Perception and self-management of hypertension in Chinese cardiologists (CCHS): a multicenter, large-scale cross-sectional study
Objectives To determine the frequency of risk factors for hypertension among Chinese cardiologists using a nation-wide survey.Design Multicenter, cross-sectional observational study.Setting 2441 hospitals across China were surveyed between September 2016 and August 2017.Participants All in-service c...
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BMJ Publishing Group
2019-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/9/e029249.full |
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| author | Yong Huo Junbo Ge Lei Hou Xuejuan Jin Jianying Ma Juying Qian |
| author_facet | Yong Huo Junbo Ge Lei Hou Xuejuan Jin Jianying Ma Juying Qian |
| author_sort | Yong Huo |
| collection | DOAJ |
| description | Objectives To determine the frequency of risk factors for hypertension among Chinese cardiologists using a nation-wide survey.Design Multicenter, cross-sectional observational study.Setting 2441 hospitals across China were surveyed between September 2016 and August 2017.Participants All in-service cardiologists were surveyed (n=28 924).Interventions WeChat-based electronic data capture system, a social application in China (Tencent, Nanshan, China), was used for data acquisition. Physician subscribed to the WeChat official account of the China Cardiologist Heart Study, and filled out an online questionnaire that included age, gender, level of in-service hospital, professional title, academic degree, area of expertise and cardiovascular risk factors. All information was required.Primary and secondary outcome measures The primary outcome was the presence of cardiovascular risk factors. The secondary outcome was the impact of the risk factors on the occurrence of hypertension.Results Among 28 924 Chinese cardiologists who completed the questionnaire, 57.6% had blood pressure of 130–139/80–89 mm Hg (5.3% were taking antihypertensive drugs) and 22.0% had blood pressure >140/>90 mm Hg (36.5% were taking antihypertensive drugs). The multivariable analysis showed that age, gender, academic degree, hospital level, body mass index (BMI), smoking and comorbidities were independently associated with hypertension among cardiologists (all p<0.05). Age, female gender, BMI, smoking, family history of cardiovascular diseases (CVDs) and comorbidities were independently associated with taking antihypertensive drugs among hypertensive cardiologists (all p<0.05). Age, hospital level, professional title, BMI, family history of CVDs and comorbidities were independently associated with reaching target blood pressure among hypertensive cardiologists taking antihypertensive drugs.Conclusion Chinese cardiologists do not recognise and pay attention to their own blood pressure. Their rate of antihypertensive treatment was low. The identified risk factors could be used to identify cardiologists at higher risk for hypertension and for implementing preventive interventions. |
| format | Article |
| id | doaj-art-e9c115517e4a45d0b0eacb66ae3d08d0 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-e9c115517e4a45d0b0eacb66ae3d08d02025-08-20T01:54:12ZengBMJ Publishing GroupBMJ Open2044-60552019-09-019910.1136/bmjopen-2019-029249Perception and self-management of hypertension in Chinese cardiologists (CCHS): a multicenter, large-scale cross-sectional studyYong Huo0Junbo Ge1Lei Hou2Xuejuan Jin3Jianying Ma4Juying Qian53 Department of Cardiology, Peking University First Hospital, Beijing, China22 Department of Cardiology, Zhongshan Hospital Fudan University, Shanghai, China2 Department of Cardiology, Tongren hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, China2 Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai, China1 Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai, China5Novo Nordisk, Copenhagen, DenmarkObjectives To determine the frequency of risk factors for hypertension among Chinese cardiologists using a nation-wide survey.Design Multicenter, cross-sectional observational study.Setting 2441 hospitals across China were surveyed between September 2016 and August 2017.Participants All in-service cardiologists were surveyed (n=28 924).Interventions WeChat-based electronic data capture system, a social application in China (Tencent, Nanshan, China), was used for data acquisition. Physician subscribed to the WeChat official account of the China Cardiologist Heart Study, and filled out an online questionnaire that included age, gender, level of in-service hospital, professional title, academic degree, area of expertise and cardiovascular risk factors. All information was required.Primary and secondary outcome measures The primary outcome was the presence of cardiovascular risk factors. The secondary outcome was the impact of the risk factors on the occurrence of hypertension.Results Among 28 924 Chinese cardiologists who completed the questionnaire, 57.6% had blood pressure of 130–139/80–89 mm Hg (5.3% were taking antihypertensive drugs) and 22.0% had blood pressure >140/>90 mm Hg (36.5% were taking antihypertensive drugs). The multivariable analysis showed that age, gender, academic degree, hospital level, body mass index (BMI), smoking and comorbidities were independently associated with hypertension among cardiologists (all p<0.05). Age, female gender, BMI, smoking, family history of cardiovascular diseases (CVDs) and comorbidities were independently associated with taking antihypertensive drugs among hypertensive cardiologists (all p<0.05). Age, hospital level, professional title, BMI, family history of CVDs and comorbidities were independently associated with reaching target blood pressure among hypertensive cardiologists taking antihypertensive drugs.Conclusion Chinese cardiologists do not recognise and pay attention to their own blood pressure. Their rate of antihypertensive treatment was low. The identified risk factors could be used to identify cardiologists at higher risk for hypertension and for implementing preventive interventions.https://bmjopen.bmj.com/content/9/9/e029249.full |
| spellingShingle | Yong Huo Junbo Ge Lei Hou Xuejuan Jin Jianying Ma Juying Qian Perception and self-management of hypertension in Chinese cardiologists (CCHS): a multicenter, large-scale cross-sectional study BMJ Open |
| title | Perception and self-management of hypertension in Chinese cardiologists (CCHS): a multicenter, large-scale cross-sectional study |
| title_full | Perception and self-management of hypertension in Chinese cardiologists (CCHS): a multicenter, large-scale cross-sectional study |
| title_fullStr | Perception and self-management of hypertension in Chinese cardiologists (CCHS): a multicenter, large-scale cross-sectional study |
| title_full_unstemmed | Perception and self-management of hypertension in Chinese cardiologists (CCHS): a multicenter, large-scale cross-sectional study |
| title_short | Perception and self-management of hypertension in Chinese cardiologists (CCHS): a multicenter, large-scale cross-sectional study |
| title_sort | perception and self management of hypertension in chinese cardiologists cchs a multicenter large scale cross sectional study |
| url | https://bmjopen.bmj.com/content/9/9/e029249.full |
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