African American women and men at high and low risk for hypertension: A signal detection analysis of NHANES III, 1988-19941
African American women and men at high and low risk for hypertension: A signal detection analysis of NHANES III, 1988-19941
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DOI：
10.1006/pmed.2002.1081
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发表时间：
2002-10-01
影响因子：
5.1
通讯作者：
Winkleby, MA
中科院分区：
文献类型：
--
作者：
Collins, R;Winkleby, MA
背景非洲裔美国人是世界上高血压发病率最高的人群之一。这项研究确定了美国非裔美国人妇女和男子的亚组，特别是高血压和低血压的发病率。提供了1988-1994年第三次全国健康和营养检查调查中年龄在25-84岁之间的1 911名黑人妇女和1 657名黑人男子的数据。信号检测方法确定高和低风险亚组;分层分析的特点高血压人群。我们确定了12个不同的亚组，高血压的发病率差异很大（11-78%）。高血压发病率最高的两组（>70%高血压）更可能是中年或老年人，受教育程度较低，超重或肥胖（>80%），身体不活跃（50%），并患有糖尿病（28%和100%糖尿病）。两组高血压患病率最低（50%）。在高血压患者中，未控制高血压和未服用抗高血压药物的患者以男性、年龄较小和不经常与医生联系来区分。非洲裔美国人的高血压发病率差异很大，说明需要有效的体重管理，糖尿病控制，并增加高风险人群获得医疗保健的机会。(C)2002年美国健康基金会和爱思唯尔科学（美国）。
Background. African Americans have some of the highest rates of hypertension in the world. This study identified subgroups of U.S. African American women and men with particularly high and low rates of hypertension.Methods. Data are presented for 1,911 Black women and 1,657 Black men, ages 25-84 from the Third National Health and Nutrition Examination Survey, 1988-1994. Signal detection methodology identified high and low risk subgroups; stratified analyses characterized the population of hypertensives.Results. We identified 12 distinct subgroups with highly variable rates of hypertension (11-78%). The two groups with the highest rates of hypertension (>70% hypertensive) were more likely to be middle aged or older, less educated, overweight or obese (>80%), physically inactive (50%), and to have diabetes (28 and 100% diabetic). The two groups with the lowest hypertension rates (50%). Among hypertensives, those who were uncontrolled and not on antihypertensive medications were distinguished by their male gender, younger age, and infrequent contact with a physician.Conclusions. Hypertension rates vary substantially within African Americans, illustrating the need for effective weight management, diabetes control, and increased access to health care for those at highest risk. (C) 2002 American Health Foundation and Elsevier Science (USA).