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目的了解安徽省≥18岁居民高血压患病、知晓、治疗和控制状况。方法在2013年中国慢性非传染疾病及其危险因素监测安徽省12个监测点中,采用多阶段分层整群随机抽样方法抽取≥18岁常住人口为样本,采用复杂加权分析不同特征人群高血压患病率、知晓率、治疗率、控制率及治疗控制率。结果有效样本量为7182例。安徽省成人高血压患病率为29.5%(95%CI:20.7%~38.3%),男性(31.5%)高于女性(27.5%),差异具有显著性(χ~2=5.28,P=0.02);高血压知晓率为41.2%(95%CI:35.2%~47.3%),城市(51.3%)高于农村(35.8%),差异具有显著性(χ~2=12.52,P<0.001);高血压治疗率为32.9%(95%CI:24.8%~40.9%),城市(44.8%)高于农村(26.5%),差异具有显著性(χ~2=14.87,P<0.001);高血压控制率为10.5%(95%CI:4.4%~16.6%),城市(19.7%)高于农村(5.6%),差异具有显著性(χ~2=5.41,P<0.001);高血压治疗控制率为31.9%(95%CI:18.0%~45.8%),城市(43.9%)高于农村(21.2%),差异具有显著性(χ~2=5.41,P<0.001)。随着年龄的增加,高血压患病率、知晓率均呈上升趋势(χ~2=454.09,P<0.001;χ~2=27.21,P<0.001);随着文化程度的升高,高血压治疗率、控制率、治疗控制率均呈上升趋势(χ~2=4.28,P=0.04;χ~2=58.54,P<0.001;χ~2=68.58,P<0.001)。结论安徽省高血压患病率较高,而知晓率、治疗率、控制率、治疗控制率均较低,且城乡差异大。高血压防控工作亟待加强,尤其应强化农村人群、中青年、低学历者的健康教育和管理。
Objective To understand the prevalence, knowledge, treatment and control of hypertension among residents aged 18 or older in Anhui Province. Methods In the monitoring of chronic non-communicable diseases and their risk factors in China in 2013, among the 12 monitoring sites in Anhui Province, multistage stratified cluster random sampling method was used to sample the resident population ≥ 18 years old. The complex weight was used to analyze the prevalence of hypertension, Prevalence rate, awareness rate, treatment rate, control rate and treatment control rate. Results The effective sample size was 7182 cases. The prevalence of hypertension among adults in Anhui Province was 29.5% (95% CI: 20.7% -38.3%), while it was significantly higher in men (31.5%) than in women (27.5%) (χ ~ 2 = 5.28, P = 0.02 ); The awareness rate of hypertension was 41.2% (95.2% CI: 35.2% -47.3%), while that of urban areas was 51.3% (35.8%). There were significant differences between the two groups (χ ~ 2 = 12.52, P <0.001) Hypertension treatment rates were 32.9% (95% CI: 24.8% -40.9%), 44.8% in urban areas (26.5%), with significant differences (χ ~ 2 = 14.87, P <0.001) The control rates were 10.5% (95% CI: 4.4% ~ 16.6%), 19.7% in urban areas (5.6%) in rural areas (χ ~ 2 = 5.41, P <0.001) The rates were 31.9% (95% CI: 18.0% -45.8%) and 43.9% (21.2%) in urban areas (χ ~ 2 = 5.41, P <0.001). With the increase of age, the prevalence rate of hypertension and awareness rate showed an upward trend (χ ~ 2 = 454.09, P <0.001; χ ~ 2 = 27.21, P <0.001); with the increase of educational level, Treatment rate, control rate and treatment control rate showed an upward trend (χ ~ 2 = 4.28, P = 0.04; χ ~ 2 = 58.54, P <0.001; χ ~ 2 = 68.58, P <0.001). Conclusions The prevalence of hypertension is high in Anhui Province, while the awareness rate, treatment rate, control rate and treatment control rate are low, and there is a big difference between urban and rural areas. Hypertension prevention and control work needs to be strengthened, in particular, should strengthen the rural population, young and middle-aged, low education of health education and management.