Stanford Prevention Research Center, Stanford University, Stanford, CA, USA.
J Gen Intern Med. 2009 Nov;24 Suppl 3(Suppl 3):521-7. doi: 10.1007/s11606-009-1094-6.
The burden of hypertension and related health care needs among Mexican Americans will likely increase substantially in the near future.
In a nationally representative sample of U.S. Mexican American adults we examined: 1) the full range of blood pressure categories, from normal to severe; 2) predictors of hypertension awareness, treatment and control and; 3) prevalence of comorbidities among those with hypertension.
Cross-sectional analysis of pooled data from the National Health and Nutrition Examination Surveys (NHANES), 1999-2004.
The group of participants encompassed 1,359 Mexican American women and 1,421 Mexican American men, aged 25-84 years, who underwent a standardized physical examination.
Physiologic measures of blood pressure, body mass index, and diabetes. Questionnaire assessment of blood pressure awareness and treatment.
Prevalence of Stage 1 hypertension was low and similar between women and men ( approximately 10%). Among hypertensives, awareness and treatment were suboptimal, particularly among younger adults (65% unaware, 71% untreated) and those without health insurance (51% unaware, 62% untreated). Among treated hypertensives, control was suboptimal for 56%; of these, 23% had stage >/=2 hypertension. Clustering of CVD risk factors was common; among hypertensive adults, 51% of women and 55% of men were also overweight or obese; 24% of women and 23% of men had all three chronic conditions-hypertension, overweight/obesity and diabetes.
Management of hypertension in Mexican American adults fails at multiple critical points along an optimal treatment pathway. Tailored strategies to improve hypertension awareness, treatment and control rates must be a public health priority.
在不久的将来，墨西哥裔美国人的高血压负担和相关医疗需求可能会大幅增加。
我们在一项具有全国代表性的美国墨西哥裔成年人样本中研究了以下内容：1）从正常到严重的全范围血压类别；2）高血压知晓、治疗和控制的预测因素；3）高血压患者合并症的患病率。
对 1999-2004 年全国健康和营养调查（NHANES）的汇总数据进行横断面分析。
该参与者组包括 1359 名墨西哥裔美国女性和 1421 名墨西哥裔美国男性，年龄在 25-84 岁之间，接受了标准化体检。
血压、体重指数和糖尿病的生理测量。问卷调查评估血压知晓率和治疗率。
1 期高血压的患病率较低，女性和男性之间相似（约为 10%）。在高血压患者中，知晓率和治疗率不理想，尤其是在年轻成年人（65%未察觉，71%未治疗）和没有医疗保险的人群中（51%未察觉，62%未治疗）。在接受治疗的高血压患者中，控制率不理想的占 56%；其中，23%的人患有>/=2 期高血压。心血管疾病危险因素的聚集很常见；在高血压成年人中，51%的女性和 55%的男性超重或肥胖；24%的女性和 23%的男性同时患有三种慢性疾病-高血压、超重/肥胖和糖尿病。
墨西哥裔美国成年人高血压的管理在沿着最佳治疗途径的多个关键节点都失败了。必须将提高高血压知晓率、治疗率和控制率的定制策略作为公共卫生的重点。
