Havas S, Fujimoto W, Close N, McCarter R, Keller J, Sherwin R
University of Maryland School of Medicine, Baltimore 21201, USA. <
Public Health Rep. 1996 Sep-Oct;111(5):451-8.
In June 1994, the National Heart, Lung, and Blood Institute held a workshop entitled "Epidemiology of Hypertension in Hispanic Americans, Native Americans, and Asian/Pacific Islander Americans." The studies that served as the basis for the workshop along with a summary of two workshop panel discussions are being published as a supplement by Public Health Reports. In this article, the authors present graphs that compare results across these studies with data for non-Hispanic whites, blacks, and Hispanics from the Third National Health and Nutrition Examination Survey. The graphs indicate differences in mean blood pressure levels within and among these three population groups; such differences are also apparent in comparisons of these groups with the U.S. white and black populations. Although they appear modest, these differences are sufficient to result in increased mortality rates in populations with higher levels of hypertension. Environmental influences appear to underlie most of these differences. In all of these populations, blood pressure control rates are poor. Based on these studies, hypertension prevention and control programs should be undertaken. Special emphasis should be placed on the underserved minority populations that were the focus of the workshop.
1994年6月,国家心肺血液研究所举办了一场题为“西班牙裔美国人、美国原住民和亚太岛民美国人的高血压流行病学”的研讨会。作为该研讨会基础的各项研究以及两场研讨会小组讨论的总结,正由《公共卫生报告》作为增刊发表。在本文中,作者呈现了一些图表,将这些研究的结果与第三次全国健康和营养检查调查中关于非西班牙裔白人、黑人及西班牙裔的数据进行了对比。这些图表显示了这三个人口群体内部及相互之间平均血压水平的差异;在将这些群体与美国白人和黑人人口进行比较时,这种差异也很明显。尽管这些差异看似不大,但足以导致高血压水平较高的人群死亡率上升。环境影响似乎是这些差异的主要原因。在所有这些人群中,血压控制率都很低。基于这些研究,应该开展高血压预防和控制项目。应特别关注作为研讨会重点的服务不足的少数族裔人群。