The abstract is read at the publisher; the summary is JClub's.
A coordinated community- and family-based intervention in rural China reduced systolic blood pressure distribution at 6 months, with an adjusted between-group SBP change of -10.7 mm Hg.
- Why it matters: Most hypertension prevention targets people with established disease, leaving uncertainty about whether population-level SBP distributions can be shifted through coordinated community and family support.
- What they did: In a cluster-randomized trial of 80 village clusters (8,001 adults aged 40–80), villages were assigned 1:1 to a multifaceted intervention or usual care, with office SBP measured at baseline, 6, and 12 months.
- The result: At 6 months, mean SBP fell by 6.0 mm Hg in the intervention group versus a 5.1 mm Hg increase in control, and BP <130/80 was reached by 46.2% vs 23.6% (adjusted OR: 5.3); effects attenuated by 12 months.
The findingWhy it mattersWhat they didThe result
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