Major inducing factors of hypertensive complications and the interventions required to reduce their prevalence: an epidemiological study of hypertension in a rural population in China

BMC Public Health

Research Article

Ling Zhao¹  Jianming Xiao¹  Min Zhang¹  Yongli Yang¹  Yong Meng²  Fang Li³  Yancai Liu⁴  Caiqin Dong⁴ 

[1] Department of Cardiology, First Affiliated Hospital of Kunming Medical University, 650032, Kunming, Yunnan, P.R. China;Department of Cardiology, Second Affiliated Hospital of Kunming Medical University, 650101, Kunming, Yunnan, P.R. China;Emergency Department, Second Affiliated Hospital of Kunming Medical University, 650101, Kunming, Yunnan, P.R. China;First Hospital of Binchuan County, 671600, Yunnan, P.R. China;

关键词: hypertension;    complications;    Chinese rural areas;    the New Rural Cooperative Medical Scheme;   

DOI  :  10.1186/1471-2458-11-301

 received in 2010-10-07, accepted in 2011-05-11,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundThe complications of hypertension cause severe health problems in rural areas in China. We (i) screened the major factors inducing hypertensive complications and provided intervention measures; and (ii) verified the efficacy of the New Rural Cooperative Medical Scheme (NRCMS; a medical insurance scheme for rural residents) for hypertension management.MethodsA survey was conducted in the villages of Yunnan (an underdeveloped province in southwest China). The NRCMS was initiated there in 2005. Data were collected through questionnaires, physical examination, electrocardiography, as well as blood and urine tests. To detect factors inducing hypertension complications, a generalized estimating equations model was developed. Multivariable logistic regression was used to analyze influencing factors for hypertension control.ResultsPoor management of hypertension was observed in women. Being female, old, poorly educated, a smoker, ignorant of the dangerousness of hypertension, and having uncontrolled hypertension made patients more prone to hypertension complications. Combination therapy with ≥2 drugs helped control hypertension, but most rural patients disliked multidrug therapy because they considered it to be expensive and inconvenient. The NRCMS contributed little to reduce the prevalence of complications and improve control of hypertension.ConclusionsThe present study suggested that the NRCMS needs to be reformed to concentrate on early intervention in hypertension and to concentrate on women. To increase hypertension control in rural areas in China, compound products containing effective and inexpensive drugs (and not multidrug therapy) are needed.

【 授权许可】

CC BY   
© Zhang et al; licensee BioMed Central Ltd. 2011