Temporal trends and relevant factors of hypertension in China: a cross-sectional study based on national surveys from 2002 to 2019.

IF 1.8 4区医学

Blood Pressure Pub Date : 2025-12-01 Epub Date: 2025-03-17 DOI:10.1080/08037051.2025.2468172

Xiaoling Zhang, Jinhui Wu

{"title":"Temporal trends and relevant factors of hypertension in China: a cross-sectional study based on national surveys from 2002 to 2019.","authors":"Xiaoling Zhang, Jinhui Wu","doi":"10.1080/08037051.2025.2468172","DOIUrl":null,"url":null,"abstract":"Purpose: This study examined temporal trends in hypertension prevalence across China (2002-2019), analyzing age-, sex-, and region-specific disparities and identifying key risk factors.Materials and methods: A retrospective analysis was conducted using data from the China Chronic Disease and Risk Factor Surveillance (CCDRFS) program, involving 120,000 adults aged ≥18 years. Descriptive statistics were used to calculate prevalence rates, and multivariable logistic regression analyzed associations with age, sex, BMI, smoking, alcohol consumption, and physical inactivity.Results: Hypertension prevalence increased significantly from 18.9% (2002) to 29.6% (2019) (P<0.001). The sharpest rise occurred among adults aged 18-44 years, tripling from 5.3% to 12.8%. By 2019, prevalence was higher in men (34.2%) than women (25.4%), with the western regions showing the highest rates (32.9%). Key risk factors included aging (OR=1.72), elevated BMI (OR=1.85), smoking (OR=1.32), alcohol use (OR=1.28), and physical inactivity (OR=1.18) (P<0.05 for all).Conclusions: Hypertension prevalence in China has surged over two decades, disproportionately affecting younger adults and men. Regional disparities and modifiable lifestyle factors underscore the urgency for tailored prevention strategies targeting high-risk populations. Future research should explore mechanisms driving these trends and optimize integrated interventions to curb this public health burden.","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2468172"},"PeriodicalIF":1.8000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Blood Pressure","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/08037051.2025.2468172","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/17 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: This study examined temporal trends in hypertension prevalence across China (2002-2019), analyzing age-, sex-, and region-specific disparities and identifying key risk factors.

Materials and methods: A retrospective analysis was conducted using data from the China Chronic Disease and Risk Factor Surveillance (CCDRFS) program, involving 120,000 adults aged ≥18 years. Descriptive statistics were used to calculate prevalence rates, and multivariable logistic regression analyzed associations with age, sex, BMI, smoking, alcohol consumption, and physical inactivity.

Results: Hypertension prevalence increased significantly from 18.9% (2002) to 29.6% (2019) (P<0.001). The sharpest rise occurred among adults aged 18-44 years, tripling from 5.3% to 12.8%. By 2019, prevalence was higher in men (34.2%) than women (25.4%), with the western regions showing the highest rates (32.9%). Key risk factors included aging (OR=1.72), elevated BMI (OR=1.85), smoking (OR=1.32), alcohol use (OR=1.28), and physical inactivity (OR=1.18) (P<0.05 for all).

Conclusions: Hypertension prevalence in China has surged over two decades, disproportionately affecting younger adults and men. Regional disparities and modifiable lifestyle factors underscore the urgency for tailored prevention strategies targeting high-risk populations. Future research should explore mechanisms driving these trends and optimize integrated interventions to curb this public health burden.

查看原文本刊更多论文

中国高血压的时间趋势及相关因素：基于2002 - 2019年全国调查的截面研究

目的：本研究旨在调查2002 - 2019年中国高血压患病率的时间趋势，重点分析年龄、性别和地区差异，并确定与高血压相关的关键因素。材料和方法：使用中国慢性病和危险因素监测（CCDRFS）项目的数据进行回顾性分析，涉及120,000名18岁及以上的成年人。使用描述性统计计算患病率，并进行多变量logistic回归以确定显著相关因素，包括年龄、性别、体重指数（BMI）、吸烟、饮酒和体育活动。结果：中国高血压患病率由2002年的18.9%上升至2019年的29.6% （P < 0.001）。最显著的增长发生在18-44岁的人群中，患病率从5.3%增加到12.8%，增加了两倍。截至2019年，男性高血压患病率（34.2%）高于女性（25.4%）。地区差异显著，西部地区患病率最高（32.9%）。Logistic回归发现年龄、BMI、吸烟、饮酒和缺乏运动是高血压的重要相关因素。结论：在过去的二十年中，中国的高血压患病率大幅上升，尤其是在年轻人中。这些发现强调需要有针对性的预防战略，以解决可改变的风险因素并适应区域差异。需要进一步研究以探索其潜在机制并制定综合预防和治疗策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Blood Pressure Medicine-Cardiology and Cardiovascular Medicine

CiteScore

3.20

自引率

5.60%

发文量

期刊介绍： For outstanding coverage of the latest advances in hypertension research, turn to Blood Pressure, a primary source for authoritative and timely information on all aspects of hypertension research and management. Features include: • Physiology and pathophysiology of blood pressure regulation • Primary and secondary hypertension • Cerebrovascular and cardiovascular complications of hypertension • Detection, treatment and follow-up of hypertension • Non pharmacological and pharmacological management • Large outcome trials in hypertension.