Shapiro M, Bleho J, Curran M, Farrell K, Klein D, Weigensberg A, Weil K
Can Med Assoc J. 1978 Jan 7;118(1):37-40.
A hypertension survey was conducted in Montreal to determine the extent, nature and distribution of the control of hypertension. Of the 12 055 persons screened in shopping centres, workplaces and a random sample of homes in four census tracts the hypertension was not controlled in 69.0% to 80.3% of those with the condition in each setting. Nearly two thirds of those with hypertension were aware of their condition, 13% were aware but had never been treated, 13% were receiving treatment inadequate to control their hypertension, and 11% had discontinued treatment, most reporting that they had done so on the advice of their physician. Among those screened in their home, discontinuance of therapy was most often reported by those with a low income, but lack of awareness of their condition was no more prevalent in this group than in the other income groups. Efforts to control hypertension should be directed to the variety of causes of lack of control, which may occur with various frequencies in different communities, and for which screening alone may be inadequate.
在蒙特利尔进行了一项高血压调查，以确定高血压控制的程度、性质和分布情况。在四个普查区的购物中心、工作场所及随机抽取的家庭中，共筛查了12055人，在每个场所患有高血压的人群中，69.0%至80.3%的患者血压未得到控制。近三分之二的高血压患者知晓自己的病情，13%知晓病情但从未接受过治疗，13%正在接受治疗但治疗不足以控制高血压，11%已停止治疗，大多数人表示是听从医生的建议才停药的。在上门筛查的人群中，低收入者最常报告停药情况，但该群体对病情缺乏认知的情况并不比其他收入群体更普遍。控制高血压的努力应针对导致血压控制不佳的各种原因，这些原因在不同社区可能以不同频率出现，仅靠筛查可能并不够。
