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. 2020 May 1;12(3):203-212.
doi: 10.1093/inthealth/ihaa002.

The effect of community hypertension management on blood pressure control and its determinants in southwest China

Xiaohua Liang  1 , Haiying Zhong  1 , Lun Xiao  2
Affiliations
Free PMC article

The effect of community hypertension management on blood pressure control and its determinants in southwest China

Xiaohua Liang et al. Int Health. .
Free PMC article

Abstract

Background: Hypertension is a leading cause of cardiovascular disease (CVD). The purpose of this study was to examine the effectiveness of community healthcare in controlling blood pressure (BP) and mitigating related risk factors after 5 y of follow-up.

Methods: Hierarchical clustering sampling was employed to choose a representative sample of 10 rural and 10 urban community populations (N=4235). The 5y prospective cohort study was completed by the medical group in the community clinical centre.

Results: The study included 4235 patients, median age 69 y (range 61-76), with hypertension in 2009; 2533 (59.81%) were female. The rate of BP control increased from 28.33% in 2009 to 64.05% in 2014. The BP control rate was higher in patients with CVD and kidney disease and lower in those with obesity than in those without. Comparing 2009 and 2014 values, the intervention resulted in median systolic BP and diastolic BP reductions of 7.0 mmHg and 6.5 mmHg, respectively. Age, medication treatment, antihypertensive agents, BP at baseline and follow-up, complications of diabetes, CVD, obesity and kidney disease, the aspartate aminotransferase:aminotransferase ratio and smoking were identified as risk factors for BP control.

Conclusions: Community management of hypertension by general practitioners achieved significant BP control over 5 y of intervention.

Keywords: blood pressure control; hypertension; prospective cohort study; risk factor.

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Figures

Figure 1
Figure 1
Flowchart of patients with hypertension included in this study.
Figure 2
Figure 2
Decrease in BP in subgroup analysis of those taking medication.
Figure 3
Figure 3
Decrease in BP in subgroup analysis of patients with overweight/obesity.
See this image and copyright information in PMC

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References

    1. James PA, Oparil S, Carter BL, et al.. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311(5):507–520. - PubMed
    1. Sarki AM, Nduka CU, Stranges S, et al.. Prevalence of hypertension in low- and middle-income countries: a systematic review and meta-analysis. Medicine (Baltimore). 2015;94(50):e1959. - PMC - PubMed
    1. Xi B, Liang Y, Reilly KH, et al.. Trends in prevalence, awareness, treatment, and control of hypertension among Chinese adults 1991–2009. Int J Cardiol. 2012;158(2):326–329. - PMC - PubMed
    1. Zaugg V, Korb-Savoldelli V, Durieux P, et al.. Providing physicians with feedback on medication adherence for people with chronic diseases taking long-term medication. Cochrane Database Syst Rev. 2018;1:CD012042. - PMC - PubMed
    1. Adler AJ, Martin N, Mariani J, et al.. Mobile phone text messaging to improve medication adherence in secondary prevention of cardiovascular disease. Cochrane Database Syst Rev. 2017;4:CD011851. - PMC - PubMed

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