我国18岁及以上城市居民高血压知晓率现状

目的了解我国城市居民高血压知晓率现状,为防治高血压提供科学依据。方法利用2007—2008年卫生部中央补助地方慢病综合干预与控制项目,对我国13个省(市)项目点数据中高血压知晓率进行分析。结果在调查的40504名城市居民中,筛查出的高血压患者11430人,知道自己患有高血压者8244人,高血压知晓率为72.13%(标化知晓率为53.61%),其中男性为68.20%,女性为74.79%。18~44、45~59和60岁~年龄组高血压知晓率分别为44.85%,66.41%和79.83%;东、中、西部地区居民高血压知晓率分别为72.9%,72.44%和70.63%;文盲、半文盲、小学、初中、高中或中专、大专及以上文化程度高血压知晓率分别为68.99%,77.18%,73.61%,75.48%和72.90%;有高血压家族史的居民高血压知晓率为82.88%,无高血压家族史者为66.50%。结论与2002年相比,我国城市居民高血压知晓率虽有显著的提高,但仍偏低。应进一步提高人群高血压知晓率。

Awareness Status of Hypertension among Urban Adults in China

Objective To identify the current status of awareness of hypertension in the urban residents of China. Methods The study analyzed the first project sites＇ data of the Ministry of Heahh＇s Central subsidies for local authorities of Chronic Diseases comprehensive intervention project, which included 13 project sites during 2007-2008 years. Results There were 11 430 persons suffering from high blood pressure among 40 504 urban residents in the survey. 8 244 persons knew their own situation of hypertension, and the rates of awareness were 72.13% （age-adjusted rate was 53.61%） in the 13 cities, and in men and women were 68.20% and 74.79%, respectively. The age-specialized awareness rates of hypertension were 44.85%, 66.41% and 79.83% for groups aged 18-44, 45-59 and 60 yrs, respectively. The areas-specialized awareness rates of hypertension were 72.9%, 72.44% and 70.63% among eastern, central and western areas of China, respectively; The awareness rates of hypertension among different levels of literacy were 68.99%, 77.18% , 73.61%, 75.48% and 72.90% among illiterate and semi-illiterate, primary, junior＇ high, high school or secondary school, college and higher education level, respectively. The awareness of hypertension among adults with family history of hypertension was 82.88%, no family history of hypertension 66.50%. Conclusion The awareness rate of hypertension in urban areas of China has improved significantly. However, the overall level of awareness of hypertension also is needed to be improved. Therefore, efforts should be made to improve hypertension awareness, strengthening the primary prevention of hypertension among urban population.