Jolly Stacey E, Koller Kathryn R, Metzger Jesse S, Day Gretchen M, Silverman Angela, Hopkins Scarlett E, Austin Melissa A, Boden-Albala Bernadette, Ebbesson Sven O E, Boyer Bert B, Howard Barbara V, Umans Jason G
General Internal Medicine, Cleveland Clinic Medicine Institute, Cleveland, OH.
Alaska Native Tribal Health Consortium, Anchorage, AK.
J Clin Hypertens (Greenwich). 2015 Oct;17(10):812-8. doi: 10.1111/jch.12483. Epub 2015 Feb 3.
Hypertension is a common chronic disease and a key risk factor in the development of cardiovascular disease. The Western Alaska Tribal Collaborative for Health study consolidates baseline data from four major cohorts residing in the Norton Sound and Yukon-Kuskokwim regions of western Alaska. This consolidated cohort affords an opportunity for a systematic analysis of high blood pressure and its correlates in a unique population with high stroke rates over a wide age range. While the prevalence of hypertension among western Alaska Native people (30%, age-standardized) is slightly less than that of the US general population (33%), cardiovascular disease is a leading cause of mortality in this rural population. The authors found that improvement is needed in hypertension awareness as about two thirds (64%) of patients reported awareness and only 39% with hypertension were controlled on medication. Future analyses assessing risk and protective factors for incident hypertension in this population are indicated.
高血压是一种常见的慢性病，也是心血管疾病发展的关键风险因素。阿拉斯加西部部落健康协作研究整合了居住在阿拉斯加西部诺顿湾和育空-库斯科基姆地区的四个主要队列的基线数据。这个合并队列提供了一个机会，可对一个独特的、中风率高且年龄范围广泛的人群中的高血压及其相关因素进行系统分析。虽然阿拉斯加西部原住民中的高血压患病率（年龄标准化后为30%）略低于美国普通人群（33%），但心血管疾病却是这个农村人口的主要死因。作者发现，高血压知晓情况需要改善，因为约三分之二（64%）的患者表示知晓，而仅有39%的高血压患者通过药物得到控制。未来需要对该人群中发生高血压的风险和保护因素进行分析。
