Abstract
This study aims to investigate the trends in prevalence, awareness, treatment and control of hypertension among rural residents aged 35–74 years in northern China during the country’s rapid economic development from 1991 to 2011. Two surveys, conducted in 1991and 2011, included 2196 and 1939 participants aged 35–74 years from same villages in Ji County, Tianjin of China, respectively. The prevalence of hypertension, adjusted by age and gender using the world standard population in 2000, increased 30% (39.9% vs 51.7%) between 1991 and 2011. The increase was greatest (68%) in women aged 35–44 years. Meanwhile, the prevalence of stage II hypertension increased by 75% overall, with a 4-fold increase in men aged 45–54 years. Although the awareness, treatment and control of hypertension increased significantly during the same period, they remained unacceptably poor. In conclusion, the community-based surveys showed that the prevalence of hypertension in rural residents of northern China aged 35–74 years increased rapidly over the past 20 years, and most dramatically in young women. Efforts in the primary prevention of hypertension, particularly for young women, and promoting education for hypertension awareness, treatment and control are of paramount importance in rural China.
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Acknowledgements
We thank the residents of Ji County who have participated this study, and all local medical care professionals, for their enthusiasm, tireless work and sustained support. We also thank P. Minick and N. Su for their assistance. This study was supported in part by the National People’s Republic of China Ministry of Science and Technology and the Ministry of Health through the 7th, 8th and 10th National Five-Year Key Research Plan (contracts 85-915-01-01, 85-915-01-02 and 2001BA703B01).
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Wang, J., Ning, X., Yang, L. et al. Trends of hypertension prevalence, awareness, treatment and control in rural areas of northern China during 1991–2011. J Hum Hypertens 28, 25–31 (2014). https://doi.org/10.1038/jhh.2013.44
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DOI: https://doi.org/10.1038/jhh.2013.44
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