Regular Use of a Home Blood Pressure Monitor by Hypertensive Adults-HealthStyles, 2005 and 2008

Regular Use of a Home Blood Pressure Monitor by Hypertensive Adults-HealthStyles, 2005 and 2008
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DOI:
10.1111/j.1751-7176.2011.00582.x
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发表时间:
2012-03-01
影响因子:
2.8
通讯作者:
Keenan, Nora L.
Keenan, Nora L.
中科院分区:
医学3区
文献类型:
--
作者:
Ayala, Carma;Tong, Xin;Keenan, Nora L.

文献摘要

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作者分析了HealthStyles 2005年和2008年的调查,以评估高血压成年人定期使用家庭血压监测仪(HBPM)的流行率。所有数据均为自我报告。作者计算了两个调查年之间常规使用HBPM的比值比(OR)和使用HBPM的相对百分比变化(RPC)。有3739(32.6%)高血压患者在2年的调查合并。根据自我报告的数据,经常使用HBPM的高血压患者比例为43.2%。男性性别、年龄、种族/民族、家庭收入和教育程度都与HBPM常规使用率的差异相关。65岁及以上的患者(OR,2.38; 95%置信区间[ CI],1.493.81)比18 - 34岁的患者更有可能成为HBPM的常规使用者。与非西班牙裔白人相比,非西班牙裔黑人成为常规HBPM使用者的可能性显著降低(OR,0.69; 95%CI,0.55-0.86)。从2005年到2008年,经常使用HBPM的RPC为14.2%(从40.1%到45.8%);最大的RPC是3个最年轻的年龄组,男性,非西班牙裔黑人和家庭收入为40,000美元至59,900美元的人。由于HBPM已被证明有助于高血压控制,医疗保健专业人员应促进其使用,特别是在年轻,非西班牙裔黑人,西班牙裔或低收入的高血压患者中。临床高血压杂志(格林威治)。2012; 14:172-177. (C)2012 Wiley Periodicals,Inc.
The authors analyzed HealthStyles surveys 2005 and 2008 combined to assess the prevalence of regular home blood pressure monitor (HBPM) use among hypertensive adults. All data were self-reported. The authors calculated odds ratios (ORs) of regular HBPM use and relative percent change (RPC) in the use of HBPM between the 2 survey years. There were 3739 (32.6%) hypertensives in the 2 survey years combined. Based on the self-reported data, the proportion of hypertensives who regularly used an HBPM was 43.2%. Male sex, age, race / ethnicity, household income, and education were all associated with differences in the prevalence of regular HBPM use. Patients 65 years and older (OR, 2.38; 95% confidence interval [ CI], 1.493.81) were significantly more likely to be regular HBPM users than those 18 to 34 years. Non-Hispanic blacks were significantly less likely (OR, 0.69; 95% CI, 0.55-0.86) to be regular HBPM users than non-Hispanic whites. From 2005 to 2008, the RPC in regular HBPM use was 14.2% (from 40.1% to 45.8%); the largest RPCs were for the 3 youngest age groups, men, non-Hispanic blacks, and those with a household income of $ 40,000 to 59,900. Because HBPM has been demonstrated to aid in hypertension control, health care professionals should promote its use especially among hypertensives who are younger, nonHispanic blacks, Hispanics, or with a lower income. J Clin Hypertens (Greenwich). 2012; 14: 172-177. (C) 2012 Wiley Periodicals, Inc.