Marcovici O A, Slater P E, Ellencweig A Y
Eur J Epidemiol. 1987 Mar;3(1):30-4. doi: 10.1007/BF00145069.
We examined hypertension control during the Israel doctors' strike in a defined insured population of known hypertensives enrolled in a nurse-based hypertension control program. The strike was associated with a measurable increase in the prevalence of uncontrolled hypertension which was limited to males of relatively higher social class. No strike-related changes in hypertension control were seen for women or lower social class males. We infer from this finding that the presence of a physician is a necessary component of good hypertension control in the sub-group of males of higher socioeconomic status. The incidence of hypertension-related complications in this relatively non-compliant subpopulation needs further investigation.
我们在一个参加了以护士为基础的高血压控制项目的已知高血压参保人群中，研究了以色列医生罢工期间的高血压控制情况。罢工与未控制高血压患病率的显著增加相关，这种增加仅限于社会阶层相对较高的男性。女性或社会阶层较低的男性未出现与罢工相关的高血压控制变化。我们从这一发现推断，在社会经济地位较高的男性亚组中，医生的存在是良好高血压控制的必要组成部分。这个相对不依从的亚人群中高血压相关并发症的发生率需要进一步研究。
