A13918 Prevalence, Treatment and Awareness Of Hypertension: A Nationwide Community-based Survey In Taiwan, 2017

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Abstract

Objectives:

Hypertension is well known as a major health issue worldwide, posing substantial cardiovascular risks upon those affected. The factors associated with awareness and treatment of hypertension must be addressed to guide further interventions.

Methods:

We started a nationwide survey in association with local pharmacies in Taiwan in 2017. Each participant was inquired of their body habitus, comorbidities, medication and habits of blood pressure (BP) measurement. We then recorded their blood pressure on site for 3 times. Hypertension was defined as mean blood pressure ≥ 140/90 mmHg or currently taking anti-hypertensive medication.

Results:

A total of 55,837 participants were recruited in this survey. The average age was 56.9 ± 16.0 years old. There was equal gender distribution. The prevalence of hypertension was 37.3% after age standardization. (67.1% of age above 60) 14.1% of all hypertensives were untreated. There was an overall 68.3% treat-to-target rate. (58.8% overall control rate) 56.7% of all hypertensives measured their BP less than once every week. Prevalence of hypertension was associated with older age (age ≥ 60 years old), male, overweight (BMI ≥ 27 kg/m2), CV comorbidities and smoking. Untreated hypertension was related to younger age (age < 60 years old), male, central obesity (male abdominal girth ≥ 90 cm, female ≥ 80 cm), smoking and those without CV comorbidities.

Conclusion:

Prevalence of hypertension in Taiwan in 2017 was similar to previous observations. Treatment and control rates were high, which may be related to the vicinity of medical resources. BP measurement was rather unsatisfactory, especially in those with younger age, central obesity and without prior CV morbidities. The widespread adoption of blood pressure measurements may help to further eliminate the burden of hypertension.

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