Cullen K J, McCall M G, Stenhouse N S
Int J Epidemiol. 1979 Sep;8(3):213-7. doi: 10.1093/ije/8.3.213.
Regular biennial health screenings of the Busselton population between 1966-75 resulted in the recognition of individuals with hypertension and a progressive increase in the adequacy of control of blood pressure in those on treatment. Between 1973-77 observed mortality from strokes (CVA) in males 50 yrs and over declined significantly as might be expected from the smaller numbers at risk from raised blood pressure. No favourable trends occurred in the incidence of CVA in women despite better control of hypertension. In the population as a whole, CVA mortality in untreated or inadequately controlled hypertensives was significantly greater than in normo-tensives or adequately controlled hypertensives.
1966年至1975年间对巴瑟尔顿人群进行的定期两年一次的健康筛查,使得高血压患者得以被识别出来,并且接受治疗者的血压控制达标率也在逐步提高。1973年至1977年间,50岁及以上男性因中风(脑血管意外)导致的死亡率显著下降,这正如预期的那样,因为血压升高导致的高危人群数量减少了。尽管高血压得到了更好的控制,但女性脑血管意外的发病率并未出现有利趋势。在整个人口中,未经治疗或血压控制不佳的高血压患者的脑血管意外死亡率显著高于血压正常者或血压控制良好的高血压患者。