Campbell Norman R C, So Lawrence, Amankwah Ernest, Quan Hude, Maxwell Colleen
Department of Community Health Sciences, University of Calgary, Calgary, Alberta.
Can J Cardiol. 2008 Jun;24(6):485-90. doi: 10.1016/s0828-282x(08)70623-8.
Many Canadians known to have hypertension remain untreated. To aid in the development of specific programs to improve hypertension management, the present report characterizes Canadians who indicated that they had hypertension but were not taking antihypertensive drug therapy.
The 2005 Canadian Community Health Survey (cycle 3.1) was used to estimate the proportion of Canadians 20 years of age and older who reported having high blood pressure or ever being diagnosed with high blood pressure. Sociodemographic characteristics, reported health, lifestyle factors and health care resource use of those who reported taking or not taking high blood pressure medication in the previous month were described and compared.
Over one-half of hypertensive respondents 20 to 39 years of age reported no antihypertensive treatment compared with 17% and 5% among those 40 to 59 years and 60 years of age and older, respectively. In most age groups, several factors were associated with the absence of pharmacotherapy (eg, male sex, fewer health care professional consultations, perceived excellent health status and most markers of lower cardiovascular risk, with the exception of daily smoking). The proportion of young hypertensive Canadians not receiving pharmacotherapy remained consistent, regardless of the presence of cardiovascular risk factors.
Many hypertensive Canadians, particularly those who are younger than 60 years of age, are not taking antihypertensive drug therapy despite having one or more cardiovascular risks. The increased risk of no drug therapy among smokers warrants special attention.
许多已知患有高血压的加拿大人仍未接受治疗。为协助制定改善高血压管理的具体方案，本报告对那些表示患有高血压但未接受抗高血压药物治疗的加拿大人进行了特征描述。
利用2005年加拿大社区健康调查（第3.1轮）来估计20岁及以上报告患有高血压或曾被诊断患有高血压的加拿大人的比例。描述并比较了那些报告在前一个月服用或未服用高血压药物的人的社会人口学特征、报告的健康状况、生活方式因素以及医疗保健资源使用情况。
20至39岁的高血压受访者中，超过一半报告未接受抗高血压治疗，而在40至59岁以及60岁及以上的人群中，这一比例分别为17%和5%。在大多数年龄组中，几个因素与未进行药物治疗有关（例如，男性、较少的医疗保健专业人员咨询、自认为健康状况极佳以及大多数较低心血管风险的指标，但每日吸烟除外）。无论是否存在心血管危险因素，未接受药物治疗的年轻高血压加拿大人的比例保持一致。
许多患有高血压的加拿大人，尤其是60岁以下的人，尽管存在一种或多种心血管风险，但仍未接受抗高血压药物治疗。吸烟者未进行药物治疗的风险增加值得特别关注。
