Hypertension Prevalence, Awareness, Treatment, and Control and Their Associated Socioeconomic Factors in China: A Spatial Analysis of A National Representative Survey.

Wei Wang; Mei Zhang; Cheng Dong XU; Peng Peng YE; Yun Ning Liu; Zheng Jing Huang; Cai Hong HU; Xiao Zhang; Zhen Ping Zhao; Chun LI; Xiao Rong Chen; Li Min Wang; Mai Geng Zhou

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Hypertension Prevalence, Awareness, Treatment, and Control and Their Associated Socioeconomic Factors in China: A Spatial Analysis of A National Representative Survey.

Author: Wei WANG ¹ ; Mei ZHANG ¹ ; Cheng Dong XU ² ; Peng Peng YE ¹ ; Yun Ning LIU ¹ ; Zheng Jing HUANG ¹ ; Cai Hong HU ¹ ; Xiao ZHANG ¹ ; Zhen Ping ZHAO ¹ ; Chun LI ¹ ; Xiao Rong CHEN ¹ ; Li Min WANG ¹ ; Mai Geng ZHOU ¹
Author Information

1. National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
2. Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Science, Beijing 100101, China.
Publication Type:Journal Article
Keywords: China; Cross-sectional study; Hypertension; Population-level strategy; Socioeconomic factors; Spatial regression
MeSH: Adult; Aged; Aged, 80 and over; China/epidemiology*; Cross-Sectional Studies; Female; Health Knowledge, Attitudes, Practice; Humans; Hypertension/psychology*; Male; Middle Aged; Prevalence; Socioeconomic Factors; Spatial Analysis; Young Adult
From: Biomedical and Environmental Sciences 2021;34(12):937-951
CountryChina
Language:English
Abstract: Objective:We aimed to investigate and interpret the associations between socioeconomic factors and the prevalence, awareness, treatment, and control of hypertension at the provincial level in China.
Methods:A nationally and provincially representative sample of 179,059 adults from the China Chronic Disease and Nutrition Surveillance study in 2015-2016 was used to estimate hypertension burden. The spatial Durbin error model was fitted to investigate socioeconomic factors associated with hypertension indicators.
Results:Overall, it was estimated that 29.20% of the participants were hypertensive nationwide, among whom, 34.32% were aware of their condition, 27.69% had received antihypertensive treatment, and 7.81% had controlled their condition. Per capita gross domestic product (GDP) was associated with hypertension prevalence (coefficient: -2.95, 95%
Conclusion:Hypertension indicators were not only directly influenced by socioeconomic factors of local area but also indirectly affected by characteristics of geographical neighbors. Population-level strategies should involve optimizing supportive socioeconomic environment by integrating clinical care and public health services to decrease hypertension burden.