Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Health Outcomes, American Medical Association, Chicago, Illinois, USA.
Am J Hypertens. 2021 Nov 20;34(11):1148-1153. doi: 10.1093/ajh/hpab091.
Hypertension is a major risk factor for cardiovascular disease. Achieving hypertension control requires multiple supportive inventions, including self-measured blood pressure (SMBP) monitoring. The objective of this study is to report the use of SMBP among US adults.
Behavioral Risk Factor Surveillance System data were used for this study. The 2019 survey included, for the first time, an optional SMBP module. Twenty states and the District of Columbia (N = 159,536) opted to include the module, which assessed whether participants were advised by a healthcare professional to use SMBP, and if they used SMBP monitoring. Among those using SMBP, additional questions assessed the location of SMBP monitoring and whether SMBP readings were shared with a healthcare professional.
Among adults in the study population, 33.9% (95% confidence interval 33.4%-34.5%) reported having hypertension (N = 66,869). Among them, nearly 70% were recommended to use SMBP by their healthcare professional and approximately 61% reported SMBP use regardless of recommendation. The most common location of SMBP was the home (85.6%). Overall, >80% shared their SMBP reading with their healthcare professional, 74% and 7% were shared in person and via the internet or email, respectively. There were differences in healthcare professional recommendations, use of SMBP, and SMBP information sharing across demographic characteristics and state of residency.
SMBP recommendation was common practice among healthcare professionals, as reported by US adults with hypertension. Data from this study can be used to guide interventions to promote hypertension self-management and control.
高血压是心血管疾病的主要危险因素。实现高血压控制需要多种支持性发明，包括自我测量血压（SMBP）监测。本研究的目的是报告美国成年人使用 SMBP 的情况。
本研究使用行为风险因素监测系统数据。2019 年的调查首次包括可选的 SMBP 模块。有 20 个州和哥伦比亚特区（N=159536）选择包括该模块，该模块评估参与者是否被医疗保健专业人员建议使用 SMBP 监测，如果他们使用 SMBP 监测。在使用 SMBP 的人群中，还评估了 SMBP 监测的位置以及是否与医疗保健专业人员共享 SMBP 读数。
在研究人群中的成年人中，33.9%（95%置信区间 33.4%-34.5%）报告患有高血压（N=66869）。其中，近 70%的人被医疗保健专业人员建议使用 SMBP，约 61%的人无论是否建议都报告使用 SMBP。SMBP 最常见的位置是家庭（85.6%）。总体而言，超过 80%的人将其 SMBP 读数与医疗保健专业人员共享，74%和 7%分别通过面对面和互联网或电子邮件共享。在医疗保健专业人员的建议、SMBP 的使用以及 SMBP 信息共享方面，存在着人口统计学特征和居住州的差异。
正如高血压美国成年人报告的那样，医疗保健专业人员普遍建议使用 SMBP。本研究的数据可用于指导干预措施，以促进高血压的自我管理和控制。
