Comparison of Two Diagnosis Standards for Evaluating Hypertension in 18 Years Old Students in Yunnan China

Yunjuan YANG; Yuanyi ZHA; Tunan LI

doi:10.12259/j.issn.2095-610X.S20230324

Volume 44 Issue 3

Mar. 2023

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2023 > 44(3): 44-48

Yunjuan YANG, Yuanyi ZHA, Tunan LI. Comparison of Two Diagnosis Standards for Evaluating Hypertension in 18 Years Old Students in Yunnan China[J]. Journal of Kunming Medical University, 2023, 44(3): 44-48. doi: 10.12259/j.issn.2095-610X.S20230324

Citation:

Yunjuan YANG, Yuanyi ZHA, Tunan LI. Comparison of Two Diagnosis Standards for Evaluating Hypertension in 18 Years Old Students in Yunnan China[J]. Journal of Kunming Medical University, 2023, 44(3): 44-48. doi: 10.12259/j.issn.2095-610X.S20230324

Citation:

PDF( 588 KB)

Comparison of Two Diagnosis Standards for Evaluating Hypertension in 18 Years Old Students in Yunnan China

doi: 10.12259/j.issn.2095-610X.S20230324

Yunjuan YANG^{1, 2, 3, 4},
Yuanyi ZHA⁵,
Tunan LI³

1.
Xi’an Jiaotong University，Shanxi Xi’an 710061
2.
School Health Department，Yunnan Centers for Disease Control and Prevention，Kunming Yunnan 650022
3.
School of Publc Health，Kunming University of Medical，Kunming Yunnan 650500
4.
School of Publc Health，Dali University，Dali Yunnan 671003
5.
Graduate School，Kunming University of Medical， Kunming Yunnan 650500，China

Received Date: 2022-11-28
Available Online: 2023-03-02
Publish Date: 2023-03-25

Abstract

Abstract

Objective By taking the “Guidelines for the Prevention and Treatment of Hypertension in China” （2022 revised edition） as the gold standard, and “Clinical Practice Guidelines for Hypertension in China” （November 2022 edition） as the test standard, to compare and analyze the epidemic trend and distribution characteristics of hypertension in 18-year-old students in Yunnan Province, and evaluate the scientifically and rationality of the new guidelines for diagnosing hypertension in 18-year-old students in Yunnan Province were explored, so as to improve the scientific basis for formulating the criteria for determining abnormal blood pressure in students in the future. Methods The survey of blood pressure among 18-year-old students investigated in 16 prefectures （cities）, 32 counties （districts） and 61 schools in Yunnan in 2021 were used Kappa for comparative analysis. A total of 3175 people were surveyed in this study. Results The diagnostic assessment of the new guideline is ≥130 mmHg/80 mmHg, which is lower than the gold standard （≥140 mmHg/90 mmHg）. To diagnose with the gold standard, t he prevalence of hypertension among 18-year-old students in Yunnan was 2.93%. The diagnostic criteria of the New Guidelines were 16.13%. The diagnostic value of the new guideline with hypertension was significantly lower than the gold standard, resulting in the prevalence level being significantly higher than the gold standard （χ² = 498.31, P < 0.01）. The Kappa value was 0.27 （P < 0.01）, which indicated weak consistency with diagnosing in the New Guidelines. The authenticity evaluation was as follows: sensitivity 100%, specificity 86.40%, misdiagnosis rate 13.60%, Jordon index 0.86, positive likelihood ratio 7.35. The reliability evaluation: the compliance rate was 86.80%. Conclusions The diagnostic criteria of the New Guidelines have been lowered. Taking into account the threshold of hypertension prevention and treatment, it is moved forward. However, evidence to downgrade diagnostic criteria may not be sufficient and caution is advised.
- Students,
- Adolescent,
- Hypertension,
- Diagnosis standard,
- Evaluation index

FullText(HTML)

References(20)

References

[1]	WHO. Indicators for improving quality and coverage of services[M]. Geneva: WHO Press, 2021: 3.
[2]	Anchala Raghupathy,Kannuri Nanda K,Pant Hira,et al. Hypertension in India: a systematic review and meta-analysis of prevalence,awareness,and control of hypertension[J]. Journal of Hypertension,2014,32(6):1170-1177. doi: 10.1097/HJH.0000000000000146
[3]	Ojji D B,Baldridge A S,Orji I A,et al. Characteristics,treatment,and control of hypertension in public primary healthcare centers in Nigeria: baseline results from the Hypertension Treatment in Nigeria Program[J]. Journal of Hypertension,2022,40(5):888-896.
[4]	Veghari Gholamreza,Sedaghat Mehdi,Maghsodlo Siavash,et al. Impact of literacy on the prevalence,awareness,treatment and control of hypertension in Iran[J]. Journal of Cardiovascular and Thoracic Research,2012,4(2):37-40.
[5]	Van M H,Lan V N,Huy T V,et al. Asian management of hypertension: Current status,home blood pressure,and specific concerns in Vietnam[J]. Journal of Clinical Hypertension,2020,22(3):497-500.
[6]	田朝霞,李红梅. 2016年山西省汾阳市城区6岁~12岁儿童高血压现状分析[J]. 全科护理,2017,15(18):2274-2276. doi: 10.3969/j.issn.1674-4748.2017.18.040
[7]	温伟文,尹学亮,谭文泽,等. 顺德区乐从镇儿童高血压调查及相关因素分析[J]. 河南大学学报(医学版),2016,35(4):279-282.
[8]	马苏娟,梁小华,杨亭,等. 重庆市丰都县学龄儿童高血压发生与营养的关系[J]. 中国当代儿科杂志,2016,18(7):639-644.
[9]	张肖笑,熊丰,朱岷,等. 重庆市6~18岁儿童高血压现状分析[J]. 重庆医学,2016,45(14):1951-1953. doi: 10.3969/j.issn.1671-8348.2016.14.025
[10]	欧阳林静,黄谷志,罗德劲. 佛山市儿童高血压发病率及影响因素的研究[J]. 江西医药,2015,50(9):856-858. doi: 10.3969/j.issn.1006-2238.2015.09.004
[11]	徐海泉,胡小琪,刘爱玲,等. 我国6城市小学生高血压患病现状[J]. 中国学校卫生,2012,33(12):1409-1411. doi: 10.16835/j.cnki.1000-9817.2012.12.003
[12]	刘晓丽,陆强,马春明,等. 秦皇岛市7~12岁学龄儿童高血压现状及危险因素分析[J]. 中华高血压杂志,2012,20(8):729-732. doi: 10.16439/j.cnki.1673-7245.2012.08.035
[13]	杨巧玲,晏晓颖,安康,等. 北京市海淀区9-14岁儿童营养过剩和血压偏高关系分析[J]. 中国学校卫生,2010,31(10):1273-1274.
[14]	邓晓娟,晏晓颖,徐亮,等. 广州市中学生血压偏高状况及其相关因素分析[J]. 中国学校卫生,2010,31(7):816-817. doi: 10.16835/j.cnki.1000-9817.2010.07.022
[15]	陈昭,沈维高,张小刚,等. 吉林市中小学生血压分布现状分析[J]. 华北大学学报,2002,3(1):34-37.
[16]	Yang Yunjuan,Min Jieqing,Chang Litao,et al. Prevalence trends of hypertension among 9-17 aged children and adolescents in Yunnan,2017-2019: A serial cross-sectional surveillance survey[J]. BMC Public Health,2021,21(1):338. doi: 10.1186/s12889-021-10258-1
[17]	国家心血管病中心,中国医师协会,中国医师协会高血压专业委员会,等. 中国高血压临床实践指南[J]. 中华心血管病杂志,2022,50(11):1050-1095.
[18]	卫生部疾病控制局, 高血压联盟（中国）, 国家心血管病中心. 国家基本公共卫生服务项目国家基层高血压防治管理指南（2020版）[M]. 北京: 北京联合出版社, 2020: 21.
[19]	陶芳标编. 儿童少年卫生学[M]. 第8版. 北京: 人民卫生出版社, 2017: 188.
[20]	季成叶主编. 现代儿童少年卫生学 [M]. 第2版. 北京: 人民卫生出版社, 2010: 798-802.

Relative Articles(20)

Relative Articles

[1]	Haoran XING, Xi ZHANG, Yingying ZHANG, Tianhao BAO. Advancements in the Clinical Use of Antidepressants for Adolescent Depression. Journal of Kunming Medical University, 2024, 45(7): 168-176. doi: 10.12259/j.issn.2095-610X.S20240725
[2]	Feifei DENG, Wei WANG, Qiuan LU, Na LIU, Zhen XU, Honglv XU. Analysis of Correlation between Blood Biochemical Indexes and Blood Pressure Level among College Students in Kunming City. Journal of Kunming Medical University, 2024, 46(): 1-7.
[3]	Deng'ai DUAN, Yonghui ZHANG, Wei WANG, Xinju LIAO, Zhixiong ZHANG. Effect of Childhood Abuse on Non-suicidal Self-injury in Adolescents with First-episode Depression. Journal of Kunming Medical University, 2023, 44(3): 120-124. doi: 10.12259/j.issn.2095-610X.S20230304
[4]	Xiangjing SONG, Shaojie YANG, Kejian WANG, Yuzhi LAN, Cai KONG, Tao WANG, Changcui WU. Growth and Development of Adolescent Girls of Lahu Ethnic Group in Lancang County of Yunnan Province. Journal of Kunming Medical University, 2023, 44(6): 33-39. doi: 10.12259/j.issn.2095-610X.S20230619
[5]	Liu LI, Yaru WANG, Di ZHANG, Qincong CHEN, Ming WANG, Shuo WANG. Application of Gene Detection for Individualized Medication for Hypertension in Patients with Grade 3 Hypertension. Journal of Kunming Medical University, 2022, 43(4): 112-117. doi: 10.12259/j.issn.2095-610X.S20220430
[6]	Jing CHEN, Hongli FANG, Yangqiong LIU, Yangjuan BAI, Li DENG. Building Nursing Quality Evaluation Index System for Health Management Center. Journal of Kunming Medical University, 2022, 43(4): 170-174. doi: 10.12259/j.issn.2095-610X.S20220429
[7]	Yunjuan YANG, Tao MA, Yuanyi ZHA, Litao CHANG, Hong LIU, Fan YANG, Limei DAI, Fang LI. Epidemic Trends and Characteristics of Hypertension among Primary and Secondary Students from 2017 to 2020 in Kunming，Yunnan. Journal of Kunming Medical University, 2022, 43(11): 17-21. doi: 10.12259/j.issn.2095-610X.S20221104
[8]	Xin-tian LONG, Jie CHEN, Yong MAO, Xiu-qing WANG, Shuang-yan LU, Hui-jie PU, Jia ZHOU, Cheng-huan SUN, Song-mei WANG, Ai-fang YE. Detection Rate and Determinants of Hypertension among Seniors in Anning City. Journal of Kunming Medical University, 2021, 42(12): 11-16. doi: 10.12259/j.issn.2095-610X.S20211210
[9]	Xiu-qing WANG, Xin-tian LONG, Yong MAO, Jie CHEN, Jia ZHOU, Tian-shu CHU, Song-mei WANG, Cheng-huan SUN, Chun-mi LAI, Qian ZHANG. Prevalence and Determinants of Hypertension in Senior Nu Ethnic Group. Journal of Kunming Medical University, 2021, 42(9): 40-45. doi: 10.12259/j.issn.2095-610X.S20210922
[10]	Lian-ju HE, Chun-mei ZUO, Lan LIU, Wen-long CUI, Jin-bo LI, Yi MO, Lu-ming FAN, Le CAI. Analysis of Trend in Prevalence of Hypertension and Its Relationship with Different Obesity Indices among Rural Adults in Fumin County of Yunnan Province. Journal of Kunming Medical University, 2021, 42(10): 38-44. doi: 10.12259/j.issn.2095-610X.S20211008
[11]	Jiao Feng , Yan Rui , Dong Zhe , Pu Juan , Han Fang . . Journal of Kunming Medical University, 2019, 40(12): 54-60.
[12]	Li Zun Hua , Wu Hong Xiang , Qiu Liang Wu , Li Jun . . Journal of Kunming Medical University, 2019, 40(11): 39-43.
[13]	Tan Xiang Lai . . Journal of Kunming Medical University,
[14]	Zhao Jiang . . Journal of Kunming Medical University,
[15]	Pang Xing Mei . . Journal of Kunming Medical University,
[16]	Yang Zheng . . Journal of Kunming Medical University,
[17]	Fu Zhong Yang . . Journal of Kunming Medical University,
[18]	Li Chong Yang . Analysis of Related Factors of Treatment and Prognosis of Osteosarcoma in Adolescence. Journal of Kunming Medical University,
[19]	Li Cong Mei . . Journal of Kunming Medical University,
[20]	Wang Heng Chang . Risky Behavior Analysis Among Adolescents in a Certain District of a Certain City. Journal of Kunming Medical University,