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目的了解中国海岛地区2000年后高血压的患病、知晓、治疗及控制情况。方法计算机检索Pub Med、EMbase、The Cochrane Library(2013年12期)、CNKI、Wan Fang Data和CBM,检索时限均从2000年1月~2013年12月,查找有关海岛地区高血压患病和治疗情况的横断面研究。由2位研究者根据纳入与排除标准独立筛选文献、提取资料后,采用Comprehensive Meta-Analysis软件的倒方差法合并估计中国海岛地区的高血压患病率、知晓率、治疗率和控制率。结果最终纳入9篇文献,共926 836例研究对象。Meta分析结果显示:中国海岛地区高血压患病率为32.0%[95%CI(18.8%,48.8%)],知晓率为47.4%[95%CI(29.7%,65.8%)],治疗率为38.0%[95%CI(23.1%,55.5%)],控制率为10.0%[95%CI(4.3%,21.7%)];无论以60岁还是以65岁为界,老年人的高血压患病率均高于中青年(P<0.05)。结论中国海岛地区高血压的患病率较高,约为32%,而知晓率、治疗率和控制率却不高,相关公共卫生策略应该更加重视该地区初级卫生保健的改善。
Objective To understand the prevalence, knowledge, treatment and control of hypertension in China’s island area after 2000. Methods PubMed, EMbase, The Cochrane Library (2013-12), CNKI, Wan Fang Data and CBM were retrieved by computer. The search time was from January 2000 to December 2013. The search was performed on the prevalence and treatment of hypertension in island area Cross-sectional study of the situation. Two investigators independently screened the literature based on the inclusion and exclusion criteria. After extracting the data, the variogram method of Comprehensive Meta-Analysis software was used to estimate the prevalence of hypertension, awareness rate, treatment rate and control rate in China’s island areas. The results eventually included 9 articles, a total of 926 836 subjects. Meta-analysis showed that the prevalence of hypertension was 32.0% (95% CI 18.8%, 48.8%) in China’s island area, and the awareness rate was 47.4% (95% CI 29.7%, 65.8%). The treatment rate was 38.0% [95% CI (23.1%, 55.5%]] with a rate of 10.0% [95% CI (4.3%, 21.7%)]; hypertension in the elderly, both at the age of 60 and 65 years The prevalence rate was higher than middle-aged (P <0.05). Conclusions The prevalence of hypertension is high in China’s island region, at about 32%. However, awareness rate, treatment rate and control rate are not high. Relevant public health strategies should pay more attention to the improvement of primary health care in the area.