London School of Hygiene & Tropical Medicine, London, United Kingdom.
National Research Center for Preventive Medicine, Ministry of Healthcare, Moscow, Russian Federation.
PLoS One. 2020 May 29;15(5):e0233801. doi: 10.1371/journal.pone.0233801. eCollection 2020.
The Russian Federation has among the highest rates of cardiovascular disease (CVD) in the world and a high rate of untreated hypertension remains an important risk factor. Understanding who is at greatest risk is important to inform approaches to primary prevention.
2,353 hypertensive 35-69 year olds were selected from a population-based study, Know Your Heart, conducted in Arkhangelsk and Novosibirsk, Russian Federation, 2015-2018. The associations between untreated hypertension and a range of co-variates related to socio-demographics, health, and health behaviours were examined.
The age-standardised prevalence of untreated hypertension was 51.1% (95% CI 47.8-54.5) in males, 28.8% (25.4-32.5) in females, and 40.0% (37.5-42.5) overall. The factors associated with untreated hypertension relative to treated hypertension were younger ages, self-rated general health as very good-excellent, not being obese, no history of CVD events, no evidence of diabetes or chronic kidney disease, and not seeing a primary care doctor in the past year as well as problem drinking for women and working full time, lower education, and smoking for men.
The study found relatively high prevalence of untreated hypertension, especially, in men. Recent initiatives to strengthen primary care provision and implementation of a general health check programme (dispansarisation) are promising, although further studies should evaluate other, potentially more effective strategies tailored to the particular circumstances of this population.
俄罗斯联邦的心血管疾病（CVD）发病率位居世界前列，未得到治疗的高血压发病率仍然很高，是一个重要的危险因素。了解哪些人面临最大的风险对于制定初级预防措施非常重要。
2015 年至 2018 年，在俄罗斯联邦的阿尔汉格尔斯克和新西伯利亚进行了一项基于人群的研究，名为“了解你的心脏”，共选取了 2353 名 35-69 岁的高血压患者。研究调查了未得到治疗的高血压与一系列与社会人口统计学、健康和健康行为相关的协变量之间的关联。
男性中未得到治疗的高血压的标准化患病率为 51.1%（95%CI 47.8-54.5），女性为 28.8%（25.4-32.5），总体为 40.0%（37.5-42.5）。与治疗高血压相比，未得到治疗高血压的相关因素包括年龄较小、自我评估的总体健康状况为非常好-优秀、不肥胖、没有 CVD 事件史、没有糖尿病或慢性肾脏病证据、过去一年没有看过初级保健医生以及女性饮酒问题和男性全职工作、教育程度较低和吸烟。
研究发现未得到治疗的高血压患病率相对较高，尤其是在男性中。最近加强初级保健服务提供和实施一般健康检查计划（dispansarisation）的举措很有希望，尽管需要进一步研究评估其他针对该人群特定情况可能更有效的策略。
