A Trend Analysis of the Prevalence, Awareness,Treatment, and Control of Hypertension by Age Group
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Objectives: We examined the trends in prevalence, awareness, treatment, and control of hypertension in Korea as a basis for improving hypertension control programs. Methods: 12 598 participants of the Korean National Health and Nutrition Examination Survey were included in this study. Weighted linear regression to test time trends from 2007 to 2011 was performed. Results: The prevalence of hypertension was 20.7% in 2007, 29.4% in 2009, and 26.2% in 2011. Awareness of hypertension was 64.8% in 2007 and 61.1% in 2011. Awareness in those aged 65 and over was greater than in younger groups (age 19 to 44 and 45 to 64; p<0.001). The treatment rates were 58.4% in 2007 and 56.8% in 2011. The treatment rate was greater for those 65 and over than for younger age groups (p<0.001). The percentage of controlled hypertension was 37.6% in 2011. The percentage of controlled hypertension in those 65 and over was higher than in younger age groups (p<0.001). The treatment-control rates were 65.9% in 2007 and 67.7% in 2011. The prevalence of hypertension was higher in the males (p<0.001), while the awareness (p<0.001), treatment (p<0.001), and control (p<0.001) rates were higher in the females. Conclusions: The prevalence of hypertension was increasing and the hypertension awareness, treatment, and control rates were low in younger age groups and males.
Abstract
Objectives: We examined the trends in prevalence, awareness, treatment, and control of hypertension in Korea as a basis for improving hypertension control programs. Methods: 12 598 participants of the Korean National Health and Nutrition Examination Survey were included in this study. Weighted linear regression to test time trends from 2007 to 2011 was performed. Results: The prevalence of hypertension was 20.7% in 2007, 29.4% in 2009, and 26.2% in 2011. Awareness of hypertension was 64.8% in 2007 and 61.1% in 2011. Awareness in those aged 65 and over was greater than in younger groups (age 19 to 44 and 45 to 64; p<0.001). The treatment rates were 58.4% in 2007 and 56.8% in 2011. The treatment rate was greater for those 65 and over than for younger age groups (p<0.001). The percentage of controlled hypertension was 37.6% in 2011. The percentage of controlled hypertension in those 65 and over was higher than in younger age groups (p<0.001). The treatment-control rates were 65.9% in 2007 and 67.7% in 2011. The prevalence of hypertension was higher in the males (p<0.001), while the awareness (p<0.001), treatment (p<0.001), and control (p<0.001) rates were higher in the females. Conclusions: The prevalence of hypertension was increasing and the hypertension awareness, treatment, and control rates were low in younger age groups and males.
참고문헌 (21)
- World Health Organization, "The global burden of disease", World Health Organization, 25~26 (2008)
- Chung HG, "2009 National health insurance statistical yearbook", pp.351~598 (2010), National Health Insurance Corporation
- Vasan RS, "Impact of high-normal blood pressure on the risk of cardiovascular disease", N Engl J Med, 345(18), pp.1291~1297 (2001)
- Khosla N, "The kidney, hypertension, and remaining challenges", Med Clin North Am, 93(3), pp.697~715 (2009)
- Wong ND, "Preventing heart disease by controlling hypertension: impact of hypertensive subtype, stage, age, and sex", Am Heart J, 145(5), pp.888~895 (2003)
- "Mortality statistics" (2011)[URL]
- Innovate care for chronic conditions: building blocks for action global report, "Epping-Jordan J", World Health Organization, 12~13 (2002)
- Alleyne G, "Embedding non-communicable diseases in the post-2015 development agenda", Lancet, 381(9866), pp.566~574 (2013)
- "NCD global monitoring framework"[URL]
- The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, "Chobanian AV", National Institutes of Health; National Heart, Lung, and Blood Institute, 9~10 (2004)
- Wolf-Maier K, "Hypertension treatment and control in five European countries, Canada, and the United States", Hypertension, 43(1), pp.10~17 (2004)
- Rashid P, "Blood pressure reduction and secondary prevention of stroke and other vascular events: a systematic review", Stroke, 34(11), pp.2741~2748 (2003)
- Fortmann SP, "Effect of long-term community health education on blood pressure and hypertension control. The Stanford Five-City Project", Am J Epidemiol, 132(4), pp.629~646 (1990)
- Kotchen JM, "Impact of a rural high blood pressure control program on hypertension control and cardiovascular disease mortality", JAMA, 255(16), pp.2177~2182 (1986)
- Iso H, "Effects of a long-term hypertension control program on stroke incidence and prevalence in a rural community in northeastern Japan", Stroke, 29(8), pp.1510~1518 (1998)
- Egan BM, "US trends in prevalence, awareness, treatment, and control of hypertension, 1988-2008", JAMA, 303(20), pp.2043~2050 (2010)
- Guo F, "Trends in prevalence, awareness, management, and control of hypertension among United States adults, 1999 to 2010", J Am Coll Cardiol, 60(7), pp.599~606 (2012)
- Lee WY, "Prevalence of the metabolic syndrome among 40,698 Korean metropolitan subjects", Diabetes Res Clin Pract, 65(2), pp.143~149 (2004)
- Ha YC, "The prevalence, awareness, treatment, and control of hypertension, and related factors in rural Korea", Korean J Prev Med, 33(4), pp.513~520 (2000)
- Gu D, "The International Collaborative Study of Cardiovascular Disease in ASIA. Prevalence, awareness, treatment, and control of hypertension in china", Hypertension, 40(6), pp.920~927 (2002)
- Calhoun DA, "Resistant hypertension: diagnosis, evaluation, and treatment. A scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research", Hypertension, 51(6), pp.1403~1419 (2008)