Exploring differences in prevalence of diagnosed, measured and undiagnosed hypertension: the case of Ireland and the United States of America
Exploring differences in prevalence of diagnosed, measured and undiagnosed hypertension: the case of Ireland and the United States of America
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DOI：
10.1007/s00038-014-0573-7
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发表时间：
2014-10-01
影响因子：
4.6
通讯作者：
Kenny, Rose Anne
中科院分区：
文献类型：
--
作者：
Mosca, Irene;Kenny, Rose Anne
收件人：（1）比较美国和爱尔兰中年晚期成人中已诊断、已测量、总的和未诊断的高血压患病率;（2）确定高血压最重要的预测因子，并在两国进行比较;（3）调查是否交叉--流行率的国家差异是由行为风险因素的国家差异解释的。我们使用2008年和2010年健康和退休研究（n = 1，938）和第一波（2009/2011）爱尔兰老龄化纵向研究（n = 1，455）。我们采用概率单位模型来确定个人属性，社会经济特征和行为健康因素，包括吸烟，饮酒和肥胖，是否与高血压相关。我们不考虑受访者是否在服用抗高血压药物。美国诊断的高血压患病率更高（48.6%对32.4%）。未确诊的高血压患病率在爱尔兰更高（41.2%对19.7%）。患病率的差异几乎不能用行为风险因素的国家差异来解释。爱尔兰有必要更加关注高血压的预防。
To: (1) compare prevalence of diagnosed, measured, total and undiagnosed hypertension among late middle-aged adults in the United States of America and Ireland; (2) identify the most important predictors of hypertension and compare them across the two countries; (3) investigate whether cross-national differences in prevalence rates are explained by country differences in behavioural risk factors.We use data from the 2008 and 2010 waves of the Health and Retirement Study (n = 1,938) and the first wave (2009/2011) of The Irish Longitudinal Study on Ageing (n = 1,455). We employ probit models to determine whether individual attributes, socioeconomic characteristics and behavioural health factors, including smoking, alcohol consumption and obesity, are associated with hypertension. We do not consider whether respondents are on antihypertensive medication.Prevalence of diagnosed hypertension is higher in the United States of America (48.6 versus 32.4 %). Prevalence of undiagnosed hypertension is higher in Ireland (41.2 versus 19.7 %). Little of the difference in prevalence rates is explained by country differences in behavioural risk factors.A greater focus on prevention of high blood pressure is necessary in Ireland.