Objective: To investigate the prevalence, awareness, treatment and control of hypertension in adult residents in Jiangsu province and provide evidence for the prevention and control of hypertension. Methods: A population-based cardiovascular disease screening project was conducted during 2015-2018 in Jiangsu, a total of 95 348 community-dwelling adults aged 35-75 years from 6 project areas were included in the study. The prevalence rate of hypertension and rates of awareness, treatment and control of hypertension in the adults with different characteristics were analyzed. Multilevel model was applied to identify the influencing factors. Results: Among 95 348 adults surveyed, 54 407 were hypertensive, the standardized prevalence rate was 48.1%. The prevalence rate was significantly higher in males than in females (62.1% vs. 54.0%, P<0.05). Among the hypertension patients, the rates of awareness, treatment and control of hypertension were 56.6%, 45.3% and 12.0% (standardized rates: 52.2%, 41.0% and 11.2%), respectively, and all the rates were positively associated with age (all P<0.05). Multilevel model analysis showed that those who were males, at older age, lived in rural area, suffered from diabetes, had frequent alcohol drinking and those who were overweight/obese had higher risk for hypertension (all P<0.05). Among people with hypertension, those who had younger age, lower education level, lower household income level and those who had frequent alcohol drinking had lower awareness, treatment and control rates of hypertension (all P<0.05). Conclusions: The prevalence rate of hypertension was high, but related awareness, treatment and control rates were low in adult residents in Jiangsu province. Comprehensive measures should be taken to improve awareness, treatment and control of hypertension in whole population, especially in young adults, and those with low education or income levels.
目的： 了解江苏省居民高血压患病率、知晓率、治疗率和控制率情况，为高血压防治提供科学依据。 方法： 2015－2018年在江苏省6个项目点开展以社区人群为基础的心血管病筛查项目，共95 348名35~75岁常住居民纳入本研究，分析不同特征人群高血压患病率、知晓率、治疗率及控制率情况，并采用多水平模型探讨其影响因素。 结果： 95 348名调查对象中有54 407例患高血压，标化患病率为48.1%，男性患病率显著高于女性（62.1% vs. 54.0%，P<0.05）。在高血压患者中，高血压知晓率、治疗率、控制率分别为56.6%、45.3%和12.0%（标化率分别为52.2%、41.0%和11.2%），且随着年龄的增加，高血压知晓率、治疗率和控制率均呈上升趋势（均P<0.05）。多水平模型结果显示，男性、年龄较高、农村、患糖尿病、饮酒、超重/肥胖的调查对象罹患高血压风险较高（均P<0.05）。年龄小、文化程度低、收入低、饮酒的高血压患者知晓率、治疗率和控制率较低（均P<0.05）。 结论： 江苏省居民高血压患病率较高，而知晓率、治疗率和控制率较低，应进一步采取综合措施提高人群的高血压知晓率、治疗率和控制率，且重点集中在低年龄、文化程度低，以及收入低的人群。.
Keywords: Awareness rate; Control rate; Hypertension; Multilevel model; Prevalence; Treatment rate.