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Prevalence of Hypertension in Rural Areas of China: A Meta-Analysis of Published Studies

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  • Xiaofang Chen
  • Lezhi Li
  • Tao Zhou
  • Zhanzhan Li

Abstract

Background: Hypertension is one of the leading causes of disease burden across the world. In China, the latest nationwide survey of prevalence of hypertension was ten year ago, and data in rural areas is little known. More information about hypertension prevalence could help to improve overall antihypertensive health care. We aimed to estimate the pooled prevalence of hypertension in rural areas of China. Methods: Comprehensive electronic searches of PubMed, Web of Knowledge, Chinese Web of Knowledge, Wangfang, Weipu and SinoMed databases were conducted to identify any study in each database published from January 1, 2004 to December 31, 2013, reporting the prevalence of hypertension in Chinese rural areas. Prevalence estimates were stratified by age, area, sex, publication year, and sample size. All statistical calculations were made using the Stata Version 11.0 (College Station, Texas) and Statsdirect Version 2.7.9. Results: We identified 124 studies with a total population of 3,735,534 in the present meta-analysis. Among people aged 18 years old in Chinese rural areas, the summarized prevalence is 22.81% (19.41%–26.41%). Subgroup analysis shows the following results: for male 24.46% (21.19%–27.89%, for female 22.17% (18.25%–26.35%). For 2004–2006: 18.94% (14.41%–23.94%), for 2007–2009, 21.24% (15.98%–27.01%) for 2010–2013: 26.68%, (20.79%–33.02%). For Northern region 25.76% (22.36%–29.32%), for Southern region 19.30%, (15.48%–24.08%). Conclusions: The last decade witnessed the growth in prevalence of hypertension in rural areas of China compared with the fourth national investigation, which has climbed the same level as the urban area. Guidelines for screening and treatment of hypertension in rural areas need to be given enough attention.

Suggested Citation

  • Xiaofang Chen & Lezhi Li & Tao Zhou & Zhanzhan Li, 2014. "Prevalence of Hypertension in Rural Areas of China: A Meta-Analysis of Published Studies," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-16, December.
    • Handle: RePEc:plo:pone00:0115462
    DOI: 10.1371/journal.pone.0115462
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    References listed on IDEAS

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    1. Yu-Quan Ma & Wen-Hua Mei & Ping Yin & Xiao-Hui Yang & Sana Kiani Rastegar & Jian-Dong Yan, 2013. "Prevalence of Hypertension in Chinese Cities: A Meta-Analysis of Published Studies," PLOS ONE, Public Library of Science, vol. 8(3), pages 1-7, March.
    2. Alan D. Lopez & Colin D. Mathers & Majid Ezzati & Dean T. Jamison & Christopher J. L. Murray, 2006. "Global Burden of Disease and Risk Factors," World Bank Publications - Books, The World Bank Group, number 7039.
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    1. Yintao Chen & Shasha Yu & Shuang Chen & Xiaofan Guo & Yuan Li & Zhao Li & Yingxian Sun, 2016. "The Current Situation of Hypertension among Rural Minimal Assurance Family Participants in Liaoning (China): A Cross-Sectional Study," IJERPH, MDPI, vol. 13(12), pages 1-11, December.
    2. Jing Xu & Fan Yang & Lei Si & Dongfu Qian, 2022. "Do Integrated Health Care Interventions Improve Well-Being Among Older Adults with Hypertension? Evidence from Rural China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 160(2), pages 825-843, April.

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