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2003年土耳其高血压的患病率、知晓率、治疗率及控制率(PatenT研究)

Prevalence, awareness, treatment and control of hypertension in Turkey (the PatenT study) in 2003.

作者信息

Altun Bülent, Arici Mustafa, Nergizoğlu Gökhan, Derici Ulver, Karatan Oktay, Turgan Cetin, Sindel Sükrü, Erbay Bülent, Hasanoğlu Enver, Cağlar Sali

机构信息

Hacettepe University, Faculty of Medicine Department of Nephrology, Ankara, Turkey.

出版信息

J Hypertens. 2005 Oct;23(10):1817-23. doi: 10.1097/01.hjh.0000176789.89505.59.

DOI:10.1097/01.hjh.0000176789.89505.59
PMID:16148604
Abstract

OBJECTIVE

To determine the distribution of blood pressure (BP) and prevalence, awareness, treatment and control of hypertension in Turkey (PatenT).

DESIGN

A population-based cross-sectional epidemiology survey was carried out in 2003.

SETTING

Twenty-six cities from seven geographical provinces of Turkey, with proportional representation of urban and rural populations.

PARTICIPANTS

A two-stage stratified sampling method was used to select a sample of the adult population over 18 years of age. The total number of participants was 4910.

INTERVENTIONS

Data collection and BP measurements were conducted by specifically trained physicians in the households of the participants.

MAIN OUTCOME MEASURES

The mean systolic and diastolic BP levels, distribution of blood pressure, prevalence of hypertension (mean systolic BP>or=140 mmHg or mean diastolic BP>or=90 mmHg, or previously diagnosed and/or taking antihypertensive drugs), awareness, treatment and control of hypertension were assessed.

RESULTS

The overall age-adjusted and sex-adjusted prevalence of hypertension in Turkey was 31.8%, and it was higher in women than in men (36.1 versus 27.5%, P<0.001). In the whole group, 32.2% had never had their BP measured. Overall, 40.7% of those with hypertension were aware of their diagnosis, only 31.1% were receiving pharmacologic treatment and only 8.1% had their BP under control. The subjects who were aware and treated had a control ratio of 20.7%.

CONCLUSIONS

PatenT data indicate that hypertension is a highly prevalent but inadequately managed health problem in Turkey. There is an urgent need for population-based strategies to improve the prevention, early detection and control of hypertension.

摘要

目的

确定土耳其(PatenT)的血压(BP)分布以及高血压的患病率、知晓率、治疗率和控制率。

设计

2003年开展了一项基于人群的横断面流行病学调查。

地点

来自土耳其七个地理省份的26个城市,城乡人口比例均衡。

参与者

采用两阶段分层抽样方法选取18岁以上成年人群样本。参与者总数为4910人。

干预措施

由经过专门培训的医生在参与者家中进行数据收集和血压测量。

主要观察指标

评估收缩压和舒张压的平均水平、血压分布、高血压患病率(平均收缩压≥140 mmHg或平均舒张压≥90 mmHg,或既往诊断为高血压和/或正在服用降压药物)、高血压的知晓率、治疗率和控制率。

结果

土耳其经年龄和性别调整后的高血压总体患病率为31.8%,女性高于男性(36.1%对27.5%,P<0.001)。在整个研究组中,32.2%的人从未测量过血压。总体而言,40.7%的高血压患者知晓自己的诊断,只有31.1%接受药物治疗,只有8.1%的血压得到控制。知晓并接受治疗的患者控制率为20.7%。

结论

PatenT数据表明,高血压在土耳其是一个高度流行但管理不善的健康问题。迫切需要基于人群的策略来改善高血压的预防、早期发现和控制。

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