The Study Of Hypertension Control Status And Influence Factors Among Adults In Jilin Province

Objective：To identify the control status of hypertension in Jilin province, and to assess therates of awareness, treatment and control of hypertension and its influence factors,so as to benefit the prevention and control activities of hypertension.Methods：Multistage stratified random cluster sampling design was used to selectparticipants aged18to79years old who had lived in Jilin province for more than sixmonths that carried out with questionnaire interview and physical examination in2012. The analysis was based on a representative sample of7418hypertensivepatients. Use EpiData3.1to establish databases and entry the data which wereanalyzed using the SPSS version16.0. Chi-square tests were used to compare thegroups of diabetes awareness, treatment and control. Multiple logistic regressionswere used to examine socio-demographic factors associated with the levels ofawareness, treatment and control of diabetes, and P≤0.05was considered to bestatistically.Results：①General condition: The mean age of the hypertensive patients were53.79±11.485years, which consisted of51.5%men.65.3%participants onlyattained junior school education;52.6%had a family history of hypertension;51.3%were lived in rural areas; and23.5%were obesity.②Univariate analysis: the rates of awareness, treatment and control ofhypertension were47.4,44.4%and18.3%. Women (55.5%,52.4%,19.6%)had agreater awareness, treatment and control than men(39.8%,36.9%,16.7%)(P<0.05).The rates of awareness of hypertension increased with advancing age. The rates oftreatment of hypertension were largest in55～64years. The rates of awareness (49.6%) and treatment (46.8%) of hypertension were largest among less than juniorschool education participants. People with a family history of hypertension (54.5%vs.39.5%) were more likely to be aware of their blood pressure conditions and to betreated with anti-hypertensive medications than those without the family history(51.1%vs.37.0%)(P<0.001). The rates of awareness (49.7%) and treatment (46.2%)of hypertension were higher among rural residents than urban residents (45.0%,42.5%)(P<0.001, P=0.001). The rates of awareness and treatment of hypertensionincreased with advancing BMI, and the rates of awareness (55.7%) and treatment(51.9%)of hypertension were largest in obesity groups. The rates of awareness(41.6%) and treatment (38.4%) were least in smoker groups. The rates of awareness(35.1%), treatment (32.2%) and control (14.7%) of hypertension were lower amongdrinker participants than non-drinkers participants (53.8%,50.7%and19.5%)(P<0.001, P<0.001, P=0.002). Participants who exercise frequently were morelikely than those who never or rarely exercise to be aware of their blood pressureconditions (53.6%vs.44.0%) and take anti-hypertensive medications (51.1%vs.40.7%)(P<0.001, P<0.001). The hypertensive patients accompanied with diabeteswere more likely than those who had no diabetes (62.9%vs.44.5%) and take anti-hypertensive medications (58.6%vs.41.7%)(P<0.001, P<0.001). The hypertensivepatients accompanied with dyslipidemia were more likely than those who had nodyslipidemia (50.4%vs.44.7%) and take anti-hypertensive medications (47.8%vs.41.3%)(P<0.001, P<0.001).③Multivariate logistic regressions for the awareness, treatment and controlrates of hypertension: Gender, age, family history of hypertension, region, BMI,cigarette smoking, alcohol drinking, exercise and diabetes were associated withawareness of hypertension; gender, age, occupation, family history of hypertension,region, BMI, cigarette smoking, alcohol drinking, exercise and diabetes wereassociated with treatment of hypertension; and region and alcohol drinking wereassociated with control of hypertension.Conclusion：In our study, we found that the rates of awareness and treatment ofhypertension in Jilin province is higher than that reported in a prior study in China in2002, but the rate of control of hypertension was at a lower level. Our results suggest that attempts to prevent hypertension should focus on the factors that lead toneglect of heath status; and effective preventive strategies should concentrate onmen, young people and those who have a family history of hypertension, obesity,smoker, drinker, those who never or rarely exercise and accompanied with diabetesand dyslipidemia. Taking drug therapy and non-drug intervention measures so as tocomprehensively preventive and control hypertension.