Thorogood Margaret, Connor Myles D, Hundt Gillian Lewando, Tollman Stephen M
Warwick Medical School, University of Warwick, UK.
Scand J Public Health Suppl. 2007 Aug;69:52-9. doi: 10.1080/14034950701355411.
To use a multidisciplinary approach to describe the prevalence, lay beliefs, health impact, and treatment of hypertension in the Agincourt sub-district.
A multidisciplinary team used a range of methods including a cross-sectional random sample survey of vascular risk factors in adults aged 35 years and older, and rapid ethnographic assessment. People who had suffered a stroke were identified by a screening questionnaire followed by a detailed history and examination by a clinician to confirm the likely diagnosis of stroke. Workshops were held for nurses working in the local clinics and an audit of blood pressure measuring devices was carried out.
Some 43% of the population 35 and over had hypertension. There was no relationship with gender but a strong positive relationship with age. Illnesses were classified by the population as being either African, with personal or social causes, or White/Western, with physical causes. The causes of hypertension were stated to be both physical and social. Main sources of treatment were the clinics and hospitals but people also sought help from churches and traditional healers. Some 84% of stroke survivors had evidence of hypertension. Few people received treatment for hypertension, although good levels of control were achieved in some. Barriers to providing effective treatment included unreliable drug supply and unreliable equipment to measure blood pressure.
Hypertension is a major problem among older people in Agincourt. There is potential for effective secondary prevention. The potential for primary prevention is less clear. Further information on diet is required.
采用多学科方法描述阿金库尔分区高血压的患病率、民众认知、对健康的影响及治疗情况。
一个多学科团队运用了一系列方法，包括对35岁及以上成年人血管危险因素进行横断面随机抽样调查，以及快速人种学评估。通过筛查问卷识别中风患者，随后由临床医生进行详细病史询问和检查以确诊中风。为当地诊所的护士举办了研讨会，并对血压测量设备进行了审计。
35岁及以上人群中约43%患有高血压。高血压与性别无关，但与年龄呈强正相关。民众将疾病分为非洲型（由个人或社会原因导致）和白人/西方型（由身体原因导致）。高血压的病因被认为既有身体方面的，也有社会方面的。主要治疗来源是诊所和医院，但人们也会向教堂和传统治疗师寻求帮助。约84%的中风幸存者有高血压证据。接受高血压治疗的人很少，尽管部分人血压控制良好。提供有效治疗的障碍包括药品供应不可靠和血压测量设备不可靠。
高血压是阿金库尔老年人中的一个主要问题。有进行有效二级预防的潜力。一级预防的潜力不太明确。需要更多关于饮食的信息。
