Härtel U, Keil U, Cairns V
Fortschr Med. 1984 Jun 14;102(22):609-14.
The relationship between the frequency of physician visits, self-reported health of hypertensives and the awarenes, treatment and control of hypertension has been investigated, using data from the Munich Blood Pressure Study I (1980/81), a study with 2216 participants of a random sample of the adult population of Munich (30-69 y.). As hypothesized, the chance of detecting and treating high blood pressure increased with the frequency of physician visits. However, frequent physician visits did not guarantee an effective treatment of hypertension. 33% of the treated hypertensives who visited their physicians more than ten times in the preceding year failed to show normotensive or borderline blood pressure values. Additionally it could be seen that the awareness, treatment and control of hypertension was closely related to the number of self-reported chronic diseases and self-reported physical well-being. A relationship between social variables and treatment status was only observed for men: among hypertensive men, the proportion who were treated increased with the number of years of education but decreased with the number of household members.
利用慕尼黑血压研究I(1980/81年)的数据,对高血压患者的就诊频率、自我报告的健康状况与高血压的知晓率、治疗率和控制率之间的关系进行了调查。该研究对慕尼黑成年人口(30 - 69岁)的随机样本中的2216名参与者进行了调查。正如所假设的那样,发现和治疗高血压的几率随着就诊频率的增加而增加。然而,频繁就诊并不能保证有效治疗高血压。在前一年就诊超过十次的接受治疗的高血压患者中,33%未能显示出血压正常或临界血压值。此外,可以看出,高血压的知晓率、治疗率和控制率与自我报告的慢性病数量和自我报告的身体健康状况密切相关。仅在男性中观察到社会变量与治疗状况之间的关系:在高血压男性中,接受治疗的比例随着受教育年限的增加而增加,但随着家庭成员数量的增加而减少。