Brown Debra J, Metiko Esther B
Family Nurse Practitioner Program, University of North Carolina at Chapel Hill, School of Nursing, Carrington CB 7460, Chapel Hill, NC 27599-7460, USA.
J Natl Black Nurses Assoc. 2005 Dec;16(2):1-5.
High blood pressure is a major health problem, particularly among Black Americans, and many Black Americans are unaware that they have the disease. In 2003, new guidelines (JNC 7) were created for classifying blood pressure including a category designated as "pre-hypertension." We examined the prevalence of hypertension based on JNC 7 guidelines in Black Americans from the study of Everyday Life for Black American Adults: Stress, Emotional and Cardiovascular Responses. In this study, 211 (N = 211) participants had no history of hypertension and were not taking anti-hypertensive medications. Demographic factors were also explored in relationship to the JNC 7 classifications. Using JNC 7, only 28.9% of the participants had normal blood pressures. Of those with abnormal blood pressures, 37.8% were pre-hypertensive. Surprisingly, there was a high prevalence of hypertension, which might be explained by a lack of awareness of their disease status, lack of desire to acknowledge it, or fear of having a disease. The pre-hypertension category allows for earlier identification of those at risk for developing hypertension so that early interventions can deter its debilitating effects.
高血压是一个主要的健康问题，在美国黑人中尤为如此，而且许多美国黑人并不知道自己患有这种疾病。2003年，制定了新的血压分类指南（JNC 7），其中包括一个被指定为“高血压前期”的类别。我们根据JNC 7指南，在美国黑人成年人日常生活研究：压力、情绪和心血管反应中，研究了高血压的患病率。在这项研究中，211名（N = 211）参与者没有高血压病史，也没有服用抗高血压药物。还探讨了人口统计学因素与JNC 7分类的关系。根据JNC 7，只有28.9%的参与者血压正常。在血压异常的参与者中，37.8%为高血压前期。令人惊讶的是，高血压患病率很高，这可能是由于对自身疾病状况缺乏认识、不愿承认或害怕患病所致。高血压前期类别有助于更早地识别有患高血压风险的人群，以便早期干预能够阻止其造成的衰弱影响。
