{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T14:09:48Z","timestamp":1760710188845,"version":"3.40.5"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,4,9]],"date-time":"2020-04-09T00:00:00Z","timestamp":1586390400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["grants 81170245 and 91639203"],"award-info":[{"award-number":["grants 81170245 and 91639203"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003399","name":"Science and Technology Commission of Shanghai Municipality","doi-asserted-by":"publisher","award":["grant 19DZ2340200"],"award-info":[{"award-number":["grant 19DZ2340200"]}],"id":[{"id":"10.13039\/501100003399","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We investigated the prevalence, awareness, treatment, and control of hypertension in a large opportunistic screening study in China. Our study participants had to be \u226518\u00a0years of age and had ideally not taken blood pressure (BP) for \u22651\u00a0year. BP was measured three times consecutively in the sitting position with a 1\u2010minute interval, using a validated electronic BP monitor or mercury sphygmomanometer. Trained volunteer investigators administered a questionnaire to collect information on medical history, lifestyle, and use of medications. The 364\u00a0000 participants (52.6% women, and mean age 53.4\u00a0years) had a mean systolic\/diastolic BP of 124.2\/76.4\u00a0mm\u00a0Hg. The proportion of hypertension was 24.7%. In all hypertensive subjects (n\u00a0=\u00a089\u00a0925), the awareness, treatment, and control rates of hypertension were 60.1%, 42.5%, and 25.4%, respectively. In multiple stepwise logistic regression analyses, the odds for unawareness vs awareness of hypertension was higher in men and lower with age advancing, current smoking, and the presence of diabetes mellitus, coronary heart disease, and stroke or transient ischemic attack (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.0001). The odds for uncontrolled vs controlled hypertension was higher with age advancing and current smoking, and lower with the presence of diabetes mellitus and coronary heart disease (<jats:italic>P<\/jats:italic>\u00a0\u2264\u00a0.03) in 38\u00a0207 treated hypertensive patients, and it was also higher with the use of antihypertensive monotherapy (odds ratio 1.13, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.0003) in 19\u00a0523 treated hypertensive patients with specific antihypertensive drugs. Our study identified several factors as barriers to BP control in China, such as male gender, younger age, current smoking, and the under\u2010use of combination therapy.<\/jats:p>","DOI":"10.1111\/jch.13850","type":"journal-article","created":{"date-parts":[[2020,4,9]],"date-time":"2020-04-09T17:26:52Z","timestamp":1586453212000},"page":"835-841","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Barriers to blood pressure control in China in a large opportunistic screening"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7970-6991","authenticated-orcid":false,"given":"Xin","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Hypertension Ruijin Hospital North Shanghai Jiaotong University School of Medicine Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shao\u2010Kun","family":"Xu","sequence":"additional","affiliation":[{"name":"The Shanghai Institute of Hypertension Shanghai Key Lab of Hypertension Ruijin Hospital Shanghai Jiaotong University School of Medicine Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qian\u2010Hui","family":"Guo","sequence":"additional","affiliation":[{"name":"The Shanghai Institute of Hypertension Shanghai Key Lab of Hypertension Ruijin Hospital Shanghai Jiaotong University School of Medicine Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhe","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Hypertension Ruijin Hospital North Shanghai Jiaotong University School of Medicine Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hong\u2010Yu","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiology Second Hospital of Shanxi Medical University Taiyuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Hypertension Lanzhou University Second Hospital Lanzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei\u2010Hua","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiology The First Affiliated Hospital of Xiamen University Xiamen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guo\u2010Bao","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Cardiology The First Affiliated Hospital of Xiamen University Xiamen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hai\u2010Feng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiology The First Affiliated Hospital of Nanjing Medical University Nanjing 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