Barton S N, Coombs D W, Miller H L, Hughes G H, Cutter G
School of Public Health, University of Alabama, Birmingham 35294.
South Med J. 1987 Oct;80(10):1220-3. doi: 10.1097/00007611-198710000-00005.
Selected urban and rural Alabama populations were compared by age, sex, and race on the prevalence of hypertension and uncontrolled hypertension and the percentage of treated hypertensives with controlled blood pressure. We found the following results: (1) Rural women had a significantly higher prevalence of hypertension than urban women. (2) The prevalence of uncontrolled hypertension was significantly higher for urban white men than for their rural counterparts. (3) The prevalence of uncontrolled hypertension was significantly higher for rural black women aged 30 to 39 than for the same age group of urban black women. (4) Rural dwellers generally had much better blood pressure control than urban, though this was not manifested evenly across groups. Statistically significant differences were found for white men and women of all ages combined and in three of four age groups. Reasons for the rural-urban differences are unclear, but the rural area surveyed was served by nurse practitioner clinics that strongly emphasized patient education.
对阿拉巴马州部分城乡人口按年龄、性别和种族进行比较，分析高血压患病率、未控制高血压的患病率以及血压得到控制的高血压患者的百分比。我们发现以下结果：（1）农村女性高血压患病率显著高于城市女性。（2）城市白人男性未控制高血压的患病率显著高于农村白人男性。（3）30至39岁的农村黑人女性未控制高血压的患病率显著高于同年龄段的城市黑人女性。（4）农村居民的血压总体上比城市居民控制得好，不过在各群体中表现并不均衡。在所有年龄段的白人男性和女性以及四个年龄组中的三个年龄组中发现了具有统计学意义的差异。城乡差异的原因尚不清楚，但接受调查的农村地区由强烈强调患者教育的执业护士诊所提供服务。
