河北省成年人群2013-2018年高血压的流行趋势

Trend in the prevalence of hypertension from 2013 to 2018 in adults of Hebei province

目的了解2013-2018年河北省18岁及以上居民高血压患病、知晓、治疗、控制变化状况。方法2013及2018年10-12月,分别采用多阶段分层整群随机抽样的方法抽取河北省年龄≥18岁常住人口为样本,分析2013-2018年成年居民高血压患病、知晓、治疗、控制的变化情况。结果2013年7734人,2018年7750人纳入分析。平均收缩压和舒张压分别从(135.7±20.9)上升到(140.1±21.1)mm Hg(t=-12.95,P<0.01),(80.8±11.3)上升到(81.2±11.3)mm Hg(t=-2.72,P<0.01)。高血压患病率由34.4%上升到37.4%(χ^(2)=115.38,P<0.01)。高血压知晓率由45.0%下降至39.9%(χ^(2)=63.87,P<0.01),治疗率由35.4%下降至35.3%(χ^(2)=23.07,P<0.01),控制率由8.5%下降至6.5%(χ^(2)=8.55,P<0.01)。结论2013-2018年,河北省成年居民高血压患病率呈上升趋势,但知晓、治疗和控制水平仍然较低。

Objective To describe the prevalence,awareness,treatment,and control of hypertension in residents aged 18 years and older in Hebei province from 2013 to 2018.Methods Utilizing a multi-stage stratified cluster sampling method,permanent residents aged 18 years and older in Hebei province were selected as subjects during October to December in 2013 and 2018,respectively.The trends of prevalence,awareness,treatment and control of hypertension were analyzed.Results A total of 7734 adults in 2013 and 7750 adults in 2018 were included in the analysis.Mean systolic and diastolic blood pressure(BP)increased from(135.7±20.9)to(140.1±21.1)mm Hg(t=-12.95,P<0.01),and(80.8±11.3)to(81.2±11.3)mm Hg(t=-2.72,P<0.01),respectively.The prevalence of hypertension increased from 34.4%to 37.4%(χ^(2)=115.38,P<0.01).While awareness rate decreased from 45.0%to 39.9%(χ^(2)=63.87,P<0.01),the treatment rate decreased from 35.4%to 35.3%(χ^(2)=23.07,P<0.01)and control rate decreased from 8.5%to 6.5%(χ^(2)=8.55,P<0.01).Conclusion The prevalence of hypertension presents an upward trend from 2013 to 2018,while awareness,treatment and BP control rates are still low in adult residents in Hebei province.