Hypertension screening of 1 million Americans. Community Hypertension Evaluation Clinic (CHEC) program, 1973 through 1975.

Hypertension screening of 1 million Americans. Community Hypertension Evaluation Clinic (CHEC) program, 1973 through 1975.
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对 100 万美国人进行高血压筛查。

DOI:
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发表时间:
1976
期刊:
Journal of the American Medical Association (JAMA)
影响因子:
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通讯作者:
Richard H. Roberts
Richard H. Roberts
中科院分区:
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文献类型:
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作者:
J. Stamler;R. Stamler;W. F. Riedlinger;George Algera;Richard H. Roberts

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1973 年至 1975 年间,全国社区高血压评估诊所 (CHEC) 计划在 1,171 个地点对超过 100 万人进行了筛查。虽然筛查对象并非来自特定人群,但调查结果与最近对美国人口样本的调查结果相似。首先,CHEC确认了美国血压升高问题的范围。在接受筛查的人中,1,000 人中有 247 人的舒张压读数为 90 毫米汞柱或更高; 1,000 人中有 116 人的读数为 95 毫米汞柱或更高。血压升高的患病率随着年龄的增长而上升,直至 50 岁,黑人的患病率高于白人,男性的患病率高于女性。其次,CHEC 数据证实了未发现、未治疗和未控制的高血压所面临的挑战。 27.7% 的高血压患者此前未发现高血压,10.7% 的患者已发现但未治疗,16.7% 的患者已接受治疗但未得到控制,总计 55.1%。
During 1973 through 1975, more than 1 million persons were screened in the nationwide Community Hypertension Evaluation Clinic (CHEC) program at 1,171 sites. While those screened were not from defined populations, findings paralleled those of recent surveys of US population samples. First, CHEC confirmed the scope of the problem of elevated blood pressure in the United States. Of those screened, 247 of 1,000 had a diastolic reading of 90 mm Hg or higher; 116 of 1,000 had a reading of 95 mm Hg or greater. Prevalence of elevated blood pressure rose with age up to age 50 years, was higher in blacks than in whites, and was higher in men than in women. Second, CHEC data confirmed the challenge of undetected, untreated, and uncontrolled hypertension. Previously undetected hypertension was present in 27.7% of hypertensive people, detected but untreated in 10.7%, and treated but uncontrolled in 16.7%--totaling 55.1%.