Prevalence, awareness, treatment, and control of hypertension in United States counties, 2001-2009.
Prevalence, awareness, treatment, and control of hypertension in United States counties, 2001-2009.
复制标题
DOI：
10.1371/journal.pone.0060308
复制
发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
Lim SS
中科院分区：
文献类型：
--
作者：
Olives C;Myerson R;Mokdad AH;Murray CJ;Lim SS
高血压是心血管疾病和死亡率的一个重要和可改变的危险因素。在过去十年中，全国高血压控制水平有所提高，但关于县级高血压患病率以及高血压治疗和控制趋势的信息很少。我们使用1999年至2008年5个两年期的国家健康和营养检查调查（NHANES）数据（包括26，349名30岁及以上的成年人）和1997年至2009年的行为风险因素监测系统（BRFSS）数据（包括1，283名），估计美国各县高血压的患病率，知晓率，治疗和控制趋势。722名30岁及以上的成年人。高血压定义为收缩压（BP）至少140 mm Hg，自我报告使用抗高血压治疗，或两者兼而有之。高血压控制定义为收缩压低于140 mm Hg。2009年，男性总高血压的中位患病率估计为37.6%（范围：26.5 - 54.4%），女性为40.1%（范围：28.5 - 57.9%）。2009年，未控制高血压的县内患病率差异高达7.8个百分点。意识、治疗和控制在美国东南部最高，2001年至2009年平均有所增加。2009年，县一级控制率中位数男性为57.7%（范围：43.4%至65.9%），女性为57.1%（范围：43.0%至65.46%），白色男性和黑人女性的控制率最高。虽然高血压的控制率在上升，但美国总高血压的患病率继续增加。同时增加对高血压的治疗和控制是有希望的，但需要努力降低高血压的患病率。
Hypertension is an important and modifiable risk factor for cardiovascular disease and mortality. Over the last decade, national-levels of controlled hypertension have increased, but little information on hypertension prevalence and trends in hypertension treatment and control exists at the county-level. We estimate trends in prevalence, awareness, treatment, and control of hypertension in US counties using data from the National Health and Nutrition Examination Survey (NHANES) in five two-year waves from 1999–2008 including 26,349 adults aged 30 years and older and from the Behavioral Risk Factor Surveillance System (BRFSS) from 1997–2009 including 1,283,722 adults aged 30 years and older. Hypertension was defined as systolic blood pressure (BP) of at least 140 mm Hg, self-reported use of antihypertensive treatment, or both. Hypertension control was defined as systolic BP less than 140 mm Hg. The median prevalence of total hypertension in 2009 was estimated at 37.6% (range: 26.5 to 54.4%) in men and 40.1% (range: 28.5 to 57.9%) in women. Within-state differences in the county prevalence of uncontrolled hypertension were as high as 7.8 percentage points in 2009. Awareness, treatment, and control was highest in the southeastern US, and increased between 2001 and 2009 on average. The median county-level control in men was 57.7% (range: 43.4 to 65.9%) and in women was 57.1% (range: 43.0 to 65.46%) in 2009, with highest rates in white men and black women. While control of hypertension is on the rise, prevalence of total hypertension continues to increase in the US. Concurrent increases in treatment and control of hypertension are promising, but efforts to decrease the prevalence of hypertension are needed.
登录
查看更多内容
影响因子：
37.8
作者：
Roger VL;Go AS;Lloyd-Jones DM;Benjamin EJ;Berry JD;Borden WB;Bravata DM;Dai S;Ford ES;Fox CS;Fullerton HJ;Gillespie C;Hailpern SM;Heit JA;Howard VJ;Kissela BM;Kittner SJ;Lackland DT;Lichtman JH;Lisabeth LD;Makuc DM;Marcus GM;Marelli A;Matchar DB;Moy CS;Mozaffarian D;Mussolino ME;Nichol G;Paynter NP;Soliman EZ;Sorlie PD;Sotoodehnia N;Turan TN;Virani SS;Wong ND;Woo D;Turner MB;American Heart Association Statistics Committee and Stroke Statistics Subcommittee
通讯作者：
American Heart Association Statistics Committee and Stroke Statistics Subcommittee
影响因子：
8.3
作者：
Howard, G;Prineas, R;Howard, V
通讯作者：
Howard, V
影响因子：
8.3
作者：
Perry, HM;Bingham, S;Collins, J
通讯作者：
Collins, J
影响因子：
2
作者：
Schenker, Nathaniel;Raghunathan, Trivellore E.;Bondarenko, Irina
通讯作者：
Bondarenko, Irina
影响因子：
3.3
作者：
Danaei G;Friedman AB;Oza S;Murray CJ;Ezzati M
通讯作者：
Ezzati M