Hypertension Control Status And Influencing Factors Among Chongqing Residents

Objective: With the awareness rate,treatment rate and control rate as the index,to understand the current status of hypertension in Chongqing.To explore the relevant influencing factors,and to provide theoretical basis for prevention and treatment of hypertension in Chongqing.Methods: In this study,stratified four-stage random sampling method was used to the survey questionnaire and physical examination of more than 15 years old local residents living in Dadukou,Qianjiang,Yongchuan,Hechuan District,Bishan,Tongnan,Rongchang and Liangping County with “the questionnaire of the prevalence of cardiovascular disease in China” from 2013 to2015.The data was entered into the unified data collection and management system of the project team.SPSS21.0 software was used for statistical analysis.The count data was showed in frequency,comparison of frequency between groups using chi-square test,and multivariate logistic regression model was used to analyze the influencing factors of awareness rate,treatment rate and control rate.Results:1.A total of 15585 questionnaires were collected and 305 were rejected by data check.The final valid questionnaires were 15280(effective rate:98.04%).The prevalence of hypertension was 20.65% and increased with aging(P <0.001).The prevalence of male was 20.25%,the prevalence of female was 21.05%,the prevalence of urban was 17.60% Lower than the rural prevalence rate of 23.62%(P <0.01).2.There were 1323 urban residents(41.82%),1833(58.08%)rural residents,1539 males(48.76%),1617 females(51.24%)among hypertension patients,and the average age of patients is62.86 ± 14.75 years.(69.24%),Cultural level to illiterate and primary school-based,Marital status to marry/remarriage/cohabitee max(77.50%).The smoking rate was 19.52%,the drinking rate was 31.18%,the average daily physical activity intensity(MET)was 13.66,the overweight rate and the obesity rate were 36.03%,13.40%,the central obesity was 46.93% Blood pressure family history of 17.40%.3.The awareness rate of hypertension was 38.59% and the female awareness rate was 43.23% higher than that of male(33.72%)(P <0.01).logistic regression analysis showed that the awareness rate of hypertension was gradually increased with age(OR = 1.552).Women,high BMI and central obese were more likely to be awareness(OR = 1.264,1.247,1.408),A family history of hypertension is also easier to awareness(OR = 2.605).4.The treatment rate of hypertension was 33.02%.Logistic regression analysis showed that aging,female,high BMI and central obese people were more likely to be treated(OR = 1.583,1.244,1.231,1.427).A family history of hypertension is more likely to receive treatment than a(family without hypertension(OR = 2.603),and those who were unmarried and separated/divorced/widowed were less likely to receive treatment compared to married/remarried/cohabitation(OR = 0.315,0.775).In addition,drinkers were less likely to receive treatment(OR = 0.648).5.The control rate of hypertension was 10.42%,and the control rate of urban residents was 16.4%,which was higher than that of rural residents(6.11%)(P <0.01).Logistic regression analysis showed that the higher of education level,aging,family history of hypertensive patients with better blood pressure control(OR=1.300,1.267,2.307).Rural residents and drinking people were less likely to control hypertension(OR = 0.492,0.86),Compared to agricultural workers,workers and service workers and non-fixed occupants of the high blood pressure control better(OR =1.916,1.497).6.Control rate among treated hypertensives was 31.57%,51.67% in urban area,and 18.01% in rural areas.Logistic regression analysis showed that the high degree of education,the better controlled OR=1.319.Increased age,rural residents,central obesity were even worse in the control of hypertension(OR values were 0.884,0.422,0.669).Conclusions: There is an increasing prevalence of hypertension with aging in the residents over 15 years old in Chongqing Province,the levels of awareness,treatment,and control remain extremely low.Aging,female,married /remarried /cohabitation,overweight and obesity,central obesity,a family history of hypertension,high blood pressure awareness and treatment of better;Drinking,male,separated /divorced /widowed and young people are less likely to be aware of illness and treatment;The higher the level of education,the better the control of hypertension;Increased age,rural residents,farmers,central obesity and low cultural levels of hypertension control even worse.Suggesting that these people should be the focus of the target,to strengthen the prevention and treatment of hypertension knowledge and blood pressure management,improve treatment compliance,to help control blood pressure.