2021-06-28-世界卫生组织-Hypertension_Cook_Islands_2020_country_profile_2页_373kb

Burden and Prevalence

Hypertension prevalence among adults in Cook Islands is 29.9% (2,600 out of approximately 8,700 adults), with a total population decrease noted in data from 2011 to 2013 estimates. Age-standardized trends show a decreasing prevalence of uncontrolled hypertension over time, from 2000 to 2025, with projections indicating ongoing improvement.

Control Rates

Among hypertensive adults, key cascade indicators include awareness (diagnosed), treatment, and control:

• Awareness rate is 29.9% (approximately 1,300 out of 4,350 hypertensive adults).
• Treatment rate is around 20.1% (approximately 900 treated).
• Control rate (blood pressure <140/90 mmHg) stands at 18.3% (around 400 controlled), with significant improvement needed.

Definitions

Clear operational definitions are provided for hypertension population, aware (diagnosed), under treatment, and controlled, based on blood pressure measurements, doctor confirmation, and medication use. Subcategories include age and sex breakdowns from the 2013 STEPS survey.

National Systems and Targets

• National systems: Cook Islands has policies "generally available" to reduce salt consumption and basic availability of essential hypertension medicines in primary care.
• National targets: Focus on reducing salt intake to <5g/day, but no specific hypertension prevalence or control targets are set.
• WHO recommendations emphasize addressing modifiable risks (e.g., salt reduction, physical inactivity), improving hypertension identification and treatment protocols, and monitoring control rates through global initiatives like HEARTS.

Trends and Projections

From 2000 to 2025, the prevalence of uncontrolled hypertension among adults aged 18+ has decreased. WHO global targets and regional strategies aim to accelerate reduction in hypertension-related risks and improve control rates by addressing population-level factors.