Degoulet P, Devries C, Wolf J P, Plouin P F, Menard J
Nouv Presse Med. 1980 Jan 5;9(1):15-9.
An analysis of socio-professional categories was performed in 712 active hypertensive men, referred between January 1st 1976 and December 31st 1977 to the hypertension out patient clinic of the Saint-Joseph Hospital, Paris. The percentages of senior executives, middle executives and patients with liberal professions, were higher than those calculated in the whole French population. In contrast, the percentages of craftsmen, shopkeeper, employees and manual workers were lower. Furthermore, blood pressure levels obtained by history and those found at first consultation were higher in employees and manual workers than in patients from a higher socio-economic level. The social differencies which are observed may be related to known data concerning mortality, morbidity and drug consumption according to socio-professional categories. They should lead physicians and health care administrators to seek more effective and egalitarian methods of prevention.
对712名在职高血压男性患者进行了社会职业分类分析,这些患者于1976年1月1日至1977年12月31日期间被转诊至巴黎圣约瑟夫医院高血压门诊。高级管理人员、中级管理人员和自由职业患者的比例高于法国全体人口的计算比例。相比之下,工匠、店主、雇员和体力劳动者的比例较低。此外,通过病史获得的血压水平以及首次就诊时测得的血压水平,雇员和体力劳动者高于社会经济水平较高的患者。观察到的社会差异可能与按社会职业分类的死亡率、发病率和药物消费的已知数据有关。这些差异应促使医生和医疗保健管理人员寻求更有效和平等的预防方法。