most frequently found headache (42.0%), thoracic pain (41.2%) and dyspnea (34.3%). Among the forms of HE, we most frequently observed acute lung edema (30.7%), myocardial infarction/unstable angina (25.1%), and ischemic (22.9%) and hemorrhagic (14.8%) stroke. HC is a clinical entity associated with high morbidity in the emergency room. Individuals with HE are older and sedentary and have lower rates of antihypertensive treatment. Adequate control of BP should be pursued as a way to avoid this severe complication of hypertension.

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Prevalence, awareness, treatment, and control of hypertension in rural China: results from Shandong Province

Cited by 62 publications

References 12 publications

Hypertension Prevalence, Awareness, Treatment, Control, and Associated Factors in Adults in Southern China

Hypertension Prevalence, Awareness, Treatment, Control, and Associated Factors in Adults in Southern China

Trends in Hypertension Prevalence, Awareness, Treatment, and Control Rates in Shandong Province of China

Hypertensive crisis: clinical–epidemiological profile

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