Awareness, treatment and control of high blood pressure and its determinants in the aged patients with hypertension of Nu ethnic group: a multilevel model analysis

WANG Xiu-qing; MAO Yong; LONG Xin-tian; CHEN Jie; ZHOU Jia; SUN Cheng-huan; LAI Chun-mi; ZHANG Qian; CHU Tian-shu

doi:10.16462/j.cnki.zhjbkz.2021.01.016

Volume 25 Issue 1

Jan. 2021

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2021 > 25(1): 84-89

WANG Xiu-qing, MAO Yong, LONG Xin-tian, CHEN Jie, ZHOU Jia, SUN Cheng-huan, LAI Chun-mi, ZHANG Qian, CHU Tian-shu. Awareness, treatment and control of high blood pressure and its determinants in the aged patients with hypertension of Nu ethnic group: a multilevel model analysis[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(1): 84-89. doi: 10.16462/j.cnki.zhjbkz.2021.01.016

Citation:

WANG Xiu-qing, MAO Yong, LONG Xin-tian, CHEN Jie, ZHOU Jia, SUN Cheng-huan, LAI Chun-mi, ZHANG Qian, CHU Tian-shu. Awareness, treatment and control of high blood pressure and its determinants in the aged patients with hypertension of Nu ethnic group: a multilevel model analysis[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(1): 84-89. doi: 10.16462/j.cnki.zhjbkz.2021.01.016

Citation:

WANG Xiu-qing, MAO Yong, LONG Xin-tian, CHEN Jie, ZHOU Jia, SUN Cheng-huan, LAI Chun-mi, ZHANG Qian, CHU Tian-shu. Awareness, treatment and control of high blood pressure and its determinants in the aged patients with hypertension of Nu ethnic group: a multilevel model analysis[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(1): 84-89. doi: 10.16462/j.cnki.zhjbkz.2021.01.016

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Awareness, treatment and control of high blood pressure and its determinants in the aged patients with hypertension of Nu ethnic group: a multilevel model analysis

doi: 10.16462/j.cnki.zhjbkz.2021.01.016

1.
School of Public Health, Kunming Medical University, Kunming 650500, China
2.
Department of Cardiology, The Second Affiliated Hospital, Kunming Medical University, Kunming 650500, China

Funds:

Joint Special Project for Applied Basic Research Support by Yunnan Provincial Science and Technology Department and Kunming Medical University 2013FB115

Cultivation Plan for Yunnan Innovation Team 202005AE160002

More Information

Corresponding author: MAO Yong, E-mail: maoyong@kmmu.edu.cn
Received Date: 2020-07-20
Rev Recd Date: 2020-10-20
Publish Date: 2021-01-10

Abstract

Abstract

Objective To identify the status of awareness, treatment and control of high blood pressure in the aged patients with hypertension of Nu ethnic group, and to determine the associated determinants. Methods A sample of 1 080 persons, which was sampled by the multiple-stage sampling method from the aged population of Nu ethnic group, was investigated and examined cross-sectionally. Results There were 319 patients with hypertension in the 1 080 participants. The rate of awareness, treatment and control of high blood pressure in the whole patients was 38.6%, 25.7% and 10.3%; that in male patients was 44.4%, 30.0% and 15.0%; that in female patients was 32.7%, 21.4% and 5.7%; that in the middle-economic level area was 48.9%, 33.2% and 14.2%; and that in the low-economic level area was 23.3%, 14.7% and 4.7%, respectively. Comparison to the control groups, the aged patients with hypertension resided in the middle-economic area and those with middle medical burden had a higher awareness rate (48.9% vs. 23.3%, 42.9% vs.27.1%), treatment rate (33.2% vs.14.7%, 30.0% vs.12.9%) and control rate (14.2% vs. 4.7%, 12.9% vs.2.9%); the male patients with hypertension had a greater awareness rate and control rate (44.4% vs.32.7%, 15.6% vs.15.0%); the patients with dyslipidemia and hypertension had a larger awareness rate and treatment rate (100.0% vs.36.4%, 54.6% vs.24.70%). The results of covariate-adjusted multilevel logistic regression model indicated that there was cross-level interaction, which was between economic level and male, on the rates of awareness, treatment and control (all P < 0.05). Dyslipidemia, which was an individual covariate, had a positive effect on the rate of awareness (OR=5.191, 95% CI: 3.141-8.578, P=0.042), treatment (OR=6.101, 95% CI: 3.120-11.930, P=0.043) and control (OR=6.699, 95% CI: 4.625-9.702, P=0.047), respectively. Low salt diet, however, had a negative effect on the rate of awareness (OR=0.329, 95% CI: 0.134-0.810, P=0.019). Conclusions The rates of awareness, treatment and control of high blood pressure in the aged patients with hypertension of Nu ethnic group were lower than those of national population. The dominant determinants were male, economic level, dyslipidemia and low salt diet, etc.
- Nu ethnic group,
- Hypertension,
- Awareness rate,
- Treatment rate,
- Control rate,
- Multilevel model

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References(24)

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