Prevalence trends of hypertension among 9–17 aged children and adolescents in Yunnan, 2017–2019: a serial cross-sectional surveillance survey

Abstract Background We aim to describe the prevalence and trends of hypertension among 9–17 school-aged students from 2017 to 2019 in Yunnan, China. Methods We conducted a cross-sectional study by using data from the Students’ Health Surveillance Surveys of 2017, 2018 and 2019 in Yunnan. The Student...

Full description

Bibliographic Details
Main Authors: Yunjuan Yang, Jieqing Min, Litao Chang, Jiajia Chai, Zhizhong Song, Shun Zha, Min Zhang, Hong Liu, Fan Yang
Format: Article
Language:English
Published: BMC 2021-02-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-021-10258-1
id doaj-bdb38db9226c426faa1de5410dd727aa
record_format Article
spelling doaj-bdb38db9226c426faa1de5410dd727aa2021-02-14T12:04:18ZengBMCBMC Public Health1471-24582021-02-012111910.1186/s12889-021-10258-1Prevalence trends of hypertension among 9–17 aged children and adolescents in Yunnan, 2017–2019: a serial cross-sectional surveillance surveyYunjuan Yang0Jieqing Min1Litao Chang2Jiajia Chai3Zhizhong Song4Shun Zha5Min Zhang6Hong Liu7Fan Yang8Department of School Health, Yunnan Provincial Center for Disease Control and PreventionKunming Children’s HospitalDepartment of School Health, Yunnan Provincial Center for Disease Control and PreventionInternational Cooperation Office, City College, Kunming University of Science and TechnologyDepartment of School Health, Yunnan Provincial Center for Disease Control and PreventionDepartment of School Health, Yunnan Provincial Center for Disease Control and PreventionDepartment of Public Health, Pu’er Center for Disease Control and PreventionDepartment of School Health, Yunnan Provincial Center for Disease Control and PreventionDepartment of School Health, Yunnan Provincial Center for Disease Control and PreventionAbstract Background We aim to describe the prevalence and trends of hypertension among 9–17 school-aged students from 2017 to 2019 in Yunnan, China. Methods We conducted a cross-sectional study by using data from the Students’ Health Surveillance Surveys of 2017, 2018 and 2019 in Yunnan. The Students’ Health Surveillance Surveys in Yunnan collected date on physical fitness and health status of students in Yunnan through multistage-stratified sampling in 3 prefectures. In each prefecture, the study population were classified by gender and region (urban or rural), and each group had an equal size. Diagnosing criteria of hypertension was set with reference to Chinese age-specific and height-specific blood pressure (BP), to identify the abnormal status of boys and girls separately. ANOVA test was adopted to measure the differences in the mean BP stratified by gender, age, prefecture and area, and Chi-square test was used to compare the percentages of hypertension in different areas. For comparability, the age-standard and gender-standard population prevalence was calculated by directly using China Census in 2010 as a standard population. Totally 24,890 participants aged 9–17 years were included in this study. Results From 2017 to 2019, there were 24,872 students completed physical examinations and included in the analysis, of which 3288 were diagnosed with hypertension. The total prevalence of hypertension was 13.72, 12.49 and 13.45% among 9–17 years school-aged population in Yunnan, respectively. The total age-standardized hypertension prevalence trended to decrease from 13.82 to 13.48%. For urban population, the age-standardized hypertension prevalence decreased slightly from 11.24 to 10.13%. While, for rural population, it increased from 17.58 to 19.16%. The average annual growth rate in rural population was 0.53%. Conclusions From 2017to 2019, there was a significant and continuous increase in the prevalence of hypertension in 9–17 years school-aged population in Yunnan. Hypertension is epidemic among children and adolescents in Yunnan. We should take effective and comprehensive intervention measures to reduce its prevalence among school-aged children.https://doi.org/10.1186/s12889-021-10258-1HypertensionChildrenAdolescentEpidemic trendPrevalenceCross sectional survey
collection DOAJ
language English
format Article
sources DOAJ
author Yunjuan Yang
Jieqing Min
Litao Chang
Jiajia Chai
Zhizhong Song
Shun Zha
Min Zhang
Hong Liu
Fan Yang
spellingShingle Yunjuan Yang
Jieqing Min
Litao Chang
Jiajia Chai
Zhizhong Song
Shun Zha
Min Zhang
Hong Liu
Fan Yang
Prevalence trends of hypertension among 9–17 aged children and adolescents in Yunnan, 2017–2019: a serial cross-sectional surveillance survey
BMC Public Health
Hypertension
Children
Adolescent
Epidemic trend
Prevalence
Cross sectional survey
author_facet Yunjuan Yang
Jieqing Min
Litao Chang
Jiajia Chai
Zhizhong Song
Shun Zha
Min Zhang
Hong Liu
Fan Yang
author_sort Yunjuan Yang
title Prevalence trends of hypertension among 9–17 aged children and adolescents in Yunnan, 2017–2019: a serial cross-sectional surveillance survey
title_short Prevalence trends of hypertension among 9–17 aged children and adolescents in Yunnan, 2017–2019: a serial cross-sectional surveillance survey
title_full Prevalence trends of hypertension among 9–17 aged children and adolescents in Yunnan, 2017–2019: a serial cross-sectional surveillance survey
title_fullStr Prevalence trends of hypertension among 9–17 aged children and adolescents in Yunnan, 2017–2019: a serial cross-sectional surveillance survey
title_full_unstemmed Prevalence trends of hypertension among 9–17 aged children and adolescents in Yunnan, 2017–2019: a serial cross-sectional surveillance survey
title_sort prevalence trends of hypertension among 9–17 aged children and adolescents in yunnan, 2017–2019: a serial cross-sectional surveillance survey
publisher BMC
series BMC Public Health
issn 1471-2458
publishDate 2021-02-01
description Abstract Background We aim to describe the prevalence and trends of hypertension among 9–17 school-aged students from 2017 to 2019 in Yunnan, China. Methods We conducted a cross-sectional study by using data from the Students’ Health Surveillance Surveys of 2017, 2018 and 2019 in Yunnan. The Students’ Health Surveillance Surveys in Yunnan collected date on physical fitness and health status of students in Yunnan through multistage-stratified sampling in 3 prefectures. In each prefecture, the study population were classified by gender and region (urban or rural), and each group had an equal size. Diagnosing criteria of hypertension was set with reference to Chinese age-specific and height-specific blood pressure (BP), to identify the abnormal status of boys and girls separately. ANOVA test was adopted to measure the differences in the mean BP stratified by gender, age, prefecture and area, and Chi-square test was used to compare the percentages of hypertension in different areas. For comparability, the age-standard and gender-standard population prevalence was calculated by directly using China Census in 2010 as a standard population. Totally 24,890 participants aged 9–17 years were included in this study. Results From 2017 to 2019, there were 24,872 students completed physical examinations and included in the analysis, of which 3288 were diagnosed with hypertension. The total prevalence of hypertension was 13.72, 12.49 and 13.45% among 9–17 years school-aged population in Yunnan, respectively. The total age-standardized hypertension prevalence trended to decrease from 13.82 to 13.48%. For urban population, the age-standardized hypertension prevalence decreased slightly from 11.24 to 10.13%. While, for rural population, it increased from 17.58 to 19.16%. The average annual growth rate in rural population was 0.53%. Conclusions From 2017to 2019, there was a significant and continuous increase in the prevalence of hypertension in 9–17 years school-aged population in Yunnan. Hypertension is epidemic among children and adolescents in Yunnan. We should take effective and comprehensive intervention measures to reduce its prevalence among school-aged children.
topic Hypertension
Children
Adolescent
Epidemic trend
Prevalence
Cross sectional survey
url https://doi.org/10.1186/s12889-021-10258-1
work_keys_str_mv AT yunjuanyang prevalencetrendsofhypertensionamong917agedchildrenandadolescentsinyunnan20172019aserialcrosssectionalsurveillancesurvey
AT jieqingmin prevalencetrendsofhypertensionamong917agedchildrenandadolescentsinyunnan20172019aserialcrosssectionalsurveillancesurvey
AT litaochang prevalencetrendsofhypertensionamong917agedchildrenandadolescentsinyunnan20172019aserialcrosssectionalsurveillancesurvey
AT jiajiachai prevalencetrendsofhypertensionamong917agedchildrenandadolescentsinyunnan20172019aserialcrosssectionalsurveillancesurvey
AT zhizhongsong prevalencetrendsofhypertensionamong917agedchildrenandadolescentsinyunnan20172019aserialcrosssectionalsurveillancesurvey
AT shunzha prevalencetrendsofhypertensionamong917agedchildrenandadolescentsinyunnan20172019aserialcrosssectionalsurveillancesurvey
AT minzhang prevalencetrendsofhypertensionamong917agedchildrenandadolescentsinyunnan20172019aserialcrosssectionalsurveillancesurvey
AT hongliu prevalencetrendsofhypertensionamong917agedchildrenandadolescentsinyunnan20172019aserialcrosssectionalsurveillancesurvey
AT fanyang prevalencetrendsofhypertensionamong917agedchildrenandadolescentsinyunnan20172019aserialcrosssectionalsurveillancesurvey
_version_ 1724271147770445824