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. 2019 Sep 3:11:801-820.
doi: 10.2147/CLEP.S218110. eCollection 2019.

Urban-Rural disparities in status of hypertension in northeast China: a population-based study, 2017-2019 (V体育官网入口)

Liying Xing  1   2 , Li Jing  2 , Yuanmeng Tian  2 , Min Lin  3 , Zhi Du  1 , Han Yan  2 , Guocheng Ren  4 , Yingna Dong  4 , Qun Sun  5 , Shuang Liu  6
Affiliations

VSports注册入口 - Urban-Rural disparities in status of hypertension in northeast China: a population-based study, 2017-2019

Liying Xing et al. Clin Epidemiol. .

Abstract

Background: To investigate the status of hypertension and related risk factor disparities between urban and rural areas of northeast China VSports手机版. .

Methods: A multi-stage, stratified, and cluster random sampling method was used to conduct the cross-sectional survey in Liaoning Province in 2017-2019 V体育安卓版. Finally, included 18,796 participants (28. 9% urban, 71. 1% rural) aged ≥40 years. The prevalence and control rate of hypertension were estimated based on Chinese hypertension guidelines and the 2017 American College of Cardiology/American Heart Association (ACC/AHA) guidelines. .

Results: The mean age of the population was 60. 4±9. 9 years, and 61. 0% were women. The overall prevalence of hypertension was 56. 8%. Compared to urban areas, hypertension was more prevalent, but the awareness, treatment, and control rates were lower in rural areas (59 V体育ios版. 2 vs 50. 2, 52. 5% vs 47. 0%, 46. 9% vs 34. 9%, and 11. 4% vs 3. 7%, P<0. 001, respectively). Multivariate regression analysis identified that the lack of exercise (odds ratio (OR), 1. 24; 95% confidence interval (CI), 1. 10-1. 38) in rural areas, whereas overweight/obesity (OR, 2. 01; 95% CI, 1. 79-2. 27) and alcohol consumption (OR, 1. 20; 95% CI, 1. 01-1. 41) in urban areas were specific risk factors for hypertension, besides common risk factors. Under the 2017 ACC/AHA guidelines, the prevalence of hypertension was 80. 6% (urban 76. 6%, rural 82. 2%), increased 1. 4-fold compared with the current Chinese guidelines, with increased rates of 27. 9% in urban areas and 25. 7% in rural areas. .

Conclusion: A highly diverse prevalence for hypertension was found between urban and rural areas in northeast China VSports最新版本. Region-specific strategies targeting the prevention and management of hypertension should be highlighted. .

Keywords: control; hypertension; prevalence; rural; urban V体育平台登录. .

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Flow chart of population selection.
Figure 2
Figure 2
Prevalence of hypertension and prehypertension per 100 (with 95% CI) among urban and rural adults in northeast China by region and sex. (A) Prevalence of hypertension by region, (B) prevalence of prehypertension by region, (C) prevalence of hypertension by sex, (D) prevalence of prehypertension by sex.
Figure 3
Figure 3
Levels of systolic blood pressure and diastolic blood pressure in adults in urban and rural northeast China by region and sex. (A) By region, (B) by sex.
Figure 4
Figure 4
Awareness, treatment, and control rates among adults ≥40 years of northeast China by region. (A) Awareness rate by region, (B) treatment rate by region, (C) awareness rate by sex, (D) treatment rate by sex, (E) control rate by region, (F) control rate among treated hypertensive patients by region, (G) control rate by sex, (H) control rate among treated hypertensive patients by sex. #p<0.05, *p<0.001.
Figure 5
Figure 5
The absolute differences in prevalence of hypertension according to 2010 Chinese guidelines for the management of hypertension to 2017 ACC/AHA high blood pressure guidelines by region (A) and sex (B). #p<0.05, *p<0.001.
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