关键词: 高血压；血压控制；影响因素分析；中国, 西部

Abstract: Objective　To explore the hypertension control status and influencing factors in representative areas of western China during the comprehensive reform of primary care system.Methods　The data were obtained from the Inhabitants' Family Health Survey，which was carried out by the National Health and Family Planning Commission of the People's Republic of China and Ministry of Finance of the People's Republic of China in 34 key representative areas across 17 provinces from 2014 to 2016 during the comprehensive reform of primary care system.2 269 hypertensive patients from 8 of these areas in western China（Chengbei District and Huangzhong County of Xining City，Hongshan District and Hexigten Banner of Chifeng City，Wuhou District and Xinjin County of Chengdu City，Wudang District and Kaiyang County of Guiyang City） were enrolled.Information regarding sociodemographic characteristics，availability and utilization of medical care，awareness of hypertension management，health behaviors and hypertension control status of the participants was analyzed.And the influencing factors of hypertension control were investigated by multiple Logistic regression analysis.Results　The overall hypertension control rate was 75.23%（1 707/2 269）．Urban areas owned a higher hypertension control rate than rural areas〔84.60%（961/1 136） vs 65.84%（746/1 133）〕（P<0.05）．The hypertension control rate was 60.72%（286/471），71.48%（579/810），93.58%（525/561），74.24%（317/427） for Xining City，Chifeng City，Chengdu City，and Guiyang City，respectively，with significant differences（P<0.05）．Multiple Logistic regression analysis showed that administrative city，urban-rural location，level of household income，awareness level of hypertension，lifestyle，status of hypertension management and medication use were the influencing factors of hypertension control（P<0.05）．Conclusion　The hypertension control in the representative areas of western China was satisfactory，which was associated with administrative city，urban-rural location，level of household income，awareness level of hypertension，lifestyle，status of hypertension management and medication use.It could be further improved by narrowing the income gap between urban and rural areas and between the administrative cities，targeted hypertension education，developing a healthy lifestyle with guidance and enhancing the medication adherence.

Key words: Hypertension；Blood pressure control；Root cause analysis；China, western