Kasl S V
J Behav Med. 1978 Dec;1(4):347-81. doi: 10.1007/BF00846693.
This review brings together studies dealing with factors that affect participation in screening, referral, and treatment for high blood pressure (HBP). Community-based screening programs are examined first, in order to describe the changing and the current distribution of hypertensives as "unaware," untreated, treated but uncontrolled, and controlled by treatment. Factors influencing this distribution are examined. Next, data on referral, acceptance of treatment, and staying in treatment are discussed, with a special reference to intervention studies. The review then brings in the broader social science literature on the psychosocial dynamics of health-maintaining and risk-reducing behaviors. The article concludes with an interpretive summary and some suggestions for further action.
本综述汇集了有关影响高血压（HBP）筛查、转诊及治疗参与因素的研究。首先对基于社区的筛查项目进行了考察，以描述高血压患者中“未被察觉”、未接受治疗、接受治疗但未得到控制以及通过治疗得到控制的患者的变化情况和当前分布。对影响这种分布的因素进行了研究。接下来，讨论了有关转诊、接受治疗及持续治疗的数据，并特别提及了干预研究。本综述随后引入了关于健康维持和风险降低行为的心理社会动态的更广泛社会科学文献。文章最后给出了一个解释性总结以及一些进一步行动的建议。
