Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz/Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Cad Saude Publica. 2011;27 Suppl 3:S427-34. doi: 10.1590/s0102-311x2011001500013.
We examined for cohort differences in hypertension control between participants in the Bambuí Cohort Study of Aging of aging born 1916-1926 and 1927-1937. Participants included hypertensive elderly aged 71-81 at baseline (n = 313) and at 11th wave follow up (n = 484). Prevalence of hypertension awareness (70.9% and 81.2%, respectively), median medical appointments in previous 12 months (2 and 3, respectively) and antihypertensive drug use (74.4% and 90.7% respectively) increased significantly from older to younger cohort. However, prevalence of appropriately controlled hypertension among those treated (< 140/< 90 mmHg) was similar in both cohorts (44.6% and 40.1%, p = 0.255). Multivariate analysis returned schooling as the only factor independently associated with appropriately controlled hypertension. Despite increased medical appointments and drug use in the recent cohort, the prevalence of appropriately controlled hypertension remained as low as in the older cohort.
我们研究了班比乌老龄化研究队列中出生于 1916-1926 年和 1927-1937 年的参与者之间高血压控制的队列差异。参与者包括基线时（n=313）和第 11 波随访时（n=484）年龄在 71-81 岁的高血压老年患者。高血压知晓率（分别为 70.9%和 81.2%）、过去 12 个月中位数就诊次数（分别为 2 次和 3 次）和抗高血压药物使用率（分别为 74.4%和 90.7%）从年龄较大的队列到年龄较小的队列显著增加。然而，在接受治疗的患者中（<140/<90mmHg），血压控制良好的比例在两个队列中相似（分别为 44.6%和 40.1%，p=0.255）。多变量分析显示，受教育程度是与血压控制良好相关的唯一因素。尽管最近的队列中医疗就诊次数和药物使用增加，但血压控制良好的比例仍与年龄较大的队列一样低。
