湖北省成年居民高血压患病率、知晓率、治疗率、控制率和治疗控制率现状调查  

Prevalence,awareness,treatment,control,and treatment-control rates of hypertension among adults in Hubei province:a cross-sectional survey

作　　者：何田静[1] 张岚[1] 祝淑珍[1] 沈妙言 李茜[1] 唐雨萌[1] 周梦格 潘敬菊[1] HE Tianjing;ZHANG Lan;ZHU Shuzhen;SHEN Miaoyan;LI Qian;TANG Yumeng;ZHOU Mengge;PAN Jingju(Institute of Chronic Non-Communicable Disease Control and Prevention,Hubei Provincial Center for Disease Control and Prevention,Wuhan 430079,China)

机构地区：[1]湖北省疾病预防控制中心慢性病防治研究所,武汉430079

出　　处：《中国公共卫生》2024年第10期1195-1200,共6页Chinese Journal of Public Health

基　　金：湖北省卫健委科研项目(WJ2021M207)。

摘　　要：目的了解湖北省成年居民高血压患病率、知晓率、治疗率、控制率和治疗控制率,为该地区高血压的防治工作提供参考依据。方法于2020年5—12月采用多阶段分层整群随机抽样方法在湖北省咸宁市通山县、黄冈市英山县、宜昌市长阳县、荆州市石首市、恩施州利川市、荆门市东宝区、十堰市丹江口市、襄阳市枣阳市、鄂州市鄂城区和孝感市汉川市10个地区抽取21973名≥18岁常住居民进行高血压患病、知晓、治疗和控制情况的问卷调查。结果最终纳入分析的20286名湖北省成年居民中,患高血压者8287例,复杂加权后高血压患病率为33.3%;8287例患高血压的湖北省成年居民中,知晓患高血压者、治疗高血压者和控制高血压者分别为3807、3324和828例,复杂加权后高血压知晓率、高血压治疗率和高血压控制率分别为43.1%、37.2%和9.2%;3324例治疗高血压的湖北省成年居民中,控制高血压者为828例,复杂加权后高血压治疗控制率为24.6%;湖北省不同特征成年居民比较,不同性别和年龄成年居民复杂加权后高血压患病率、知晓率、治疗率、控制率不同,不同文化程度成年居民复杂加权后高血压患病率、知晓率、治疗率、治疗控制率不同,不同居住地成年居民复杂加权后高血压知晓率、治疗率不同,差异均有统计学意义(均P<0.05)。结论湖北省成年居民高血压患病率较高,但高血压的知晓、治疗和控制水平较低。Objective To investigate the prevalence,awareness,treatment,control,and treatment-control rates of hypertension among adults in Hubei province,and to provide a reference for the prevention and control of hypertension in this region.Methods Blood pressure measurement and face-to-face interview with the Chinese Adult Chronic Disease and Risk Factor Surveillance Survey Questionnaire were conducted during May–December 2020 among 21973 adult(≥18 years)permanent residents recruited using stratified multistage random cluster sampling at 10 counties/districts/prefectures in Hubei province.The participants′information on hypertension prevalence,awareness,treatment,and control were collected and analyzed.Results Among the 20286 participants included in the analysis,a total of 8287 hypertensive subjects were identified and the complex-weighted prevalence of hypertension was 33.3%.Of the 8287 hypertensive participants,3807(43.1%after complex weighting)were aware of their hypertension,3324(37.2%)were receiving treatment,and 828(9.2%)had their blood pressure under control.Of the 3324 hypertensive participants receiving treatment for hypertension,828(24.6%after complex weighting)had their blood pressure under control.The complex-weighted prevalence of hypertension among all participants,the complex-weighted ratios of awareness,treatment,and blood pressure control of hypertension among hypertensive participants differed significantly by gender,age,and education(all P<0.05);the complex-weighted ratio of controlled blood pressure among the hypertensive participants receiving hypertension treatment differed significantly by education level(P<0.05).The complex-weighted ratios of awareness and treatment among hypertensive participants differed significantly by urban/rural residence(both P<0.05).Conclusion The prevalence of hypertension is high among community-dwelling adults in Hubei province,but the awareness,treatment,and control levels of hypertension are low among community-dwelling hypertensive adults.

关 键 词：高血压 患病率 知晓率 治疗率 控制率 治疗控制率 成年居民 湖北省 

分 类 号：R544.1[医药卫生—心血管疾病] R193[医药卫生—内科学]