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新冠疫情之前及期间,美国高血压成年患者血压测量普及率的变化。

Changes in blood pressure measurement prevalence among United States adults with hypertension before and during the COVID-19 pandemic.

作者信息

Otchere Baffour, Vaughan Adam S, Richardson LaTonia, Wall Hilary K, Coronado Fátima

机构信息

Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States.

出版信息

Prev Med Rep. 2024 Aug 31;46:102878. doi: 10.1016/j.pmedr.2024.102878. eCollection 2024 Oct.

Abstract

BACKGROUND

The Coronavirus Disease 2019 (COVID-19) pandemic disrupted health care, with particularly profound effects on persons with chronic conditions like hypertension.

OBJECTIVES

In this study, we examined changes in the prevalence of blood pressure (BP) measurements by a healthcare professional among adults aged ≥ 18 years with hypertension before and during the COVID-19 pandemic in the United States (US).

METHODS

This study utilized the National Health Interview Survey data from April to December of the 2019 and 2021 modules of the survey. A total of 15,855 participants were included in the analytic sample. The prevalence of BP measurements taken by a health professional was calculated and the association between survey year and BP measurements was evaluated using adjusted and unadjusted logistic regression models.

RESULTS

Overall, the prevalence of BP measurements by a health professional among US adults with hypertension decreased from 95.9 % in the pre-pandemic period to 94.7 % in the pandemic period. Adults with hypertension were less likely (OR: 0.76, 95 % CI: 0.63-0.91) to report having had a BP measurement taken by a health professional during the pandemic compared to before the pandemic.

CONCLUSION

Self-measured BP monitoring with clinical support could ensure continuous and improved care of individuals with hypertension, especially when circumstances could interrupt healthcare access.

摘要

背景

2019年冠状病毒病(COVID-19)大流行扰乱了医疗保健系统,对高血压等慢性病患者产生了尤为深远的影响。

目的

在本研究中,我们调查了美国≥18岁高血压成年人在COVID-19大流行之前和期间由医疗保健专业人员进行血压(BP)测量的患病率变化。

方法

本研究利用了2019年和2021年调查模块4月至12月的国家健康访谈调查数据。分析样本共纳入15855名参与者。计算了由健康专业人员进行BP测量的患病率,并使用调整和未调整的逻辑回归模型评估了调查年份与BP测量之间的关联。

结果

总体而言,美国高血压成年人中由健康专业人员进行BP测量的患病率从大流行前的95.9%降至大流行期间的94.7%。与大流行前相比,高血压成年人在大流行期间报告由健康专业人员进行BP测量的可能性较小(OR:0.76,95%CI:0.63-0.91)。

结论

在临床支持下进行自我测量血压监测可以确保对高血压患者进行持续且改善的护理,尤其是在情况可能中断医疗保健服务获取时。

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