Department of Medicine, Yale University School of Medicine, New Haven, CT, USA.
J Clin Hypertens (Greenwich). 2013 Feb;15(2):88-91. doi: 10.1111/jch.12033. Epub 2012 Nov 26.
One of the most successful public health programs in the past century provides an example of what can be accomplished when the government, the private sector, academia, and community organizations work together. The results of 4 decades of activities of the National High Blood Pressure Education Program (NHBPEP) can be measured in several ways. The publics' awareness, treatment, and control have increased remarkably. Hypertension is the primary reason adults visit physicians. Age-adjusted mortality for heart disease and stroke has declined by 70% and 80%, respectively, since the beginning of the program. The decline in heart and stroke deaths is seen in both sexes and blacks and whites, and is particularly evident in people who reside in the southeastern portion of the United States, which once had the highest mortality rates of stroke in the United States. This dramatic decrease in strokes and heart disease has occurred despite the substantial increase in obesity and diabetes in the United States.
在过去的一个世纪中，最成功的公共卫生项目之一为政府、私营部门、学术界和社区组织共同合作所能取得的成果提供了范例。国家高血压教育计划（NHBPEP）40 多年的活动成果可以通过多种方式来衡量。公众的意识、治疗和控制水平显著提高。高血压是成年人看医生的主要原因。自该计划开始以来，心脏病和中风的年龄调整死亡率分别下降了 70%和 80%。心脏病和中风死亡人数的下降在男女和黑人和白人中均可见，在美国东南部地区尤为明显，该地区曾经是美国中风死亡率最高的地区。尽管美国肥胖症和糖尿病的发病率大幅上升，但中风和心脏病的发病率却大幅下降。
