Getliffe K A, Crouch R, Gage H, Lake F, Wilson S L
University of Southampton, Southampton, UK.
Public Health. 2000 Sep;114(5):361-6.
This study aimed to assess knowledge levels, explore the extent of undiagnosed hypertension, record previous screening activity and monitor the outcomes of previous hypertension treatment. To this end, information was collected from volunteer members of a university community, by means of a self-report questionnaire, about their personal characteristics, knowledge and experience of hypertension and stroke, and previous blood pressure measurements. In addition, their current blood pressure was recorded. A total of 653 staff and students completed the questionnaire and had their blood pressure measured. Analysis revealed that 82% were normotensive (diastolic blood pressure <90 mmHg). Hypertension was significantly associated with age, self-reported excess weight P<0.001) and marginally with self-reported non-healthy eating (P=0.06). Of the volunteers, 57% could not provide an accurate definition of a stroke. Knowledge levels were significantly and positively related to experience of stroke, healthy eating, not smoking and a recent blood pressure check. Of the respondents, 30% stated that they had not had their blood pressure measured in the previous two years. 51% of known hypertensives were not controlled. 68% of volunteers with diastolic blood pressure >89 mmHg were previously unaware of a potential hypertension problem. Hypertension rates amongst the university volunteers are higher than those recently recorded from a population sample. Scope exists for increasing knowledge and awareness, and for raising both screening rates and treatment outcomes. Improvements in these areas are required if current public health targets for heart disease and stroke are to be achieved. Worksite screening programmes can contribute to this endeavour.
本研究旨在评估知识水平，探究未诊断高血压的程度，记录既往筛查活动并监测既往高血压治疗的结果。为此，通过一份自填式问卷，从一个大学社区的志愿者成员那里收集了有关他们的个人特征、高血压和中风的知识及经历，以及既往血压测量情况的信息。此外，还记录了他们当前的血压。共有653名教职员工和学生完成了问卷并测量了血压。分析显示，82%的人血压正常（舒张压<90 mmHg）。高血压与年龄、自我报告的超重显著相关（P<0.001），与自我报告的不健康饮食存在微弱关联（P=0.06）。在志愿者中，57%的人无法准确给出中风的定义。知识水平与中风经历、健康饮食、不吸烟以及近期血压检查显著正相关。在受访者中，30%的人表示他们在过去两年中未测量过血压。51%的已知高血压患者血压未得到控制。舒张压>89 mmHg的志愿者中，68%的人此前未意识到潜在的高血压问题。大学志愿者中的高血压患病率高于近期从人群样本中记录的患病率。在增加知识和意识、提高筛查率和治疗效果方面仍有空间。如果要实现当前关于心脏病和中风的公共卫生目标，就需要在这些领域加以改进。工作场所筛查项目有助于这一努力。
