JAMA. 1977 May 30;237(22):2385-91. doi: 10.1001/jama.1977.03270490025018.
the Hypertension Detection and Follow-up Program (HDFP) is a community-based national trial to determine whether special programs can improve the treatment for persons with uncontrolled hypertension and reduce morbidity and mortality in wide strata of these patients. A total of 158,906 persons, aged 30 to 69 years, were screened to identify those with a diastolic blood pressure (DBP) of 95 mm Hg or higher. Age-sex-race means and distributions of DBP at a first and a second screen and prevalence rates or actual hypertension by sex, race, and level of control suggest a recently increased awareness of hypertension with more widespread and effective treatment, especially among women, although blacks under treatment had their DBP controlled less frequently. The response to this program of screening and initial follow-up offers encouragement for improved community control of high blood pressure.
高血压检测与随访项目（HDFP）是一项基于社区的全国性试验，旨在确定特殊项目能否改善血压控制不佳的患者的治疗情况，并降低这类患者广泛群体中的发病率和死亡率。共有158,906名年龄在30至69岁之间的人接受了筛查，以确定那些舒张压（DBP）为95毫米汞柱或更高的人。首次和第二次筛查时DBP的年龄、性别、种族均值和分布，以及按性别、种族和控制水平划分的实际高血压患病率表明，尽管接受治疗的黑人DBP控制频率较低，但随着治疗更加广泛和有效，尤其是在女性中，最近人们对高血压的认识有所提高。对该筛查和初始随访项目的反应为改善社区高血压控制提供了鼓励。
