ArticleBMC public health2016
Hypertension unawareness among Chinese patients with first-ever stroke.
Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 14 citations in OpenAlex.
- Factors associated with stroke among patients with hypertension in Eastern Ethiopia: a case-control study.BMC neurology · 2026Article
- Awareness of Hypertension, Hypercholesterolemia, and Diabetes Mellitus and Associated Characteristics in Russian Adults.International journal of hypertension · 2024Article
- Prevalence of subclinical retinal ischemia in patients with cardiovascular disease - a hypothesis driven study.EClinicalMedicine · 2021Article
- Tele-ECG consulting and outcomes on primary care patients in a low-to-middle income population: the first experience from Makassar telemedicine program, Indonesia.BMC family practice · 2020Article
- Circulating choline is associated with coronary artery stenosis in patients with hypertension: A cross-sectional study of Chinese adults.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- May Measurement Month 2018: an analysis of blood pressure screening results from Malaysia.European heart journal supplements : journal of the European Society of Cardiology · 2020Article
- Effects of physical therapy on mental function in patients with stroke.The Journal of international medical research · 2020Article
- Prevalence and correlates of chronic diseases in an elderly population: A community-based survey in Haikou.PloS one · 2018Article
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Authors and funding
18 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe low rates of hypertension treatment and control, partly due to its unawareness, are the main causes of the high stroke incidence in China. The purpose of this study was to evaluate hypertension unawareness amongst patients with first-ever stroke and to detect factors associated with its unawareness.
methodsWe selected those diagnosed with hypertension from patients with first-ever stroke registered in the Nanjing Stroke Registry Program between 2004 and 2014. These hypertensives were divided as being aware or unaware of their hypertension by using a brief questionnaire conducted shortly after the stroke. Multivariate logistic regression analysis was performed to identify potential factors associated with hypertension unawareness.
resultsOf the 5309 patients with first-ever stroke, 3732 (70.3%) were diagnosed with hypertension. Among which, 593 (15.9%) were unaware of their hypertension at the time of stroke onset. Lower-level of education (primary school or illiteracy) and smoking were associated positively with hypertension unawareness; while advanced age, overweight, diabetes mellitus, heart diseases and family history of stroke were associated negatively with hypertension unawareness. Annual data analyzed indicated that the rate of hypertension awareness increased during the past 11 years (r = 0.613, P = 0.045 for trends).
conclusionsA substantial proportion (15.9%) of Chinese patients with hypertension had not been aware of this covert risk until an overt stroke occurred. Hypertension unawareness was associated with lower educational levels and smoking, which address the importance of health education especially in these individuals.
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