Hypertension care and control in underserved urban African American men: Behavioral and physiologic outcomes at 36 months
Hypertension care and control in underserved urban African American men: Behavioral and physiologic outcomes at 36 months
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DOI：
10.1016/s0895-7061(03)01034-3
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发表时间：
2003-11-01
影响因子：
3.2
通讯作者：
Post, WS
中科院分区：
文献类型：
--
作者：
Hill, MN;Han, HR;Post, WS
背景资料：在低社会经济地位的城市人口中，患有高血压的非洲裔美国男性的高血压控制率很低，并且早期患有并发症。在一项随机临床试验中，309名21至54岁的高血压城市非洲裔美国男性，我们评估了一个更密集的综合教育行为药物干预的有效性，（NP/CHW/MD）团队和不太密集的教育和转诊干预，以控制血压（BP）和最大限度地减少左心室肥大（LVH）和肾功能不全的进展。比较两组从基线到36个月的血压、左心室质量（LVM）和血清肌酐的变化。在36个月的时候，高强度组收缩压/舒张压较基线的平均变化为-7.5/-10.1 mmHg，低强度组为+3.4/-3.7 mmHg（收缩压和舒张压的组间差异分别为P = .001和.005）。控制血压的男性比例（
Background: African American men with hypertension in low socioeconomic urban populations achieve poor rates of hypertension control and suffer early from its complications.Methods: In a randomized clinical trial with 309 hypertensive urban African American men aged 21 to 54 years, we evaluated the effectiveness of a more intensive comprehensive educational-behavioral-pharmacologic intervention by a nurse practitioner-community health worker-physician (NP/CHW/MD) team and a less intensive education and referral intervention in controlling blood pressure (BP) and minimizing progression of left ventricular hypertrophy (LVH) and renal insufficiency. Changes in BP, left ventricular mass (LVM), and serum creatinine from baseline to 36 months were compared between groups.Results: At 36 months, the mean systolic BP/diastolic BP change from baseline was -7.5/-10.1 mm Hg for the more intensive group and +3.4/-3.7 mm Hg for the less intensive group (P = .001 and .005 for between-group differences in systolic BP and diastolic BP, respectively). The proportion of men with controlled BP (