BackgroundHypertension is a significant global public health problem and recognized as an important risk factor for cardiovascular diseases. This study was designed to assess the current prevalence of hypertension and to explore risk factors associated with hypertension by urban and rural status to guide the prevention and control of hypertension in Jilin province.MethodsA multi-stage stratified random cluster sampling method was used to obtain data on hypertension, which was investigated by physical examination and face-to-face questionnaire in July 2014-December 2015. Sample data were analyzed by complex weighted statistical analysis to estimate blood pressure levels and prevalence of hypertension in the province. Multivariable logistic regression analysis was used to identify factors influencing hypertension rates.ResultsThe prevalence of hypertension was significantly higher in rural areas than urban areas (25.93% versus 22.73%, respectively). The rates of hypertension known (46.7% versus 38.1%, respectively), control (13.7% versus 5.0%, respectively), and controlled among treated subjects (38.3% versus 17.5%, respectively) were higher in urban areas than in rural areas (all p < 0.001), while the treatment rate was not statistically significantly different between urban and rural areas (35.9% versus 28.4%, respectively). After adjusting for demographic covariates, hypertension prevalence in rural areas was still significantly greater than in urban areas (adjusted OR = 1.22; 95%CI: 1.10, 1.36; p < 0.001). Common risk factors for hypertension among urban and rural residents included older age; male; married; employed; less education; overweight/obese; greater abdominal waist circumference; family history of hypertension, stroke, or coronary heart disease; current smoker; alcohol consumption; higher visceral adiposity index; and higher body fat percentage.ConclusionsThis study identified an increased risk for hypertension in rural regions of Jilin province, suggesting that rural hypertension screening and treatment guidelines should receive greater attention.

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Summary The relationships among formation properties, fracturing operations, and induced earthquakes nucleated at distinctive moments and positions remain unclear. In this study, a complete data set on formations, seismicity, and fracturing treatments is collected in Fox Creek, Alberta, Canada. The data set is then used to characterize the induced seismicity and evaluate its susceptibility toward fracturing stimulations via integration of geology, geomechanics, and hydrology. Five mechanisms are identified to account for spatiotemporal activation of the nearby faults in Fox Creek, where all major events [with a moment magnitude (Mw) greater than 2.5] are caused by the increase in pore pressure and poroelastic stress during the fracturing operation. In addition, an integrated geological index (IGI) and a combined geomechanical index (CGI) are first proposed to indicate seismicity susceptibility, which is consistent with the spatial distribution of induced earthquakes. Finally, mitigation strategy results suggest that enlarging a hydraulic fracture-fault distance and decreasing a fracturing job size can reduce the risk of potential seismic activities.