title: Useful information for hypertension management reform in community health care: prevalence, awareness, treatment and control among Guangzhou adults.
abstract: BACKGROUND
  Objective data on hypertension prevalence and management in local areas are scarce. We assessed the prevalence of hypertension and its management in Guangzhou adult population.
  
  
  METHODS
  A stratified multistage cluster sampling with probability proportional to size method was used in this survey. Information on a total of 23 939 respondents, aged 15 years old or above, having a gender ratio of 0.997 (male versus female) with completed questionnaire and blood pressure measurement, was obtained. Hypertension was defined as having a mean SBP of at least 140 mm Hg, a DBP of at least 90 mm Hg, and/or the prescription of antihypertensive drugs. Information related to the history of hypertension and treatment of hypertension was collected through a questionnaire.
  
  
  RESULTS
  The prevalence of hypertension was 11.8%. Among patients with hypertension, 54.4% were aware of their elevated BP, 49.3% had treatment, and 23.3% achieved targeted BP control. Among those who were aware of their hypertension, 90.4% underwent treatment, and among those who were treated, 43.6% were well controlled. Although the prevalence, awareness and treatment of hypertension varied significantly among adults with several social economics status, the control of hypertension did not show significant differences. Among treated patients, the control of hypertension showed significant differences among adults with education, occupation, insurance and income.
  
  
  CONCLUSIONS
  It is the first time for Guangzhou to describe epidemic and management of hypertension. A baseline was established, which could provide useful information not only to policymakers but also to developing countries with a close urbanization and aging rate similar to Guangzhou.
authors.affiliation: Department of Primary Public Health, Guangzhou Center for Disease Control and Prevention , Guangdong , China .
authors.forename: Xueji
authors.initials: X
authors.lastname: Wu
authors.forename: Bingying
authors.initials: B
authors.lastname: Pan
authors.forename: Xiongfei
authors.initials: X
authors.lastname: Chen
authors.forename: Xiaoxia
authors.initials: X
authors.lastname: Zhuang
authors.forename: Kaixing
authors.initials: K
authors.lastname: Zhu
authors.forename: Lizhong
authors.initials: L
authors.lastname: Zeng
authors.forename: Liping
authors.initials: L
authors.lastname: Dai
authors.forename: Xiaomei
authors.initials: X
authors.lastname: Dong
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001364:Awareness; D001794:Blood Pressure; D002681:China / Q000453:epidemiology; D016000:Cluster Analysis; D003153:Community Health Services / Q000458:organization & administration*; D003430:Cross-Sectional Studies; D019468:Disease Management; D005260:Female; D005500:Follow-Up Studies; D018166:Health Care Reform; D006306:Health Surveys / Q000379:methods*; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011379:Prognosis; D012189:Retrospective Studies; D017678:Sex Distribution; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D000959:Antihypertensive Agents
keywords: Awareness; control; hypertension; prevalence; socioeconomic status; treatment