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Prevalence, awareness, treatment, and control of hypertension among middle-aged and elderly people in China from 2011 to 2015#br# |
XIAO Huanbo1 LIU Jia1 ZHANG Hongwei1 JI Ying1 TAO Lixin2▲ |
1.Department of Epidemiology and Health Statistics, Yanjing Medical College, Capital Medical University, Beijing 101300, China;
2.Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, Beijing 100069, China |
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Abstract Objective To analyze the prevalence, awareness, treatment, and control of hypertension among middle-aged and elderly people in China from 2011 to 2015. Methods The respondents were from China Health and Retirement Longitudinal Study database, the hypertension related data of the three surveys in 2011, 2013 and 2015 were collected respectively. Stata MP14 and SPSS 26.0 were used for statistical analysis. Results In 2011, 2013 and 2015, 11 562, 11 068, and 13 271 subjects aged 45 years and above were enrolled respectively. The prevalence rates of hypertension were 39.2%, 42.6% and 39.5%, the awareness rates were 64.2%, 68.7%, and 89.3%, the treatment rates were 49.1%, 52.4%, and 61.0%, while the control rates were 20.1%, 21.6%, and 27.8%, respectively. The prevalence rate did not change significantly (P = 0.86), and the awareness rate, treatment rate, and control rate all had an upward trend (P < 0.01). In 2011 and 2015, the prevalence rates of eastern, central, and western regions were compared with statistical significance (P < 0.01). The prevalence in urban areas was higher than that in rural areas (P < 0.01), and the prevalence increased with age (P < 0.01). In 2011, the prevalence of hypertension in rural women was higher than that in men (P < 0.01), while in 2015, the prevalence of hypertension in urban men was higher than that in women (P = 0.01). The awareness rate, treatment rate, and control rate of hypertension decreased in the eastern, central, and western regions in turn. The rates in urban areas were higher than those in rural areas, and women were higher than men, while the “three rates” were relatively low in the ≥75 years old group and the 45-55 years old group (P < 0.05). Conclusion The prevalence rate of hypertension among middle-aged and elderly people in China appeared high. The awareness rate, treatment rate, and control rate all showed an increasing trend. There were regional, urban-rural, age and gender differences in each rate.
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