Centro de Adicciones y Salud Mental, Toronto, Canadá; Dalla Lana School of Public Health, Universidad de Toronto, Toronto, Canadá; Instituto de Ciencias Médicas, Universidad de Toronto, Toronto, Canadá; Departamento de Psiquiatría, Universidad de Toronto, Toronto, Canadá; Instituto de Psicología Clínica y Psicoterapia y Centro de Epidemiología Clínica y Estudios Longitudinales (CELOS), Technische Universität Dresden, Alemania..
Adicciones. 2018 Jan 1;30(1):9-18. doi: 10.20882/adicciones.726.
Through a simulation study, we estimated the potential effects of better detection of hypertension and improved screening for alcohol problems with subsequent interventions. Results showed that if 50% of Spanish males between 40 and 64 years of age who are currently unaware of their hypertension become aware of their condition and receive the usual treatment, and 50% of these males with hypertension are screened for alcohol and are treated for hazardous drinking or alcohol use disorders, then the percentage of uncontrolled hypertension among men with hypertension decreases from 61.2% to 55.9%, i.e. by 8.6%, with about 1/3 of the effect due to the alcohol intervention. For women, likewise, these interventions would decrease the percentage of women in the same age group with uncontrolled hypertension by 7.4% (about 40% due to the alcohol intervention). The reduction of blood pressure in the population would avoid 412 premature CVD deaths (346 in men, 66 in women) within one year. Therefore, better detection of hypertension and screening for alcohol with subsequent interventions would result in marked reductions of uncontrolled hypertension and CVD mortality.
通过模拟研究，我们估计了更好地检测高血压和改善酒精问题筛查并随后进行干预的潜在效果。结果表明，如果目前不知道自己患有高血压的 50%西班牙 40 至 64 岁男性能够意识到自己的病情并接受常规治疗，并且这 50%高血压男性接受酒精筛查并治疗危险饮酒或酒精使用障碍，那么高血压男性中未得到控制的高血压比例将从 61.2%降至 55.9%，即下降 8.6%，其中约 1/3 的效果归因于酒精干预。对于女性来说，同样，如果这些干预措施能够将同一年龄组中未得到控制的高血压女性比例降低 7.4%（约 40%归因于酒精干预）。在一年时间内，降低人群中的血压可以避免 412 例过早的 CVD 死亡（346 例男性，66 例女性）。因此，更好地检测高血压和筛查酒精并随后进行干预将显著降低未得到控制的高血压和 CVD 死亡率。
