Division of Health and Nutrition Examination Surveys, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland, USA.
National Center for Health Statistics, Division of Research and Methodology, Centers for Disease Control and Prevention,Hyattsville, Maryland, USA.
Am J Hypertens. 2017 Nov 1;30(11):1126-1132. doi: 10.1093/ajh/hpx101.
Home blood pressure monitoring (HBPM) has a substantial role in hypertension management and control.
Cross-sectional data for noninstitutionalized US adults 18 years and older (10,958) from the National Health and Nutrition Examination Survey (NHANES), years 2011-2014, were used to examine factors related to HBPM.
In 2011-2014, estimated 9.5% of US adults engaged in weekly HBPM, 7.2% engaged in monthly HBPM, 8.0% engaged in HBPM less than once a month, and 75.3% didn't engage any HBPM. The frequency of HBPM increased with age, body mass index, and the number of health care visits (all, P < 0.05). Also, race/ethnicity (Non-Hispanic Blacks and non-Hispanic Asians), health insurance, diagnosed with diabetes, told by a health care provider to engage in HBPM, and diagnosed as hypertensive, were all associated with more frequent HBPM (P < 0.05). Adjusting for covariates, hypertensives who were aware of, treated for, and controlled engaged in more frequent HBPM compared to their respective references: unaware (odds ratio [OR] = 2.00, 95% confidence interval [CI] = 1.53-2.63), untreated (OR = 1.99, 95% CI = 1.52-2.60), and uncontrolled (OR = 1.42, 95% CI = 1.13-1.82). Hypertensive adults (aware/unaware, treated/untreated, or controlled/uncontrolled), who received providers' recommendations to perform HBPM, were more likely to do so compared to those who did not receive recommendations (OR = 8.04, 95% CI = 6.56-9.86; OR = 7.98, 95% CI = 6.54-9.72; OR = 8.75, 95% CI = 7.18-10.67, respectively).
Seventeen percent of US adults engaged in monthly or more frequent HBPM and health care providers' recommendations to engage in HBPM have a significant impact on the frequency of HBPM.
家庭血压监测（HBPM）在高血压管理和控制中起着重要作用。
使用 2011-2014 年全国健康和营养检查调查（NHANES）中年龄在 18 岁及以上的非机构化美国成年人（10958 人）的横断面数据，研究与 HBPM 相关的因素。
2011-2014 年，估计有 9.5%的美国成年人每周进行 HBPM，7.2%的成年人每月进行 HBPM，8.0%的成年人每月进行 HBPM 的次数少于一次，75.3%的成年人不进行任何 HBPM。HBPM 的频率随年龄、体重指数和就诊次数的增加而增加（均 P<0.05）。此外，种族/民族（非西班牙裔黑人和非西班牙裔亚洲人）、医疗保险、被诊断患有糖尿病、被医疗保健提供者告知进行 HBPM 以及被诊断为高血压，均与更频繁的 HBPM 相关（P<0.05）。调整协变量后，知晓、治疗和控制的高血压患者进行更频繁的 HBPM 比各自的参考组更多：不知晓（比值比[OR] = 2.00，95%置信区间[CI] = 1.53-2.63）、未治疗（OR = 1.99，95% CI = 1.52-2.60）和未控制（OR = 1.42，95% CI = 1.13-1.82）。接受提供者建议进行 HBPM 的高血压患者（知晓/不知晓、治疗/未治疗或控制/未控制）比未收到建议的患者更有可能进行 HBPM（OR = 8.04，95% CI = 6.56-9.86；OR = 7.98，95% CI = 6.54-9.72；OR = 8.75，95% CI = 7.18-10.67）。
17%的美国成年人每月或更频繁地进行 HBPM，医疗保健提供者建议进行 HBPM 对 HBPM 的频率有显著影响。
