Evaluate effects of the National Essential Public Health Service Program on hypertension control of Chinese community-dwelling people during the COVID-19 epidemic: a population-based multi-centre retrospective longitudinal study.

Publication date: Jul 16, 2025

The National Essential Public Health Service Program was launched in 2009 to improve hypertension control of Chinese adults in primary care settings. Current research evidence regarding effectiveness of the National Essential Public Health Service Program on hypertension control during the COVID-19 epidemic was limited. To fulfil the research gap, this study aimed to evaluate hypertension control of the National Essential Public Health Service Program during the COVID-19 epidemic. It was anticipated that our study findings could demonstrated whether the National Essential Public Health Service Program was effective on hypertension control during the COVID-19 epidemic, which could provide policy making guidance on whether strategies to improve hypertension control of the National Essential Public Health Service Program during epidemics were necessary. This study was designed as a retrospective longitudinal study. People registering with the NEPHSP as hypertensive patients and consistently accepted hypertension care services of the NEPHSP between January 1, 2019 to January 8, 2023 were included in this study. The participants were included from 1393 primary care settings in 14 districts. The study outcomes included clinical, lifestyle, and anti-hypertensive treatment indicators. The study data were extracted from the structural patient information recorded in the Residence Health Record System. Using Generalized Estimating Equations model, we evaluated the hypertension control of the National Essential Public Health Service Program during the COVID-19 epidemic. 411183 participants were included. Systolic blood pressure and diastolic blood pressure mean values increased by 1. 83 mm Hg (95% CI, 1. 78 to 1. 88, P 

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Concepts Keywords
Chinese Adult
Epidemiology Aged
Hypertensive Antihypertensive Agents
January Antihypertensive Agents
China
Community-dwelling
COVID-19
COVID-19
East Asian People
Female
Humans
Hypertension
Hypertension
Longitudinal Studies
Male
Middle Aged
National Health Programs
Primary care
Retrospective Studies

Semantics

Type Source Name
disease MESH hypertension
disease MESH COVID-19
disease MESH lifestyle
disease IDO blood
pathway REACTOME Reproduction
drug DRUGBANK Coenzyme M

Original Article

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