Chockalingam A, Campbell N, Ruddy T, Taylor G, Stewart P
Health Canada, Population and Public Health Branch, Tunney's Pasture, Jeanna Mance Building, Ottawa, Ontario K1A 1B4, Canada.
Can J Cardiol. 2000 Sep;16(9):1087-93.
Despite major efforts to prevent and control high blood pressure, it is one of the most common and important health problems facing Canadians. To address this issue, Health Canada, in collaboration with the Canadian Coalition for High Blood Pressure Prevention and Control, established an Expert Working Group to prepare a national strategy. The present report outlines a strategy to prevent and control high blood pressure. It is directed at policy makers at the local, provincial, and/or territorial and national levels in both the health and nonhealth sectors. The strategy is based on current research and expertise. A multifaceted, comprehensive approach is proposed because there is no one intervention that will accomplish the goal of improving the health of Canadians through high blood pressure prevention and control. The present report focuses on the general population. It does not address the unique needs of children, pregnant women or aboriginal peoples. Each of these groups needs to be studied in its own right, and, in particular, with the involvement of aboriginal people themselves. An implementation committee has been established to realize this strategy, and the Canadian Hypertension Society is a key stakeholder in this effort. Several initiatives are underway. Strong advocates are necessary to increase public awareness and to support the system changes required for a successful public health approach to reduce the prevalence of hypertension and its complications.
尽管在预防和控制高血压方面付出了巨大努力，但它仍是加拿大人面临的最常见且最重要的健康问题之一。为解决这一问题，加拿大卫生部与加拿大高血压预防与控制联盟合作，成立了一个专家工作组来制定一项国家战略。本报告概述了一项预防和控制高血压的战略。它面向地方、省和/或地区以及国家层面卫生和非卫生部门的政策制定者。该战略基于当前的研究和专业知识。由于没有一种单一干预措施能够实现通过预防和控制高血压来改善加拿大人健康状况的目标，因此提出了一种多方面、全面的方法。本报告关注的是普通人群。它未涉及儿童、孕妇或原住民的特殊需求。这些群体中的每一个都需要单独进行研究，尤其是要让原住民自身参与其中。已成立一个实施委员会来落实这一战略，加拿大高血压协会是这项工作的关键利益相关方。目前正在开展多项举措。需要强有力的倡导者来提高公众意识，并支持为成功采取公共卫生方法以降低高血压患病率及其并发症所需的系统变革。
