吉林省成年人高血压知晓率、治疗率和控制率现况调查分析

目的：了解吉林省成年人高血压知晓率、治疗率和控制率，为高血压的防治提供科学依据。方法：采用多阶段分层整群随机抽样的方法，于2012年7月在吉林省的9个市（州）共32个县(市、区)共抽取成年居民20 473人，进行问卷调查和体格检查，对样本进行复杂加权后，采用基于抽样设计的校正的Rao-Scott χ2检验比较不同人群高血压知晓率、治疗率和控制率。结果：吉林省成年人高血压知晓率、治疗率和控制率分别为44.1%、41.3%和7.9%；男性高血压知晓率、治疗率和控制率均显著低于女性（P<0.001）；高血压知晓率和治疗率在18～24岁人群中最低，分别为9.6%和9.5%；高学历人群高血压知晓率和治疗率均低于低学历人群（P<0.001）；有家族史者高血压知晓率、治疗率和控制率均显著高于无家族史者(P<0.001）；农村居民高血压知晓率和治疗率均高于城市居民(P<0.05)，农村和城市居民高血压控制率比较差异无统计学意义(P>0.05)。结论：2012年吉林省成年人高血压知晓率和控制率低于2004-2005年全国平均水平，但治疗率高于全国平均水平；年轻人和男性人群高血压知晓率低，提示吉林省应对青年男性加强高血压防治相关教育。

Investigation on rates of awareness,treatment and control of hypertension among adult residents in Jilin province

Objective To study the awareness,treatment andcontrol rates of hypertension in the adult residents in Jilin province,and toprovide scientific basis for prevention and control of hypertension.Methods A random cluster sampling survey was taken in 20 437 people from 9 cities and 32areas in Jilin province in 2012.A cross-sectional study with questionnaire interview and physical examination were carried out for every participant.After being weighted according to complex sampling scheme and post-stratification Rao-Scott test which basedon sampling design was used to compare the awareness,treatment and control ratesof hypertension between people with different demographic characteristics.Results After being weighted,the weighted rates of awareness,treatment and control of hypertension of the adult residents in Jilin province were 44.1%,41.3% and 7.9%,respectively. The weighted rates of awareness,treatment and control of hypertension in the male subjects were lower than those in the female subjects(P<0.001).The rates of awareness and treatment of hypertesion in people aged 18-24 years were 9.6% and 9.5%,respectively,which were the lowest.Thereweightedrates of awareness and treatment of hypertension in the people with high education level was lower than those in the people with low educationlevel (P<0.05).The weighted rates of awareness,treatment and control ofhypertension in the people with positive hypertension family history were higher than those in the people with negative hypertension family history(P<0.001).The weighted rates of awareness and treatment of hypertensionin rural areas werehigher than those in urban areas(P<0.05)，but there was nosignificant difference in the control rate between rural and urban areas(P>0.05).Conclusion The weighted rates of awareness and treatment of hypertension of the adult residents in Jilin province are lower than the average of country in 2004-2005,but the rateof control is higher than the average of country;because the rate of awareness of hypertension inyoung men is low,it is important to improve the prevention and control of hypertension education level among young men.