Academic journal article Bulletin of the World Health Organization

Health System Strengthening and Hypertension Awareness, Treatment and Control: Data from the China Health and Retirement Longitudinal Study/Renforcement Du Systeme De Sante et Sensibilisation, Traitement et Controle De L'hypertension: Donnees De L'etude Longitudinale De la Sante et De la Retraite En Chine (CHARLS)

Academic journal article Bulletin of the World Health Organization

Health System Strengthening and Hypertension Awareness, Treatment and Control: Data from the China Health and Retirement Longitudinal Study/Renforcement Du Systeme De Sante et Sensibilisation, Traitement et Controle De L'hypertension: Donnees De L'etude Longitudinale De la Sante et De la Retraite En Chine (CHARLS)

Article excerpt

Objective To monitor hypertension prevalence, awareness, treatment and control in China two to three years after major reform of the health system.

Methods Data from a national survey conducted in 2011-2012 among Chinese people aged 45 years or older--which included detailed anthropometric measurements--were used to estimate the prevalence of hypertension and the percentages of hypertensive individuals who were unaware of, receiving no treatment for, and/or not controlling their hypertension well. Modified Poisson regressions were used to estimate relative risks (RRs).

Findings At the time of the survey, nearly 40% of Chinese people aged 45 years or older had a hypertensive disorder. Of the individuals with hypertension, more than 40% were unaware of their condition, about 50% were receiving no medication for it and about 80% were not controlling it well. Compared with the other hypertensive individuals, those who were members of insurance schemes that covered the costs of outpatient care were more likely to be aware of their hypertension (adjusted RR, aRR: 0.737; 95% confidence interval, CI: 0.619-0.878) to be receiving treatment for it (aRR: 0.795; 9,5% CI: 0.680-0.929) and to be controlling it effectively (aRR: 0.903; 95% CI: 0.817-0.996).

Conclusion In China many cases of hypertension are going undetected and untreated, even though the health system appears to deliver effective care to individuals who are aware of their hypertension. A reduction in the costs of outpatient care to patients would probably improve the management of hypertension in China.

Resume

Objectif Surveiller la prevalence, la sensibilisation, le traitement et le controle de l'hypertension en Chine deux a trois ans apres une reforme majeure du systeme de sante.

Methodes Les donnees d'une enquete nationale menee en 2011-2012 aupres de Chinois ages de 45 ans ou plus (qui comprenait des mesures anthropometriques detaillees) ont ete utilisees pour estimer la prevalence de l'hypertension et les pourcentages de patients souffrant d'hypertension, qui ne connaissaient pas, ne recevaient pas de traitement et/ou ne surveillaient Das correctement leur hypertension. Des modeles de Poisson modifies ont ete utilises pour estimer les risques relatifs (RR).

Resultats Au moment de l'enquete, pres de 40% des individus chinois ages de 45 ans ou plus presentaient un trouble de l'hypertension. Parmi les personnes souffrant d'hypertension, plus de 40% ignoraient leur maladie, environ 50% ne recevaient aucun medicament pour la traiter et environ 80% ne la surveillaient pas correctement. En comparaison avec les autres individus souffrant d'hypertension, ceux qui etaient affilies a des regimes d'assurance couvrant les couts des soins ambulatoires etaient plus susceptibles d'etre au courant de leur hypertension (RR ajuste, rra: 0,737; intervalle de confiance a 95%, IC: 0,619 a 0,878), a recevoir un traitement pour la traiter (rra: 0,795; IC a 95%: 0,680 a 0,929) et a la controler efficacement (rra: 0,903; IC a 95%: 0,817 a 0,996). Conclusion En Chine, de nombreux cas d'hypertension restent non detectes et non traites, meme si le systeme de sante semble offrir des soins efficaces aux personnes qui savent qu'elles souffrent d'hypertension. Une reduction des couts des soins ambulatoires prodigues aux patients pourrait probablement ameliorer la gestion de l'hypertension en Chine.

Resumen

Objetivo Inspeccionar la prevalencia, concienciacion, tratamiento y contrai de la hipertension en China dos o tres anos despues de la reforma principal del sistema sanitario.

Metodos Se emplearon los datas de una encuesta nacional realizada en 2011-2012 entre la poblacion china de 45 anos o mas, que incluyo mediciones antropometricas en detalle, para estimar la prevalencia de la hipertension y los porcentajes de individuos hipertensos que desconocian padecer esta condicion, no recibian tratamiento, y/o no controlaban la hipertension correctamente. …

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