目的了解湖北省成人高血压患病率及患者对高血压的知晓与控制状况,为高血压防治工作提供参考依据。方法于2013年8月—2014年6月,在湖北省10个国家监测点采用多阶段分层整群随机抽样方法,共调查≥18岁常住居民6 000人。对样本进行复杂加权后,分析不同年龄、性别及城乡成人高血压患病、知晓、治疗及控制情况。结果有效调查湖北省5 941名≥18岁常住居民,其中高血压患病率为27.7%,城镇(26.1%)与乡村(30.2%),男性(29.4%)与女性(25.9%)高血压患病率差异均无统计学意义(P>0.05);患病率随着年龄的增高而增加(P<0.01),随着文化程度以及年收入的升高而降低(P<0.01);高血压知晓率、治疗率以及控制率分别为47.2%、37.6%和11.7%;年收入越高其知晓率、治疗率及控制率越高;治疗人群中,31.2%(95%CI=23.7%~38.6%)的人群血压得到有效控制,城镇居民(36.2%)高血压有效控制率高于乡村居民(21.4%)。结论湖北省成人高血压呈现“一高三低”的特征,即患病率高、知晓率低、血压控制率低、治疗率低;建议进一步采取措施来提高人群的高血压知晓率及控制率,且重点集中在乡村地区、低收入、以及低文化人群。 Objective To understand the prevalence of hypertension and the knowledge and control of hypertension in adults in Hubei Province and provide a reference for the prevention and treatment of hypertension. Methods From August 2013 to June 2014, a multistage stratified cluster random sampling method was used in 10 national monitoring sites in Hubei Province to survey 6,000 permanent residents ≥18 years of age. After the samples were complicated weighted, the prevalence, knowledge, treatment and control of hypertension in different age, sex and urban and rural areas were analyzed. Results A total of 5 941 residents aged ≥ 18 years were surveyed in Hubei Province. Among them, the prevalence of hypertension was 27.7% in urban areas (26.1%) and rural areas (30.2%), male (29.4%) and female (25.9% (P <0.01). The prevalence rate increased with age (P <0.01), but decreased with the educational level and annual income (P <0.01). The prevalence of hypertension The awareness rate, treatment rate and control rate were 47.2%, 37.6% and 11.7% respectively. The higher the annual income was, the higher the awareness rate, treatment rate and control rate were. In the treatment group, 31.2% (95% CI = 23.7% ~ 38.6% %) Of population blood pressure is effectively controlled, urban residents (36.2%) effective control rate of hypertension higher than that of rural residents (21.4%). Conclusion The characteristics of adult hypertension in Hubei Province are “one high, three low”, that is, the high prevalence, low awareness, low blood pressure control and low treatment rate; it is recommended to take further measures to raise the awareness and control of hypertension in the population Rate, with a focus on rural areas, low-income and low-cultural populations.