PREVALENCE OF HYPERTENSION IN THE US ADULT-POPULATION - RESULTS FROM THE 3RD NATIONAL-HEALTH AND NUTRITION EXAMINATION SURVEY, 1988-1991
PREVALENCE OF HYPERTENSION IN THE US ADULT-POPULATION - RESULTS FROM THE 3RD NATIONAL-HEALTH AND NUTRITION EXAMINATION SURVEY, 1988-1991
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DOI：
10.1161/01.hyp.25.3.305
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发表时间：
1995-03-01
期刊：
影响因子：
8.3
通讯作者：
LABARTHE, D
中科院分区：
文献类型：
--
作者：
BURT, VL;WHELTON, P;LABARTHE, D
本研究的目的是估计目前高血压的患病率和分布，并确定美国成年人群对高血压的认识、治疗和控制状况。该研究对美国平民、非机构化人群进行了横断面调查，包括家庭访谈和诊所检查，每项检查都包括血压测量。从1988年至1991年收集的第三次全国健康和营养检查调查的第一阶段，9901名18岁及以上的参与者的数据。美国成年人口的24%，即43186000人患有高血压。非西班牙裔黑人、非西班牙裔白色人和墨西哥裔美国人人群的年龄校正患病率分别为32.4%、23.3%和22.6%。总体而言，三分之二的高血压患者知道自己的诊断（69%），大多数人正在服用处方药（53%）。只有三分之一的墨西哥裔美国人高血压患者正在接受治疗（35%），只有14%的患者达到控制，而非西班牙裔黑人和非西班牙裔白色人群的高血压患者分别为25%和24%。近1300万被归类为血压正常的成年人报告说，他们在一个或多个场合被告知，他们有高血压; 51%的这组报告说，目前坚持改变生活方式，以控制他们的高血压。高血压仍然是普通人群中的常见发现。自1976-1980年国家健康和营养检查调查以来，高血压的认识、治疗和控制有了很大的改善，但仍不理想，尤其是在墨西哥裔美国人中。应考虑修订高血压分类标准，以反映广泛使用的生活方式改变治疗高血压。
The purpose of this study was to estimate the current prevalence and distribution of hypertension and to determine the status of hypertension awareness, treatment, and control in the US adult population. The study used a cross-sectional survey of the civilian, noninstitutionalized population of the United States, including an in-home interview and a clinic examination, each of which included measurement of blood pressure. Data for 9901 participants 18 years of age and older from phase 1 of the third National Health and Nutrition Examination Survey, collected from 1988 through 1991, were used. Twenty-four percent of the US adult population representing 43 186 000 persons had hypertension. The age-adjusted prevalence in the non-Hispanic black, non-Hispanic white, and Mexican American populations was 32.4%, 23.3%, and 22.6%, respectively. Overall, two thirds of the population with hypertension were aware of their diagnosis (69%), and a majority were taking prescribed medication (53%). Only one third of Mexican Americans with hypertension were being treated (35%), and only 14% achieved control in contrast to 25% and 24% of the non-Hispanic black and non-Hispanic white populations with hypertension, respectively. Almost 13 million adults classified as being normotensive reported being told on one or more occasions that they had hypertension; 51% of this group reported current adherence to lifestyle changes to control their hypertension. Hypertension continues to be a common finding in the general population. Awareness, treatment, and control of hypertension have improved substantially since the 1976-1980 National Health and Nutrition Examination Survey but continue to be suboptimal, especially in Mexican Americans. Consideration should be given to revision of the criteria for classification of hypertension to reflect the widespread use of lifestyle modification for treatment of hypertension.