Trends in Prevalence, Awareness, Management, and Control of Hypertension Among United States Adults, 1999 to 2010
Trends in Prevalence, Awareness, Management, and Control of Hypertension Among United States Adults, 1999 to 2010
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DOI：
10.1016/j.jacc.2012.04.026
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发表时间：
2012-08-14
影响因子：
24
通讯作者：
Walton, R. Grace
中科院分区：
文献类型：
--
作者：
Guo, Fangjian;He, Di;Walton, R. Grace
目的本研究的目的是量化1999-2010年间美国成年人(20岁)的血压趋势、高血压患病率、知晓率、管理和控制情况，并评估现有临床措施在诊断和适当治疗高血压患者方面的有效性。最近的数据表明，随着人们对高血压的认识、管理和控制水平的提高，高血压患病率呈下降趋势。方法采用回归模型对1999年至2010年28995名成年男性和女性的高血压患病率、知晓率、管理和控制趋势进行评估，血压测量来自具有全国代表性的美国非制度化人群样本(国家健康和营养检查调查[NHANES]1999至2010)，其中特别关注了参加NHANES 2009至2010年的5764名参与者。男性高血压知晓率为69.7%(95%可信区间：62.0%~77.4%)，女性高血压知晓率为80.7%(95%可信区间：74.5%~86.8%)。高血压控制率男性为40.3%(95%CI：33.7%~46.9%)，女性为56.3%(95%CI：49.2%~63.3%)。从1999年到2010年，高血压患病率保持稳定。高血压知识知晓率、管理知晓率、控制率均有所提高，但总体知晓率仍较低(知晓率为74.0%，管理知晓率为71.6%，控制率为46.5%，管理控制率为64.4%)，2007~2010年未见改善。高血压的认识、管理和控制有所改善，但仍然很差；然而，自2007年以来一直没有改善。(J Am Coll心脏ol 2012；60：599-606)(C)美国心脏病学会基金会2012年
Objectives The purpose of this study was to quantify the trends in blood pressure (BP), and the prevalence, awareness, management, and control of hypertension in U.S. adults (>= 20 years of age) from 1999 to 2010, and to assess the efficacy of current clinical measures in diagnosing and adequately treating hypertensive patients.Background Hypertension is a major independent risk factor for cardiovascular disease and stroke. Recent data indicate a decreasing trend in hypertension prevalence, along with improvements in hypertension awareness, management, and control.Methods The study used regression models to assess the trends in hypertension prevalence, awareness, management, and control from 1999 to 2010 among 28,995 male and female adults with BP measurements from a nationally representative sample of the noninstitutionalized U.S. population (National Health and Nutrition Examination Survey [NHANES] 1999 to 2010), with special attention given to 5,764 participants in NHANES 2009 to 2010.Results In 2009 to 2010, the prevalence of hypertension was 30.5% among men and 28.5% among women. The hypertension awareness rate was 69.7% (95% confidence interval [CI]: 62.0% to 77.4%) among men and 80.7% (95% CI: 74.5% to 86.8%) among women. The hypertension control rate was 40.3% (95% CI: 33.7% to 46.9%) for men and 56.3% (95% CI: 49.2% to 63.3%) for women. From 1999 to 2010, the prevalence of hypertension remained stable. Although hypertension awareness, management, and control improved, the overall rates remained poor (74.0% for awareness, 71.6% for management, 46.5% for control, and 64.4% for control in management); worse still, no improvement was shown from 2007 to 2010.Conclusions From 1999 to 2010, prevalence of hypertension remained stable. Hypertension awareness, management, and control were improved, but remained poor; nevertheless, there has been no improvement since 2007. (J Am Coll Cardiol 2012; 60: 599-606) (C) 2012 by the American College of Cardiology Foundation