Awareness, knowledge, and attitudes of older Americans about high blood pressure - Implications for health care policy, education, and research
Awareness, knowledge, and attitudes of older Americans about high blood pressure - Implications for health care policy, education, and research
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DOI：
10.1001/archinte.163.6.681
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发表时间：
2003-03-24
影响因子：
--
通讯作者：
Cutler, NE
中科院分区：
文献类型：
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作者：
Egan, BM;Lackland, DT;Cutler, NE
工作背景：高血压（HBP）的患病率，特别是单纯收缩期高血压，随着年龄的增长而上升，而控制率下降。方法：由于对HBP的认识，知识和态度可以影响控制，这些因素的信息是通过电话采访获得的全国代表性样本的1503名成年人50岁或以上。结果：在美国50岁或以上的人中，94%的人在过去一年中至少测量过一次血压，但46%的人不知道自己的血压。只有27%的人承认目前有高血压，尽管37%的人报告服用抗高血压药物。收缩期高血压可能被低估了，因为30%报告的140 min Hg或更高的值表明他们没有HBP。在那些承认目前患有HBP的人中，80%的人报告说“严格按照处方服药”。“在大约20%的高血压患者中，不再服用药物或服用的药物少于处方药，成本是大约五分之一或大约4%的主要因素。60%的接受治疗的患者表示，单靠药物不能控制HBP。大多数调查受访者（大于或等于90%）同意几种生活方式的改变降低血压; 75%的人报告生活方式的改变; 61%的人表示降低了血压。当被问及什么HBP的信息是最重要的，34%的替代疗法和28%的报告预防strategies.Conclusions：有限的认识收缩期高血压出现作为一个更大的障碍，血压控制比医疗费用阳离子在美国50岁或以上。许多美国老年人更喜欢将传统的、互补的和替代的策略结合起来。针对收缩期高血压认识不足的教育，促进更全面管理方法的政策，以及确定最有效创新的研究可能会改善结果。
Background: The prevalence of high blood pressure (HBP), particularly isolated systolic hypertension, rises with age, whereas control rates decline.Methods: Since awareness, knowledge, and attitudes about HBP can influence control, information on these factors was obtained by telephone interview of a nationally representative sample of 1503 adults 50 years or older.Results: Among Americans 50 years or Ader 94% had at least one blood pressure (BP) measurement during the past year, yet 46% did not know their BP. Only 27% acknowledged current HBP, although 37% reported taking antihypertensive medications. Systolic hypertension was probably underrecognized, since 30% who reported a value of 140 min Hg or higher indicated they did not have HBP. Among those acknowledging current HBP, 80% reported taking medications "precisely as prescribed." Of the Approximately 20% of hypertensive patients no longer taking medications or taking fewer medications than prescribed, cost was a major factor in approximately 1 in 5 or roughly 4% of the total. Sixty percent of patients receiving treatment indicated that medications alone do not control HBP. Most survey respondents (greater than or equal to90%) concurred that several lifestyle changes lower BP; 75% reported a lifestyle change; and 61% indicated it lowered their BP. When asked what HBP information was most important, 34% reported alternative therapies and 28% reported prevention strategies.Conclusions: Limited awareness of systolic hypertension emerges as a greater barrier to BP control than cost of medic cations in Americans 50 years or older. Many older Americans prefer to integrate traditional, complementary, and alternative strategies. Education addressing limited awareness of systolic hypertension, policies facilitating a more holistic management approach, and research identifying the most effective innovations may improve outcomes.