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International Journal of Hypertension
Volume 2017, Article ID 6402085, 8 pages
Research Article

Prevalence, Awareness, Treatment, and Control of Hypertension among Chinese First-Generation Migrants and Italians in Prato, Italy: The CHIP Study

1Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
2Diabetology Unit, Ospedale Misericordia e Dolce, Prato, Italy
3Associazione Culturale Cinese di Fujian in Italia, Prato, Italy
4Department of Epidemiology, Capital Medical University Beijing Anzhen Hospital and National Institute of Heart, Lung & Blood Disease, Beijing, China

Correspondence should be addressed to Pietro A. Modesti; ti.ifinu@itsedom.ap

Received 29 November 2016; Revised 11 March 2017; Accepted 19 March 2017; Published 13 April 2017

Academic Editor: Tomohiro Katsuya

Copyright © 2017 Pietro A. Modesti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Data on health needs of Chinese living in the South of Europe are lacking. To compare prevalence, awareness, treatment, control, and risk factors for hypertension between Chinese migrants and Italian adults, a sample of 1200 first-generation Chinese migrants and 291 native Italians aged 35–59 years living in Prato (Italy) was recruited in a community-based participatory cross-sectional survey. Primary outcome measure was hypertension, diagnosed for blood pressure values ≥ 140/90 mmHg or current use of antihypertensive medications. Associations with exposures (including age, gender, body mass index, waist, education level, total cholesterol, and triglycerides) were examined using logistic regression. When compared with Italians, Chinese had higher hypertension prevalence (27.2% versus 21.3%, ), with comparable levels of awareness (57.4% and 48.4%) but lower treatment rates (70.6% and 90.0%, resp.). In both ethnic groups age and parental history of hypertension were predictors of awareness and treatment, body mass index being predictor of hypertension diagnosis. In Chinese participants, where the optimum cut-off point for body mass index was ≥23.9 kg/m2, the sensibility and specificity prediction for hypertension were 61.7% and 59.8%, respectively (area under the ROC curve = 0.629). Implementation of specific, culturally adapted health programs for the Chinese community is now needed.