Prevalence, detection, and control of hypertension in a biethnic community. The San Antonio Heart Study.
Prevalence, detection, and control of hypertension in a biethnic community. The San Antonio Heart Study.
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双民族社区高血压的患病率、检测和控制。
DOI：
10.1093/aje/121.5.684
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发表时间：
1985
影响因子：
5
通讯作者：
Comeaux,PJ
中科院分区：
文献类型：
--
作者：
Franco,LJ;Stern,MP;Rosenthal,M;Haffner,SM;Hazuda,HP;Comeaux,PJ
一项调查随机选取了居住在德克萨斯州圣安东尼奥市三个社会差异明显的社区的1288名墨西哥裔美国人和929名盎格鲁人。高血压定义为舒张压≥95 mmHg或目前正在服用抗高血压药物。墨西哥裔美国人和盎格鲁裔男性的高血压总体年龄调整患病率相似（分别为10.0%和9.8%）；对于女性来说，墨西哥裔美国人的比率略低于盎格鲁人（分别为7.8%和9.7%）。在对肥胖差异进行调整后，墨西哥裔美国人的高血压率倾向于低于相同社会经济水平的盎格鲁人。只有女性的高血压患病率随着社会经济地位的提高而下降。墨西哥裔美国人新诊断为高血压的比例较高，并且在先前诊断的病例中，服用降压药的比例低于Angios。在这项调查中发现的高血压控制率在美国社区水平上是最高的。尽管如此，墨西哥裔美国人在意识、治疗和高血压控制程度方面仍落后于同社会经济水平的盎格鲁人，这表明可能存在社会文化障碍，无法获得适当的医疗服务。
A survey was carried out on a random sample of 1,288 MexIcan Americans and 929 Anglos living In three socially distinct neighborhoods In San Antonio, Texas. Hypertension was defined as diastolic blood pressure ≥95 mmHg or currently taking antihypertensive medication. Overall age-adjusted prevalence rates of hypertension were similar for Mexican-American and Anglo men (10.0 and 9.8%, respectIvely); for women, the Mexican-American rate was slightly lower than that for Anglos (7.8 and 9.7%, respectIvely). After adjustment for obesity differences, Mexican Americans have a tendency toward lower hyperten sion rates than Angles of the same socioeconomic level. Only among women was a decline In the prevalence of hypertension with increasing socioeconomic status observed. Mexican Americans have a higher proportion of newly diagnosed hypertension, and, among previously diagnosed cases, a Lower proportion are on antihypertensive medIcation than Angios. The rates of hypertension control found In this survey are among the highest reported in the United States at the community level. Despite this, Mexican Americans sthi lag somewhat behind Angles of the same socioeconomIc level in awareness, treatment, and degree of hypertension control, suggesting the possibility of soclocuttural bafflers to ade quate medical care.