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Unique approaches to hypertension control in China
1Centre for Epidemiological Studies and Clinical Trials, Shanghai Key Laboratory of Hypertension, The Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Annals of Translational Medicine
|September 14, 2018
Summary
Hypertension prevalence in China increased significantly, with low awareness and control rates. New initiatives aim to boost hypertension management and control nationwide.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- The prevalence of hypertension in Chinese adults has risen substantially, from 18.8% in 2002 to 27.9% in 2012-2015.
- Despite improvements, hypertension management remains low, with awareness, treatment, and control rates at 46.9%, 40.7%, and 15.3%, respectively.
Purpose of the Study:
- To summarize the current status of hypertension in China and outline ongoing strategies to improve its management and control.
- To highlight the challenges of low awareness and control rates in treated hypertension.
Main Methods:
- Analysis of data from the China nationwide hypertension survey (2012-2015).
- Description of ongoing public health initiatives, including the May Measurement Month (MMM) Program and a nationwide web-based blood pressure measurement system.
- Outline of strategies to improve control in treated hypertension, such as ambulatory blood pressure monitoring and primary aldosteronism screening.
Main Results:
- Hypertension prevalence increased by approximately 50% between 2002 and 2012-2015.
- The control rate for treated hypertension remains low at 37.5%.
Conclusions:
- Significant efforts are underway to enhance hypertension control in China, aligning with the Healthy China 2030 Program.
- The goal is to increase the hypertension control rate to 50% or higher within 10 years by improving population awareness and treatment effectiveness.
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