Prevalence, Awareness, Treatment, and Control of Hypertension in Rural and Urban Communities in High-, Middle-, and Low-Income Countries

摘要: Importance Hypertension is the most important preventable cause of morbidity and mortality globally, yet there are relatively few data collected using standardized methods. Objective To examine hypertension prevalence, awareness, treatment, control in participants at baseline Prospective Urban Rural Epidemiology (PURE) study. Design, Setting, Participants A cross-sectional study 153 996 adults (complete for this analysis on 142 042) aged 35 to 70 years, recruited between January 2003 December 2009. were from 628 communities 3 high-income countries (HIC), 10 upper–middle-income low–middle-income (UMIC LMIC), 4 low-income (LIC). Main Outcomes Measures was defined as individuals with self-reported treated or an average 2 blood pressure measurements least 140/90 mm Hg automated digital device. Awareness based self-reports, treatment regular use pressure–lowering medications, lower than Hg. Results Among 142 042 participants, 57 840 (40.8%; 95% CI, 40.5%-41.0%) had 26 877 (46.5%; 46.1%-46.9%) aware diagnosis. Of those who diagnosis, majority (23 510 [87.5%; 87.1%-87.9%] aware) receiving pharmacological treatments, but only a minority controlled (7634 [32.5%; 31.9%-33.1%]). Overall, 30.8%, 30.2%-31.4% patients taking more types medications. The percentages (49.0% [95% 47.8%-50.3%] HICs, 52.5% 51.8%-53.2%] UMICs, 43.6% 42.9%-44.2%] LMICs, 40.8% 39.9%-41.8%] LICs) (46.7% 45.5%-47.9%] 48.3%, 47.6%-49.1%] 36.9%, 36.3%-37.6%] 31.7% 30.8%-32.6%] LICs compared all other awareness (P Conclusions Relevance multinational population, 46.5% among 32.5% being treated. These findings suggest substantial room improvement diagnosis treatment.