Brigham and Women's Hospital, Boston, MA 02130, USA.
J Clin Hypertens (Greenwich). 2010 Feb 1;12(2):75-81. doi: 10.1111/j.1751-7176.2009.00223.x.
To describe hypertension trends in US adults aged 65 years and older using Medicare Current Beneficiary Survey (MCBS) data, a cross-sectional, nationally representative health examination survey from MCBS files between 1999 and 2004 was investigated. Overall, 62% of beneficiaries, or an estimated 20 million US adults aged 65 years and older, were hypertensive as extrapolated from MCBS data. From 1999 to 2004, the prevalence rate of hypertension increased from 59% to 65% (P<.001). Nonwhite persons and women had a higher prevalence of hypertension than whites and men. A history of diabetes mellitus, prior myocardial infarction, coronary artery disease, or stroke was significantly associated with hypertension treatment. In addition, significant geographic variation in treatment was noted. There was a significant increase in hypertension prevalence in older Medicare beneficiaries from 1999 to 2004. Women, patients 85 years and older, and nonwhite patients were less likely to be treated with antihypertensive medications, and significant geographic variation existed in treatment.
为了描述美国 65 岁及以上老年人的高血压趋势，我们利用医疗保险当前受益人调查（MCBS）的数据进行了一项横断面、全国代表性的健康检查调查。该调查利用 1999 年至 2004 年 MCBS 文件中的数据，结果显示，总体而言，62%的受益人（约 2000 万 65 岁及以上的美国成年人）患有高血压。从 1999 年到 2004 年，高血压的患病率从 59%上升到 65%（P<.001）。与白人相比，非裔和女性高血压的患病率更高。有糖尿病、心肌梗死、冠心病或中风病史的人更有可能接受高血压治疗。此外，还注意到治疗存在显著的地域差异。从 1999 年到 2004 年，老年医疗保险受益人的高血压患病率显著增加。女性、85 岁及以上的患者和非裔患者接受降压药物治疗的可能性较小，而且治疗存在显著的地域差异。
