Factors associated with hypertension control in the general population of the United States
Factors associated with hypertension control in the general population of the United States
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DOI：
10.1001/archinte.162.9.1051
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发表时间：
2002-05-13
影响因子：
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通讯作者：
Whelton, PK
中科院分区：
文献类型：
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作者：
He, J;Muntner, P;Whelton, PK
背景：未控制的高血压是心血管和肾脏疾病最重要的危险因素。我们研究了与高血压控制在第三次全国健康和营养检查Survey.Methods：共3077非西班牙裔白人，1742非西班牙裔黑人，和1067墨西哥裔美国人18岁或以上的高血压相关的因素包括在目前的分析。血压测量由训练有素的观察员通过一个标准的水银血压计，控制高血压被定义为平均收缩/舒张血压小于140/90毫米Hg.Results：年龄的人控制高血压不同种族和性别显着：白色男性和女性分别为1.9.2%和28.7%，黑人男性和女性分别为17.5%和28.6%，墨西哥裔美国男性和女性分别为12.7%和18.0%。在调整了重要的协变量后，高血压得到控制的人的百分比明显高于目前正在接受高血压治疗的人。（比值比[OR] 2.39; 95%置信区间101，1.52-3.74）或之前（OR，1.81; 95% CL 1.12-2.93）已婚，有私人医疗保险（OR，1.59; 95%CI，1.02-2.49），前往同一机构接受医疗保健（OR，2.77; 95% C1，1.88-4.09）或看同一个医疗保健提供者（OR值为2.29; 95%C1，1.74-3.02），在调查前6个月内进行了血压检查（OR，8.00; 95% C1，3.75-17.1）或6 - 11个月（OR，5.31; 2.51-11.2），并报告通过改变生活方式来控制高血压（OR，6.02; 95%C1，4.20-8.63）。这些数据有力地表明，获得定期的卫生保健和改变生活方式是控制高血压的重要因素，社区
Background: Uncontrolled hypertension is the most and important risk factor for cardiovascular and renal disease. We studied factors associated with hypertension control in the Third National Health and Nutrition Examination Survey.Methods: A total of 3077 non-Hispanic whites, 1742 non-Hispanic blacks, and 1067 Mexican Americans 18 years or older with hypertension were included in the current analysis. Blood pressure was measured by trained observers by means of a standard mercury sphygmomanometer, and controlled hypertension was defined as a mean systolic/diastolic blood pressure less than 140/90 mm Hg.Results: Percentages of persons with controlled hypertension differed significantly by ethnicity and sex: 1.9.2% and 28.7% for white men and women, 17.5% and 28.6% for black men and women, and 12.7% and 18.0% for Mexican American men and women, respectively. After adjustment for important covariables, percentages of persons with controlled hypertension were significantly higher among persons who were currently (odds ratio [OR] 2.39; 95% confidence interval 101, 1.52-3.74) or formerly (OR, 1.81; 95% CL 1.12-2.93) married, had private health insurance (OR, 1.59; 95% CI, 1.02-2.49), visited the same facility for their health care (OR, 2.77; 95% C1, 1.88-4.09) or saw the same provider for their health care (OR, 2.29; 95% C1, 1.74-3.02), had their blood pressure checked during the preceding 6 months (OR, 8.00; 95% C1, 3.75-17.1) or 6 to 11 months (OR, 5.31; 2.51-11.2), and reported using lifestyle modification to control their hypertension (OR, 6.02; 95% C1, 4.20-8.63).Conclusion: These data strongly suggest that access to a regular source of health care and modification of lifestyle are important factors in the control of hypertension in the community.