[Prevalence, awareness, treatment and control of hypertension in elderly residents in Hebei province].

Objective: To understand the prevalence, awareness, treatment and control of hypertension in elderly residents in Hebei province. Methods: Elderly residents aged ≥60 were selected though multistage clustering sampling during August to December, 2015. Design based methods were adopted to analyze the prevalence, awareness, treatment and control of hypertension in local residents of Hebei. Results: A total of 2 501 elderly adults were included in the study. The overall prevalence rate of hypertension was 63.7% (58.3% in males, 69.0% in females), the awareness rate of hypertension was 42.4% (35.7% in males, 48.0% in females), the treatment rate was 38.2% (32.0% in males, 43.3% in females), and the control rate was 9.0% (8.1% in males, 9.7% in females). The results of multivariate analysis indicated that age, sex, degree of education, BMI and central obesity were the factors influencing the prevalence, awareness, treatment and control of hypertension in elderly population in Hebei. Conclusions: The prevalence of hypertension was high, but the rates of awareness, treatment and control of hypertension were low in elderly residents in Hebei. The influences of overweight, obesity and central obesity on hypertension were significant in the elderly. It is necessary to standard the management of hypertension and reduce the risk factors for hypertension in elderly population to improve the control of hypertension.目的： 了解河北省老年人群高血压患病率、知晓率、治疗率、控制率现况。 方法： 2015年8－12月，采用多阶段分层整群随机抽样的方法抽取年龄≥60岁常住人口为样本，分析河北省不同特征人群高血压患病率、知晓率、治疗率、控制率现况。 结果： 共有2 501人纳入分析。河北省老年人群高血压患病率为63.7%（男性：58.3%，女性：69.0%），高血压知晓率为42.4%（男性：35.7%，女性：48.0%），治疗率为38.2%（男性：32.0%，女性：43.3%），控制率为9.0%（男性：8.1%，女性：9.7%）。多因素分析结果显示，年龄、性别、文化程度、BMI和中心性肥胖对老年人群高血压患病率、知晓率、治疗率、控制率均有影响（P<0.001）。 结论： 河北省老年人群高血压患病率较高，知晓率、治疗率、控制率较低。超重、肥胖、中心性肥胖与老年人群高血压关系显著。应规范老年人群健康管理，对高血压各危险因素进行综合防控，提高控制率。.