Rates and impact factors of hypertension awareness, treatment, and control among adult community residents in Zhuhai city

  Objective  To investigate the statuses of hypertension awareness, treatment and control and their influencing factors among adult community residents in Zhuhai city and to provide evidences for hypertension prevention and control.

  Methods  Totally 3 150 residents ≥ 18 years were randomly selected from 7 administrative districts of Zhuhai municipality from March to June 2015. A questionnaire survey and physical examination were conducted among the participants.

  Results  Among the participants, 718 were identified as hypertensive and the overall prevalence rate of hypertension was23.56%. The rates of hypertension awareness, treatment and control for all the participants were 74.37%, 61.98% and 29.39%, respectively. Multivariate unconditional logistic regression analysis revealed that the participants aged ≥ 45 years, with a family monthly income of 3 000 – 4 999 RMB yuan per capita, participating in physical exercise, with normal weight, being overweight or obesity were more likely to have a high hypertension awareness, but those with the education of senior high school/technical secondary school education were more likely to have a low awareness hypertension (all P < 0.05); among the participants with hypertension, those aged ≥ 45 years, with a family monthly income of 1 000 – 1 999 or 3 000 – 4 999 RMB yuan per capita, and participating in physical exercise were more likely to have a high hypertension treatment rate and those having alcohol consumption and taking 200 grams of fruits per day were more likely to have a low hypertension treatment rate (all P < 0.05); whereas, the hypertensive participants having alcohol drinking were more likely to have a low hypertension control rate (P = 0.036).

  Conclusion  The prevalence rate of hypertension is relatively high and the hypertension awareness, treatment and control rates need to be improved among the adult community residents in Zhuhai city. The results suggest that health education on hypertension awareness and treatment should be promoted among adult residents of Zhuhai city.