Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Atlanta, GA 30341-3717, USA.
J Clin Hypertens (Greenwich). 2012 Mar;14(3):172-7. doi: 10.1111/j.1751-7176.2011.00582.x. Epub 2012 Jan 19.
The authors analyzed HealthStyles surveys 2005 and 2008 combined to assess the prevalence of regular home blood pressure monitor (HBPM) use among hypertensive adults. All data were self-reported. The authors calculated odds ratios (ORs) of regular HBPM use and relative percent change (RPC) in the use of HBPM between the 2 survey years. There were 3739 (32.6%) hypertensives in the 2 survey years combined. Based on the self-reported data, the proportion of hypertensives who regularly used an HBPM was 43.2%. Male sex, age, race/ethnicity, household income, and education were all associated with differences in the prevalence of regular HBPM use. Patients 65 years and older (OR, 2.38; 95% confidence interval [CI], 1.49-3.81) were significantly more likely to be regular HBPM users than those 18 to 34 years. Non-Hispanic blacks were significantly less likely (OR, 0.69; 95% CI, 0.55-0.86) to be regular HBPM users than non-Hispanic whites. From 2005 to 2008, the RPC in regular HBPM use was 14.2% (from 40.1% to 45.8%); the largest RPCs were for the 3 youngest age groups, men, non-Hispanic blacks, and those with a household income of $40,000 to 59,900. Because HBPM has been demonstrated to aid in hypertension control, health care professionals should promote its use especially among hypertensives who are younger, non-Hispanic blacks, Hispanics, or with a lower income.
作者分析了 2005 年和 2008 年的 HealthStyles 调查数据,以评估高血压成年人定期使用家用血压监测仪(HBPM)的流行率。所有数据均为自我报告。作者计算了在这两年调查中定期使用 HBPM 的优势比(OR)和 HBPM 使用的相对百分比变化(RPC)。在两年的调查中,共有 3739 名(32.6%)高血压患者。根据自我报告的数据,定期使用 HBPM 的高血压患者比例为 43.2%。男性、年龄、种族/族裔、家庭收入和教育程度均与定期使用 HBPM 的流行率差异相关。65 岁及以上的患者(OR,2.38;95%置信区间[CI],1.49-3.81)比 18 至 34 岁的患者更有可能成为定期 HBPM 用户。与非西班牙裔白人相比,非西班牙裔黑人成为定期 HBPM 用户的可能性显著降低(OR,0.69;95%CI,0.55-0.86)。从 2005 年到 2008 年,定期使用 HBPM 的 RPC 为 14.2%(从 40.1%到 45.8%);RPC 最大的是年龄最小的 3 个年龄组、男性、非西班牙裔黑人以及家庭收入为 40000 至 59900 美元的人。由于 HBPM 已被证明有助于控制高血压,因此医疗保健专业人员应特别促进其在较年轻、非西班牙裔黑人、西班牙裔或收入较低的高血压患者中的使用。