Murphy C M, Kearney P M, Shelley E B, Fahey T, Dooley C, Kenny R A
The Irish Longitudinal Study on Ageing (TILDA), Department of Medical Gerontology, Trinity College, Lincoln Gate, Dublin 2, Ireland.
Department of Epidemiology and Public Health, University College Cork, Cork, Ireland.
J Public Health (Oxf). 2016 Sep;38(3):450-458. doi: 10.1093/pubmed/fdv057. Epub 2015 Apr 28.
To assess the prevalence, awareness, treatment and control of hypertension among adults in Ireland and to describe the determinants of awareness, treatment and control in order to inform public health policy.
A cross-sectional study of a nationally representative sample of community living adults aged 50 years and older using data collected from 2009 to 2011 for the first wave of the Irish Longitudinal Study on Ageing (TILDA) (n = 5857). Hypertension was defined as systolic blood pressure (BP) ≥140 mmHg or diastolic BP ≥90 mmHg and/or currently taking antihypertensive medications.
The prevalence of hypertension was 63.7% [95% confidence interval (CI) 62.3-65.1%]. Among those with hypertension, 54.5% (95% CI 52.6-56.2%) were aware of their hypertensive status and 58.9% (95% CI 57.1-60.4%) were on antihypertensive medication. Among those on treatment, 51.6% (95% CI 49.3-53.9%) had their BP controlled to below 140/90 mmHg. Respondents facing financial barriers to primary care and medication were less likely to be on antihypertensive treatment compared with those without financial barriers.
A high prevalence of hypertension was identified in this cohort, with low levels of awareness, treatment and control. Population and primary care interventions are required to reduce prevalence and to improve awareness, detection and management of hypertension.
评估爱尔兰成年人高血压的患病率、知晓率、治疗率和控制率，并描述知晓、治疗和控制的决定因素，以为公共卫生政策提供依据。
对年龄在50岁及以上的社区居住成年人进行全国代表性样本的横断面研究，使用2009年至2011年从爱尔兰老龄化纵向研究（TILDA）第一波收集的数据（n = 5857）。高血压定义为收缩压（BP）≥140 mmHg或舒张压BP≥90 mmHg和/或目前正在服用抗高血压药物。
高血压患病率为63.7% [95%置信区间（CI）62.3 - 65.1%]。在高血压患者中，54.5%（95% CI 52.6 - 56.2%）知晓自己的高血压状况，58.9%（95% CI 57.1 - 60.4%）正在服用抗高血压药物。在接受治疗的患者中，51.6%（95% CI 49.3 - 53.9%）的血压控制在140/90 mmHg以下。与没有经济障碍的受访者相比，面临初级保健和药物治疗经济障碍的受访者接受抗高血压治疗的可能性较小。
该队列中高血压患病率较高，知晓率、治疗率和控制率较低。需要采取人群和初级保健干预措施来降低患病率，并提高高血压的知晓率、检测率和管理水平。
