Prevalence, Awareness, Treatment, and Control of Hypertension in West China

Hu, Rong; Liu, Ya; Zhang, Jin; Ran, Xun; Yi, Yan; Xue, Fei; Liu, Jian Xiong

doi:10.1136/heartjnl-2012-302920a.288

Cited by 2 publications

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“…The self-report format implies that some people with undiagnosed chronic conditions were excluded. For example, a study using sphygmomanometer-based diagnosis indicated that 14% of Chinese adults suffered from hypertension in Western China in 2007 [ 11 ]. Another study, which used an oral glucose-tolerance test to diagnose diabetes, indicated that the prevalence of diabetes in China was 9.7% among individuals aged 20 years and older, which included self-report diabetes and undiagnosed diabetes using an oral glucose-tolerance test [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalences and trends of chronic diseases in Shaanxi Province, China: Evidence from representative cross-sectional surveys in 2003, 2008 and 2013

et al. 2018

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ObjectivesNon-communicable diseases, which can refer to chronic diseases that are not caused by infectious agents and can endure for a long time, are currently regarded as a critical public health problem in China. This study aimed to estimate the prevalences of self-reported physician-diagnosed chronic diseases among urban and rural populations aged 15 years and older in Shaanxi Province, China, during 2003−2013 and explore how these changes differ by subpopulation.MethodsThree independent cross-sectional surveys were implemented in 2003, 2008 and 2013 in Shaanxi Province. A multistage stratified cluster random sampling method was used in each wave to collect representative samples. In total, 10,568 residents in 2003, 15,453 in 2008 and 48,808 in 2013 were included in this analysis. Information on self-reported physician-diagnosed chronic diseases was collected using face-to-face interviews in each survey. Multilevel Poisson regression with robust error variance was employed to calculate the adjusted prevalence ratios to estimate the relative change in chronic conditions in 2008 and 2013, compared to that in 2003.ResultsIn 2013, 23.9%/22.1% of urban/rural residents, respectively, reported having at least one chronic condition, which represents an increase from 17.0%/15.1%, respectively, in 2008 and 12.8%/10.9%, respectively, in 2003. Adjusted for socio-demographic characteristics, the prevalence of chronic diseases was significantly higher in 2013 than that in 2003. Among the chronic diseases studied, the prevalence of hypertension and diabetes has increased dramatically over a decade. The increase in chronic diseases occurred mainly among the middle-aged and elderly.ConclusionsChronic diseases are highly prevalent and continuously increasing in the adult population in Shaanxi Province from 2003 to 2013. Given its large aging population, China may face a greater chronic disease burden. A national chronic disease surveillance system and screening program should be established to acquire comprehensive information regarding the distribution and trends of chronic diseases.

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Section: Discussionmentioning

confidence: 99%

Prevalences and trends of chronic diseases in Shaanxi Province, China: Evidence from representative cross-sectional surveys in 2003, 2008 and 2013

et al. 2018

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“…The aging process is often associated with physiological changes that can contribute to the development of hypertension, making older individuals, especially those over 80 years of age, particularly susceptible to this condition (5). In China, the reported prevalence of hypertension among individuals 80 years and older was about 66.7% (6). Consequently, identifying modifiable risk factors associated with hypertension in this specific population is of utmost importance to reduce the incidence of cardiovascular events and improve overall health outcomes.…”

Section: Introductionmentioning

confidence: 99%

Association of living alone and living alone time with hypertension among Chinese men aged 80 years and older: a cohort study

Wang,

Dai,

2024

Front. Public Health

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ObjectiveThere is little evidence of the influence of living alone on hypertension risk among men 80 years or older. Additionally, the influence of living alone duration on hypertension risk lacks thorough investigation. Hence, this cohort study examines living alone and its duration’s link to hypertension risk in this specific group.MethodsWe included 2009 older men aged ≥80 years without hypertension from the Chinese Longitudinal Healthy Longevity Survey in the 2008 wave. Follow-up was conducted in the 2011 wave. Multivariable Cox proportional hazards models estimated hazard ratios (HRs) and 95% confidence intervals (CIs) to assess hypertension risk related to living alone and living alone time.ResultsWe included 2,009 older men, with a mean age of 90.7 years (standard deviation: 6.8). Over a median follow-up of 2.9 (1.3–3.0) years, 573 participants (28.5%) developed hypertension. Living alone was significantly associated with a higher hypertension risk than living with family (HR: 1.42; 95% CI 1.11–1.80). When compared to living with family, the hypertension risk was increased in the first quartile of living alone time (0–6.1 years) (HR: 1.76; 95% CI 1.16–2.66), the second quartile (6.1–10.6 years) (HR: 1.56; 95% CI 1.07–2.29), and the third quartile (10.6–19.3 years) (HR: 1.66; 95% CI 1.08–2.55). Surprisingly, no significant association was found in the fourth quartile (≥19.3 years) with hypertension risk. Stratified and Interaction analyses indicated no significant interaction effects between subgroups. Sensitivity analyses yielded consistent results.ConclusionLiving alone was independently associated with an increased risk of hypertension in older men. The highest risk was found in those with the least time alone. These findings imply that social isolation and lack of companionship could be pivotal in hypertension development. Furthermore, the study highlights the need to consider living alone duration when assessing its impact on health outcomes.

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Prevalence, Awareness, Treatment, and Control of Hypertension in West China

Cited by 2 publications

References 0 publications

Prevalences and trends of chronic diseases in Shaanxi Province, China: Evidence from representative cross-sectional surveys in 2003, 2008 and 2013

Prevalences and trends of chronic diseases in Shaanxi Province, China: Evidence from representative cross-sectional surveys in 2003, 2008 and 2013

Association of living alone and living alone time with hypertension among Chinese men aged 80 years and older: a cohort study

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