Influence of community health management of hypertension on long-term trend of premature death caused by cardiovascular disease

ObjectivesTo analyze the influence of community-based hypertension health management on long-term premature death caused by cardiovascular disease (CVD), and provide etiological clues for in-depth clinical empirical studies and epidemiological investigations.

MethodsEcological trend study method was used to analyze the influence of community hypertension health management on premature CVD death in Yuhang district of Hangzhou, Zhejiang province from 2010 to 2019. The annual percentage change (APC) was used to evaluate the time trend of each statistical index, Spearman′s rank correlation coefficient was used to analyze the correlation.

ResultsThe crude CVD mortality rate in the population of Yuhang was 164.67/100 000–236.52/100 000 during 2010–2019, showing a decrease of 71.85 per 100 000 (APC=−3.229%, P=0.001); the premature mortality rate in age group 30–60 years was 33.06/100 000–79.69/100 000, showing a decrease of 40.01 per 100 000 (APC=−8.144%, P<0.001). Premature CVD death accounted for approximately 15.57% of total deaths and contributed 14.31% of the decline to total deaths. The adult community hypertension management rate in Yuhang increased from 21.02% in 2010 to 67.02% in 2019 (APC=11.233%, P<0.001). This upward trend was negatively associated with a downward trend of premature CVD death (r=−0.976, P<0.001).

ConclusionThe adult community hypertension management rate increased with year in Yuhang, which has a good protective effect against the occurrence of premature death from CVD and shows good social and economic benefits by reducing the burdens of family and society.