The burden of adult hypertension in the United States 1999 to 2000 - A rising tide
The burden of adult hypertension in the United States 1999 to 2000 - A rising tide
复制标题
DOI：
10.1161/01.hyp.0000142248.54761.56
复制
发表时间：
2004-10-01
期刊：
影响因子：
8.3
通讯作者：
Sorlie, P
中科院分区：
文献类型：
--
作者：
Fields, LE;Burt, VL;Sorlie, P
本研究旨在使用1999年至2000年对美国高血压成年居民进行的国家健康和营养检查调查的数据，估计高血压患者的绝对人数（高血压负担）和时间趋势。这些信息对卫生政策、医疗保健、公共卫生战略和资源分配至关重要。1999年至2000年，至少有6500万成年人患有高血压。高血压总患病率为31.3%。该值代表收缩压或舒张压升高或使用抗高血压药物的成年人（发生率为28.4%;标准误[SE]，1.1），以及根据病史至少两次被医生或其他健康专业人员告知患有高血压的成年人（发生率为2.9%; SE，0.4）。与1988年至1994年至少5000万人相比，1999年至2000年患有高血压的成年人人数增加了约30%。5000万的价值是基于23.4%的患有高血压或使用抗高血压药物的成年人和5.5%的仅按病史分类为高血压的成年人（总计28.9%; P < 0.001）。成年高血压患者总数增加约30%，几乎是总患病率增加8.3%的4倍。这些趋势与肥胖增加、人口老龄化和不断增长有关。大约有3 500万妇女和3 000万男子患有高血压。1999年至2000年，至少有4800万非西班牙裔白色成年人、约900万非西班牙裔黑人成年人、300万墨西哥裔美国人和500万其他成年人患有高血压。
This study aims to estimate the absolute number of persons with hypertension (the hypertension burden) and time trends using data from the National Health and Nutrition Examination Survey of United States resident adults who had hypertension in 1999 to 2000. This information is vitally important for health policy, medical care, and public health strategy and resource allocation. At least 65 million adults had hypertension in 1999 to 2000. The total hypertension prevalence rate was 31.3%. This value represents adults with elevated systolic or diastolic blood pressure, or using antihypertensive medications (rate of 28.4%; standard error [SE], 1.1), and adults who otherwise by medical history were told at least twice by a physician or other health professional that they had high blood pressure (rate of 2.9%; SE, 0.4). The number of adults with hypertension increased by approximate to30% for 1999 to 2000 compared with at least 50 million for 1988 to 1994. The 50 million value was based on a rate of 23.4% for adults with elevated blood pressure or using antihypertensive medications and 5.5% for adults classified as hypertensive by medical history alone (28.9% total; P < 0.001). The approximate to 30% increase in the total number of adults with hypertension was almost 4-times greater than the 8.3% increase in total prevalence rate. These trends were associated with increased obesity and an aging and growing population. Approximately 35 million women and 30 million men had hypertension. At least 48 million non-Hispanic white adults, approximate to 9 million non-Hispanic black adults, 3 million Mexican American, and 5 million other adults had hypertension in 1999 to 2000.