Racial/ethnic disparities in prevalence, treatment, and control of hypertension--United States, 1999-2002.

Racial/ethnic disparities in prevalence, treatment, and control of hypertension--United States, 1999-2002.
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高血压患病率、治疗和控制方面的种族/族裔差异——美国,1999-2002 年。

DOI:
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发表时间:
2005
期刊:
MMWR. Morbidity and mortality weekly report
影响因子:
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通讯作者:
W. Elliott
W. Elliott
中科院分区:
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文献类型:
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作者:
W. Elliott

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高血压(HBP)是心脏病和中风、终末期肾病和外周血管疾病的主要危险因素,也是成人残疾的主要原因。在美国,大约四分之一的成年人患有高血压。虽然有效的治疗已经有50多年的历史,但大多数高血压患者的血压(BP)并没有得到控制。2010年的国家健康目标包括将患有高血压的成年人比例降低到16%(基线:28%),将正在采取行动控制高血压的成年人比例提高到95%(基线:82%),并将血压得到控制的成年人比例提高到50%(基线:18%)。在1990-2000年期间,高血压的患病率,高血压患者知道自己的病情的百分比,以及高血压的治疗和控制在非西班牙裔白人,非西班牙裔黑人和西班牙裔中增加。CDC分析了1999-2002年国家健康和营养调查(NHANES)的数据。本报告总结了分析结果,确定了高血压的认识、治疗和控制方面的种族/民族差异持续存在。如果要实现国家卫生目标,公共卫生工作必须继续集中在预防高血压,必须提高认识,治疗和控制少数民族人群中的高血压。
High blood pressure (HBP) is a major risk factor for heart disease and stroke, end-stage renal disease, and peripheral vascular disease and is a chief contributor to adult disability. Approximately one in four adults in the United States has hypertension. Although effective therapy has been available for more than 50 years, most persons with hypertension do not have their blood pressure (BP) under control. National health objectives for 2010 include reducing the proportion of adults with HBP to 16% (baseline: 28%), increasing the proportion of adults with hypertension who are taking action to control it to 95% (baseline: 82%), and increasing the proportion of adults with controlled BP to 50% (baseline: 18%). During 1990-2000, the prevalence of hypertension, the percentage of those with hypertension who were aware of their condition, and treatment and control of hypertension increased among non-Hispanic whites, non-Hispanic blacks, and Hispanics. CDC analyzed data from the National Health and Nutrition Examination Surveys (NHANES) for 1999-2002. This report summarizes the results of that analysis, which determined that racial/ethnic disparities in awareness of, treatment for, and control of hypertension persist. If national health objectives are to be met, public health efforts must continue to focus on the prevention of HBP and must improve awareness, treatment, and control of hypertension among minority populations.