Document Detail

Geographic variations in the prevalence, awareness, treatment and control of hypertension in China.
MedLine Citation:
PMID:  12817173     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare the prevalence, awareness, treatment and control of hypertension in north and south, and urban and rural residents of China. DESIGN: A cross-sectional survey conducted in 2000-2001. SETTING AND PARTICIPANTS: A multistage cluster sampling method was used to select a nationally representative sample of 15 540 men and women aged 35-74 years from the general Chinese population. MAIN OUTCOME MEASURES: Three blood pressure measurements were obtained by trained observers using a standardized mercury sphygmomanometer. Information on history of hypertension and use of antihypertensive medications was obtained by use of a standard questionnaire. Hypertension was defined as a mean systolic blood pressure >or= 140 mmHg and/or diastolic blood pressure >or= 90 mmHg and/or use of antihypertensive medications. RESULTS: The age-standardized prevalence of hypertension was significantly higher among residents living in north than in south China (33.8 versus 23.3%, P < 0.001), but similar in those living in urban and rural areas (29.0 versus 28.1%, P = 0.3). Average systolic and diastolic blood pressure levels were consistently higher in north than in south residents. Residents in north China had higher percentages of awareness but lower percentages of control compared with their counterparts in south China. Percentages of awareness, treatment and control of hypertension were significantly higher in urban than in rural residents. CONCLUSIONS: Our study documents a marked north-south gradient in the prevalence of hypertension in China. The previously reported urban-rural difference in the prevalence of hypertension was not noted, perhaps due to a rapid increase in the prevalence of hypertension in rural China.
Kristi Reynolds; Dongfeng Gu; Paul Muntner; Xigui Wu; Jing Chen; Guanyong Huang; Xiufang Duan; Paul K Whelton; Jiang He;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of hypertension     Volume:  21     ISSN:  0263-6352     ISO Abbreviation:  J. Hypertens.     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-06-20     Completed Date:  2004-04-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8306882     Medline TA:  J Hypertens     Country:  England    
Other Details:
Languages:  eng     Pagination:  1273-81     Citation Subset:  IM    
Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana 70112, USA.
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MeSH Terms
Age Distribution
Attitude to Health*
Blood Pressure
China / epidemiology
Hypertension / epidemiology*,  psychology,  therapy*
Middle Aged
Risk Factors
Rural Population
Sex Distribution
Urban Population

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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