Al-Turki Khalid A, Al-Baghli Nadira A, Al-Ghamdi Aqeel J, El-Zubaier Ahmad G
Directorate of Health Affairs, Ministry of Health, Dammam, Saudi Arabia.
J Family Community Med. 2008 Sep;15(3):95-101.
To estimate the prevalence of hypertension through a screening campaign in the Eastern Province of Saudi Arabia, and examine its association with lifestyle factors.
In 2004, all Saudi residents in the Eastern Province, aged 30 years and above were invited to participate in a screening campaign for the early detection of diabetes and hypertension. Blood pressure was recorded by trained nurses using a mercury sphygmomanometer, based on the recommendations of (JNC- VII). A positive screening test for hypertension was defined as systolic and/or diastolic blood pressure of ≥ 140 and 90 mm Hg, respectively. Subjects who had positive screening tests were asked to come on the following day for a confirmation of the reading. Hypertension was considered if there was a persistent reading of systolic and/or diastolic blood pressure of ≥ 140 and 90 mmHg after confirmation, or when there was history of a previous diagnosis.
21% of the sample was positive from previous history or screening. After confirmation, the prevalence of hypertension dropped to 15.6%, pre-hypertension was 3.7%, whereas the prevalence of undiagnosed hypertension was 2.8%. The prevalence rose with age. It was higher in women than in men of all age groups and in all sectors of the eastern province, although the mean systolic and diastolic BP was higher in men than women. It was higher with lower education, in widows and divorcees than others (P<0.0001).
The yield of the screening for abnormal blood pressure was high. Systematic follow-up of subjects with abnormal screening results is vital.
通过在沙特阿拉伯东部省份开展的一项筛查活动来评估高血压的患病率，并研究其与生活方式因素的关联。
2004年，邀请沙特阿拉伯东部省份所有30岁及以上的居民参加一项用于早期检测糖尿病和高血压的筛查活动。根据（美国国家高血压教育计划第七次报告）的建议，由经过培训的护士使用汞柱式血压计记录血压。高血压筛查阳性定义为收缩压和/或舒张压分别≥140和90毫米汞柱。筛查结果呈阳性的受试者被要求次日再来确认读数。如果确认后收缩压和/或舒张压持续≥140和90毫米汞柱，或有既往诊断史，则判定为高血压。
21%的样本有既往病史或筛查呈阳性。确认后，高血压患病率降至15.6%，血压正常高值为3.7%，而未诊断出的高血压患病率为2.8%。患病率随年龄增长而上升。在东部省份的所有年龄组和所有部门中，女性的患病率均高于男性，尽管男性的平均收缩压和舒张压高于女性。受教育程度较低者、寡妇和离婚者的患病率高于其他人（P<0.0001）。
血压异常筛查的检出率很高。对筛查结果异常的受试者进行系统随访至关重要。
