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##:100037,();Tulane(JiangHeKristiReynoldsPaulK1Whelton)顾东风JiangHe吴锡桂KristiReynolds甘文奇刘东海宿少勇段秀芳黄广勇PaulK1Whelton=(InterASIA)2000~2001,35~7415838,5min,3\140mmHg\90mmHg35~742712%,11335~4445~5455~6465~741714%2812%4017%4713%;1017%2618%3819%5012%,4417%,2812%,811%(140/90mmHg)10,8612%9216%14514%10,,,=;;Prevalence,awareness,treatmentandcontrolofhypertensioninChineseadultsGUDong-feng*,JiangHe,WUXi-gui,KristiReynolds,GANWen-qi,LIUDong-hai,SUShao-yong,DUANXiu-fang,HUANGGuang-yong,PaulK1Whelton1*DivisionofPopulationGeneticsandPrevention,CardiovascularInstituteandFuwaiHospital,ChineseAcademyofMedicalSciencesandPekingUnionMedicalCollege,Beijing100037,China=AbstractObjectiveToidentifytheprevalence,distribution,currentstatusofawarenessandcontrolofhypertensioninChineseadultpopulation1MethodsAcross-sectionalsurveywasconductedinmainlandofChinain2000~2001asapartofworkcoordinatedwithInterASIAProgram.Atotalof15838nationallyrepresentativesubjectsaged35to74wereselectedwithmultistageclustersampling.Measurementofbloodpressurewastakenforallofthemwiththreereadingsinamercuric-columnsphygmomanometerafterrestingforfiveminutes.Standardstructuredquestionnairewasusedtocollecttheirhistoriesandtreatmentandpreventionforhypertension.Acaseofhypertensionwasdefinedasanypersonwithsystolicbloodpressureequaltoorgreaterthan140mmHg,orwithdiastolicbloodpressureequaltoorgreaterthan90mmHg,orbeingadministeredwithantihypertensiveagents1ResultsAtotalof15838adultsaged35~74yearswereincludedinthissurvey.Overall,theprevalenceofhypertensionwas27.2%,representing130millionpersonswithhypertensionnationwideasestimated.Age-specificprevalenceofhypertensionwas10.7%,26.8%,38.9%and50.2%forwomenand17.4%,28.2%,40.7%and47.3%formenaged35~44,45~54,55~64and65~74years,respectively.Amonghypertensivepatients,44.7%wereawareoftheirhighbloodpressure,28.2%weretakingantihypertensivemedication,and8.1%achievedtheirbloodpressureundercontrol(140/90mmHg).Allthesedataindicatedthatpercentagesofawareness,treatmentandcontrolofhypertensionincreasedby86.2%,92.6%and145.4%,respectivelyinthepasttenyears,ascomparedwiththedatain1991.ConclusionsInthepasttenyears,percentagesofawareness,treatmentandcontrolofhypertensioninChineseadultsincreasedsignificantly,whohadarelativelyhighprevalenceofhypertension,butlowerawarenessandmuchlowerpercentagesoftreatmentandcontrolofhypertension.Itisurgentlyneededtoimproveprevention,detectionandtreatmentforhypertensioninadults.=KeywordsHypertension;Prevalence;Cross-sectionalstudy#84#20033372ChinJPrevMed,March2003,Vol37,No.2,(CVD),1990CVD1430[1],(910),[1]20,,CVD[2],,CVD,,,CVD[3,4],CVD[5,6],,[7],1960300019805900,19919400,InterASIA11:35~74,,(50%)(1990)1,();()1120()19012,15838(7684,8154),8313%2.:,:,330min,/,5min,,(),(),InterASIA(SBP)\140mmHg(1mmHg=01133kPa)(DBP)\90mmHg;;,SBP140mmHgDBP90mmHg3.:InterASIA(35~4445~5455~6465~74)35~742000InterASIA,STATA7101.:2712%35~74(1),113,64,,65,2.:2,SBPDBP32141410mmHg,33101518mmHg,SBPDBP016118mmHg,SBP,DBP65#85#20033372ChinJPrevMed,March2003,Vol37,No.23.:6(3),5618%6314%(SBP130DBP85mmHg),1614%1315%1231811%516%312%,1510%517%214%12000~200135~74*()%()%()%()35~441714(019)1650(94)1017(017)954(67)1411(016)2604(114)45~542812(113)2105(112)2618(113)1878(101)2715(019)3983(148)55~644017(116)1829(93)3819(116)1626(84)3918(112)3456(123)65~744713(213)1412(93)5012(213)1524(95)4818(116)2937(132)2816(017)6997(185)2518(017)5985(167)2712(015)12982(227)*\140mmHg()\90mmHg(),2~622000~200135~74(mmHg)()35~4411413(012)7417(011)14015(117)9213(112)14017(017)9410(014)11810(012)7714(012)45~5411614(013)7517(012)14712(116)9213(019)14616(018)9211(014)12417(014)8012(012)55~6411914(013)7418(012)15014(116)8719(110)15414(018)9013(015)13219(015)8017(013)65~7412019(015)7217(014)15214(118)8319(019)15613(110)8516(016)13716(018)7817(014)11715(012)7610(011)14813(114)9019(018)14810(016)9119(013)12612(013)8014(012)35~4411615(013)7612(012)13912(210)9415(116)13916(019)9418(015)12015(013)7914(013)45~5411618(014)7616(013)14516(214)9511(114)14414(110)9217(016)12416(015)8113(013)55~6412010(015)7513(013)15018(217)9016(116)15316(110)9110(017)13314(017)8117(014)65~7412017(017)7316(015)15315(217)8415(113)15811(118)8715(110)13717(112)7918(016)11511(012)7318(011)14910(111)8712(016)15112(016)8911(014)12412(013)7715(012)35~4411212(013)7313(012)14210(217)9010(117)14218(111)9214(016)11514(013)7513(012)45~5411519(014)7418(012)14814(211)9014(111)14916(112)9113(015)12418(016)7911(013)55~6411819(015)7412(013)15010(119)8518(111)15515(111)8913(016)13213(017)7916(014)65~7412111(017)7118(016)15116(213)8314(112)15417(019)8317(018)13714(110)7717(015)11613(011)7419(011)14817(019)8819(015)14913(014)9017(012)12512(012)7910(011)32000~200135~74*(%)(mmHg)(mmHg)1208013085130~13985~891140~15990~992160~179100~1093\180\110()3710(015)2310(015)1510(014)1616(014)517(013)218(012)35~444819(019)2510(017)1218(016)1011(015)213(013)019(012)45~543612(110)2310(019)1518(017)1712(018)512(014)217(013)55~642419(110)2210(110)1618(019)2210(110)916(017)417(015)65~741919(113)1817(113)1711(112)2712(114)1112(110)519(018)3219(017)2319(0