Key result
Hypertension prevalence rises to ~29% in Chengdu alongside persistently low awareness, treatment, and control.
Cross-Sectional (n=10,306)
Absolute Event Rate: 29.4% vs 27.7%
p-value: p=<0.001
Over a 10-year period in Chengdu, China, the prevalence, awareness, and treatment of hypertension increased, but blood pressure control rates remained poor and even declined among treated patients.
Persistent low control rates warrant enhanced screening; leaves open optimal strategies for urban Chinese populations.
This study aimed to describe trends in prevalence, awareness, treatment, and control in hypertension in Chengdu from 2000 to 2010. Two community-based cross sectional surveys were conducted among those aged 40-79 years in 2000 (n = 4850) and 2010 (n = 5456). Demographic characteristics, blood pressure (BP) and associated risk factors were examined. Mean systolic and diastolic BP increased from 117.8 ± 33.9 to 132.1 ± 21.2 mmHg (P < 0.001), and 75.3 ± 19.1 to 79.3 ± 11.2 mmHg (P < 0.001) over past decade, respectively. The prevalence of hypertension increased from 27.7 to 29.4% (P < 0.001). Awareness increased from 37.7 to 42.5% (P < 0.001). The overall treatment rate increased from 20.9 to 28.0% (P < 0.0001), while among subjects aware of hypertension, treatment increased from 46.9 to 65.8% (P < 0.001). In hypertensives, control increased from 6.8 to 6.9% (P = 0.6684). Nevertheless, in hypertensives aware and treated, control decreased from 32.5 to 24.3% (P = 0.020). Hypertension prevalence increased in the last decade, while awareness, treatment and control remained considerably low in Chengdu.
No takes yet. Share an insight, caveat, or question.
Huang et al. (2017) conducted a cross-sectional in Hypertension (n=10,306). Time period (2010) vs. Time period (2000) was evaluated on Prevalence of hypertension (p=<0.001). Between 2000 and 2010 in Chengdu, China, the prevalence of hypertension increased from 27.7% to 29.4% (P<0.001), while awareness, treatment, and control remained considerably low.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: