Objective To identify the social determinants of awareness of suffering from hypertension and blood pressure control among the elderly in Beijing. Methods Probability Proportional Sampling(PPS)method was used to select the residents aged 60 and above in Beijing form july to August in 2013,and 1 800 cases from 64 neighborhood and village committees of 8 districts and counties were interviewed with a self - designed questionnaire by household survey. Logistic regression model was used to analyze the influence of the type of registered permanent residence,income,education level,occupation and medical insurance type on awareness of suffering from hypertension and blood pressure control. The same method was used to analyze those mentioned factorsˊ effect on blood pressure control of hypertension patients. Results 1 717 qualified questionnaires were obtained eventually with an efficient rate of 95. 4%. 873(50. 8% )cases reported they had confirmed hypertension while 161 (9. 4% )cases had high blood pressure with no medical diagnosis. Among patients with confirmed hypertension,hypertension of 401(45. 9% )cases was not well controlled. Median income and having no medical insurance were factors that influenced patientsˊ awareness of illness(P < 0. 05). The type of registered permanent residence,income,education level and medical insurance type were factors that influenced blood pressure control effect( P < 0. 05). After adjustment for age and gender, peasant was another influencing factor for blood pressure control effect as well as those mentioned above ( P < 0. 05 ). Conclusion The elderly in Beijing do not have good awareness of suffering from hypertension and their blood pressure control are not satisfying,social determinants of which include income,the type of registered permanent residence,education level, medical insurance type and occupation.%目的：探讨北京地区老年人高血压患病知晓情况及血压控制情况的社会决定因素。方法2013年7—8月，采用概率比例规模抽样法选取北京市8个区县、64个居委会或村委会60岁及以上老年群体中1800例随机样本，采用自行设计的问卷就慢性病患病及防控现状进行入户调查。采用 Logistic 回归模型，分析户口类型、收入、受教育程度、职业和医保类型对受试者高血压患病知晓情况及高血压患者血压控制情况的影响。结果最终获得1717份合格问卷，有效率为95.4％。共873例（50.8％）自报患有经医生诊断的高血压；161例（9.4％）自报无医生诊断的高血压，但经测量血压偏高。既往确诊高血压患者中401例（45.9％）血压控制不良。收入处于中间20％和无医保是高血压患病知晓情况的影响因素（P ＜0.05）；户口类型、收入、受教育程度和医保类型是确诊高血压患者血压控制效果的影响因素（P ＜0.05）；矫正年龄和性别后，除以上指标外，农林渔牧水利业生产人员也是确诊高血压患者血压控制效果的影响因素（P ＜0.05）。结论北京地区老年人高血压患病知晓情况和血压控制情况有待提高，对其产生影响的社会决定因素包括收入、户口类型、受教育程度、医疗保险类型和职业等。
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