Ethnicity Disparities in the Prevalence, Awareness, Treatment, and Control Rates of Hypertension in China.

IF 1.9 4区医学 Q3 PERIPHERAL VASCULAR DISEASE

International Journal of Hypertension Pub Date : 2023-01-01 DOI:10.1155/2023/1432727

Yanan Yang, Kunlin He, Yuewen Zhang, Xiuming Wu, Weizhong Chen, Dongqing Gu, Ziqian Zeng

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引用次数: 1

Abstract

Objectives: Previous studies reported that there were disparities in hypertension management among different ethnic groups, and this study aimed to systematically determine the prevalence, awareness, treatment, and control rates of hypertension in multiple Chinese ethnic groups.

Methods: We searched Embase, PubMed, and Web of Science for articles up to 25 October, 2022. The pooled prevalence, awareness, treatment, and control rates of hypertension were estimated with 95% confidence intervals (CI). The heterogeneity of estimates among studies was assessed by the Cochran Q test and I ² statistic. Meta-regression analyses were conducted to identify the factors influencing the heterogeneity of the pooled prevalence, awareness, treatment, and control rate of hypertension.

Results: In total, 45 publications including 193,788 cases and 587,826 subjects were eligible for the analyses. The lowest prevalence was found in the Han group (27.0%), and the highest prevalence was in the Mongolian population (39.8%). The awareness rates ranged from 24.4% to 58.0% in the four ethnic groups. Both the highest treatment and control rates were found in the Mongolian population (50.6% and 16.0%, respectively), whereas the Yi group had the lowest control rate (8.0%). In addition, the study year, the mean age of subjects, mean body mass index of subjects, tobacco use (%), alcohol use (%), residence (urban%), and education (primary school%) had varied effects on heterogeneity.

Conclusions: These findings highlight the disparities in prevalence, awareness, treatment, and control rates of hypertension in a different ethnic population of China, which could provide suggestions for making targeted prevention measures.

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中国高血压患病率、认知、治疗和控制率的种族差异

目的:以往的研究报道了不同民族的高血压管理存在差异，本研究旨在系统地了解中国多民族高血压的患病率、知晓率、治疗率和控制率。方法:我们检索Embase、PubMed和Web of Science，检索截止到2022年10月25日的文章。以95%可信区间(CI)估计高血压的总患病率、知晓率、治疗率和控制率。通过Cochran Q检验和i2统计量评估研究间估计的异质性。进行meta回归分析以确定影响高血压合并患病率、认知度、治疗和控制率异质性的因素。结果:共纳入45篇文献，193,788例，587,826名受试者。汉族患病率最低(27.0%)，蒙古族患病率最高(39.8%)。四个民族的知晓率为24.4% ~ 58.0%。蒙古族人群的治愈率和控制率最高(分别为50.6%和16.0%)，彝族人群的控制率最低(8.0%)。此外，研究年份、受试者的平均年龄、受试者的平均体重指数、吸烟(%)、饮酒(%)、居住地(城市%)和受教育程度(小学%)对异质性有不同的影响。结论:这些发现突出了中国不同民族人群高血压患病率、知晓率、治疗率和控制率的差异，为制定有针对性的预防措施提供了建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Hypertension Medicine-Internal Medicine

CiteScore

4.00

自引率

5.30%

发文量

期刊介绍： International Journal of Hypertension is a peer-reviewed, Open Access journal that provides a forum for clinicians and basic scientists interested in blood pressure regulation and pathophysiology, as well as treatment and prevention of hypertension. The journal publishes original research articles, review articles, and clinical studies on the etiology and risk factors of hypertension, with a special focus on vascular biology, epidemiology, pediatric hypertension, and hypertensive nephropathy.