Effects of a long-term hypertension control program on stroke incidence and prevalence in a rural community in northeastern Japan
Effects of a long-term hypertension control program on stroke incidence and prevalence in a rural community in northeastern Japan
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DOI：
10.1161/01.str.29.8.1510
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发表时间：
1998-08-01
期刊：
影响因子：
8.3
通讯作者：
Komachi, Y
中科院分区：
文献类型：
--
作者：
Iso, H;Shimamoto, T;Komachi, Y
背景和目的--尽管随机临床试验已经证实了抗高血压治疗在预防卒中中的益处，但是社区项目的有效性在很大程度上还是未知的。我们调查了长期以社区为基础的预防activities. Methods在日本东北部农村，年龄大于或等于30岁的人编号为3219在充分干预的社区和1468在最小干预社区在1965年。系统的血压筛查和健康教育始于1963年。中风登记到1987年。结果超过80%的人年龄在40至69岁的筛查在20世纪60年代在这两个社区。1968年后，一个社区收取筛查服务，而另一个社区加强干预，随后，筛查率和高血压个体的后续行动下降，在最低限度的干预社区，特别是男性。在男性中，中风发病率下降更多（P
Background and Purpose-Although randomized clinical trials have demonstrated the benefit of antihypertensive treatment in preventing stroke, the effectiveness of community-based programs is largely unknown. We investigated long-term community-based prevention activities.Methods-In rural northeastern Japan, people aged greater than or equal to 30 years numbered 3219 in the full intervention community and 1468 in the minimal intervention community in 1965. Systematic blood pressure screening and health education began in 1963. Stroke was registered through 1987.Results-More than 80% of people aged 40 to 69 years were screened in both communities in the 1960s. One community charged for screening services after 1968, whereas the other community intensified intervention; subsequently, screening rates and the follow-up of hypertensive individuals declined in the minimal intervention community, especially in men. In men, stroke incidence declined more (P