Current status on prevalence, treatment and management of hypertension among Chinese adults in the National Demonstration Areas for Comprehensive Prevention and Control of Non-communicable Diseases / 中华流行病学杂志

ABSTRACT

Objective To investigate the current status of prevalence,treatment,and management on hypertension among Chinese adults from the National Demonstration Areas for Comprehensive Prevention and Control of Non-communicable Diseases.Methods We selected a total of 4 000 residents aged ≥ 18 years for this questionnaire-based survey by multi-stage clustering sampling in 10 National Demonstration Areas between November and December,2016.Results There were 3 891 effective questionnaires.The self-reported prevalence of hypertension among aged ≥35 years was 31.47％ (1 011/3 213).For the past two weeks,the self-reported treatment of hypertension was 86.75％(877/1 011),with the rates of guidance as 56.87％ (575/1 011) on physical activity,40.95％ (414/1 011) on diet,38.33％ (385/1 011) on weight management,and 22.75％ (228/1 011) on smoking cessation.For the past 12 months,74.68％ (755/1 011) of the residents aged ≥35 years were under the proper management and 62.12％ (628/1 011) of them were under the standardized management programs.The follow-up program lasted for 4 (P2s-P75:4-12) times per year,with 15 (P25-P75:10-20)minutes per each visit.Hypertensive patients would mainly visit the outpatient clinics (53.51％),followed by home visits (22.91％) and telephone calls (13.64％).Rate of satisfaction on management services was 94.83％ (716/755) from the hypertensive patients.Multivariate analysis showed that the rate of self-reported treatment (OR=1.986,95％ CI:1.222-3.228) and self-reported standardized management (OR=2.204,95％CI:1.519-3.199) on hypertension were higher in the Demonstration Areas with higher implementation scores of self-reported non-communicable diseases management.Conclusions Prevention and management on hypertension in the Demonstration Areas had met the requirement set for the Demonstration Areas during the "12th Five-Year Plan".Projects on setting up the National Non-communicable Diseases Demonstration Areas had played an active role in promoting the standardized management program on hypertension.