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Hypertension and Related Cardiovascular Disease Burden in China

Joshua D Bundy1, Jiang He1

  • 1Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA.

Annals of Global Health
|July 4, 2016
PubMed

Insights

Hypertension prevalence is rising in China, affecting over 335 million adults. Despite improved awareness and treatment, hypertension control remains critically low, posing a significant public health challenge.

Area of Science:

  • Public Health
  • Cardiology
  • Epidemiology

Background:

  • Cardiovascular diseases (CVDs) are the leading cause of death in China, driven by economic development, urbanization, and an aging population.
  • Hypertension (HTN) is a major risk factor for CVDs, necessitating a thorough understanding of its status within the Chinese adult population.

Purpose of the Study:

  • To conduct a comprehensive review of hypertension prevalence, awareness, treatment, and control in Chinese adults.
  • To analyze trends in blood pressure (BP)-related morbidity and mortality of CVD over time in China.

Main Methods:

  • Systematic review of existing studies and surveys on hypertension in China.
  • Analysis of epidemiological data to assess prevalence, awareness, treatment, and control rates.
  • Examination of geographic variations (north-south, urban-rural) in HTN metrics.

Main Results:

  • Hypertension prevalence in Chinese adults is high and increasing, estimated at 33.6% (335.8 million people) in 2010.
  • Awareness (33.4%) and treatment (23.9%) of HTN have improved, but control rates remain very low (3.9%) against a BP target of <140/90 mm Hg.
  • Significant geographic disparities in HTN prevalence, awareness, treatment, and control exist across China.

Conclusions:

  • Hypertension poses a substantial and growing threat to public health in China, with low control rates exacerbating CVD risks.
  • Effective strategies are needed to improve HTN management and reduce BP-related morbidity and mortality.
  • Developing and implementing practical, sustainable prevention and treatment strategies at national and local levels is crucial for China.
Abstract

Keywords:
Chinacardiovascular diseasecontrolhypertensionmortalityprevalencetreatment

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