Nissinen A, Tuomilehto J, Salonen J T, Kottke T E, Piha T
Acta Cardiol. 1986;41(2):99-109.
The hypertension programme of the North Karelia Project aimed at lowering the high blood pressure level among the whole population. The influence of socioeconomic factors on the effect of reorganized hypertension care was analyzed among a cohort of 222 hypertensive patients during the five year follow-up. The fall in mean arterial pressure was significantly greater in North Karelia than in the reference area. A slight but not significant difference was found in blood pressure reduction between high and low socioeconomical classes. The results were better in higher socioeconomic groups, but the blood pressure reduction was clear also in lower socioeconomic groups. Our results indicate that the systematic community-based hypertension control programme will result in favourable changes in blood pressure level in the entire population without any clear preference on particular socioeconomic subgroups.
北卡累利阿项目的高血压防治计划旨在降低全体居民的高血压水平。在对222名高血压患者进行的五年随访中，分析了社会经济因素对重组高血压护理效果的影响。北卡累利阿地区平均动脉压的下降幅度明显大于参照地区。社会经济阶层高低之间在血压降低方面存在轻微但不显著的差异。社会经济地位较高的群体结果更好，但社会经济地位较低的群体血压也有明显下降。我们的结果表明，基于社区的系统性高血压控制计划将使全体居民的血压水平产生有利变化，而不会对特定社会经济亚组有明显偏好。
