Changing trends regarding the rates of prevalence, awareness and treatment of hypertension and the differences by demographic and economic factors, among adult farmers in nine provinces in China, from 1991 to 2015
10.3760/cma.j.cn112338-20190708-00502
- VernacularTitle:1991-2015年我国9省成年农民高血压患病率、知晓率和治疗率的变化趋势及人口经济学差异
- Author:
Yanyu LYU
1
;
Bing ZHANG
;
Huijun WANG
;
Zhihong WANG
;
Chang SU
;
Feifei HUANG
;
Liusen WANG
;
Xiaofang JIA
Author Information
1. 中国疾病预防控制中心营养与健康所，北京 100050
- Keywords:
Adult farmers;
Hypertension;
Prevalence rate;
Awareness rate;
Treatment rate;
Demographic and economic differences
- From:
Chinese Journal of Epidemiology
2020;41(4):498-503
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the changes on the rates of prevalence, awareness and treatment of hypertension as well as the differences of the disease by demographic and economic factors, among adult farmers in nine provinces of China.Methods:Adult farmers, (including fishermen and hunters) with completed data on demographics, socio-economic characteristics, disease histories and physical measurements were selected from the 1991-2015 China Health and Nutrition Survey. Hypertension was defined based on the Chinese guidelines. Multivariate logistic regression was used to analyze the influence of demographic and economic factors on the rates of prevalence, awareness and treatment of hypertension among those adult farmers in 2015.Results:A total of 18 236 participants were included. From 1991 to 2015, rates of prevalence, awareness and treatment of hypertension among the adult farmers in nine provinces all significantly increased ( P<0.05). Results from the multivariate analysis showed that farmers aged ≥45 years were 98 % more likely to suffer from hypertension than those aged 18-44 years. Farmers who were overweight or obese were 1.58 times and 5.21 times more likely to suffer from hypertension than those in the control group (BMI<24.0 kg/m 2), respectively. The rates on awareness of hypertension among farmers with junior high school education ( OR=0.23) or above ( OR=0.12) or with junior high school education ( OR=0.30) were both lower than those with primary school education or below. Rates on the awareness and treatment of hypertension in obese farmers were 5.77 times and 7.52 times of those in the control group. Conclusions:The rates of prevalence of hypertension showed increasing trends during 1991-2015, with a slower increase in the rates of awareness and treatment in the farmers. Age ≥45 year-olds, and being obese were the risk factors for farmers to have hypertension, which suggested the above population should be focused on hypertension prevention strategy and practice.
