What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Hypertension (n=9397). Intervention: Community health services screening. Primary outcome: Hypertension detection rate (95% CI 52.5-54.5).

May 2, 2014Open Access

Hypertension Detection, Management, Control and Associated Factors Among Residents Accessing Community Health Services In Beijing

Resultado clave

Among residents aged 50 years or older accessing community health services in Beijing, the hypertension detection rate was 53.5%, with suboptimal awareness (70.0%), treatment (62.1%), and control (29.6%).

Diseño del estudio

Tipo

Cross-Sectional (n=9,397)

Multicéntrico

Sí

PICO estructurado

Población

9,397 residents aged 50 years or older accessing community health services in Beijing were screened to evaluate hypertension detection, awareness, treatment, and control.

Resultado

Rates of hypertension detection, awareness, treatment, and control

Suboptimal hypertension awareness, treatment, and control remain major problems in Beijing community health services, with only 29.6% of hypertensive patients achieving blood pressure control.

Limitaciones

Cross-sectional design
Use of self-reported disease and medication adherence measures
Limited study factors for exploring associations with HBP detection, awareness, treatment and optimal control
Use of an identical BP control target for HBP patients with co-morbidities and elderly HBP patients
Unable to collect information on the type of and compliance with antihypertensive therapy
Unable to identify secondary and/or resistant hypertension
Only a quarter of the individuals in the communities participated, potentially leading to selection bias

Resumen

The aim of this study was to analyse high blood pressure detection, management, control and associated factors among residents accessing community health services (CHSs) in Beijing. We screened for HBP in 9524 individuals aged 50 years or older who accessed care in four Beijing CHSs. Among the 9397 residents with questionnaire responses that qualified them for inclusion in the study, 5029 patients with HBP were identified, 1510 (i.e., 30% of the HBP patient group) of whom were newly identified cases. The rate of hypertension detection was 53.5%. Among the 5029 HBP patients, the rates of awareness, treatment and control of hypertension were 70.0%, 62.1% and 29.6%, respectively. In general, the rate of hypertension control was higher when the rates of hypertension awareness and treatment were higher in subgroups stratified by different sociodemographic and risk factors, except for the overweight and obesity subgroups. In conclusion, suboptimal HBP awareness, treatment, and control are still major problems confronting CHSs in Beijing. Control of hypertension in the population may be improved by increasing awareness and improving the treatment of hypertension in CHSs.

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