Marques-Vidal P, Evans A E, Cambou J P, Arveiler D, Luc G, Bingham A, Cambien F
MONICA-Toulouse, INSERM U326-ORSMIP, C.H.U. Purpan, Toulouse, France.
QJM. 1997 May;90(5):341-5. doi: 10.1093/qjmed/90.5.341.
We assessed awareness and control of hypertension and hypercholesterolaemia in a cross-sectional study of 586 men from France and 189 from Northern Ireland, aged 35-55, without known coronary artery disease. Prevalence of hypertension was 28% in France and 31% in Northern Ireland (p < 0.42). In France, 70% of hypertensive subjects were aware of their status, vs. 58% in Northern Ireland (p < 0.10). Overall, 40% of subjects with a history of hypertension were untreated, and only 32% of the French and 12% of the Northern Irish subjects treated for hypertension (diet with/without drugs) were normotensive. The prevalence of hypercholesterolaemia was 46% in France and 48% in Northern Ireland (p < 0.62). In France, 59% of hypercholesterolaemic subjects were aware of their status, vs. only 17% in Northern Ireland (p < 0.0001). In both countries, half of those with a history of hypercholesterolaemia were untreated, and only 47% of the French and 43% of the Northern Irish patients treated for hypercholesterolaemia (diet with/without drugs) were controlled. While awareness of hypertension is comparable in France and Northern Ireland, awareness of hypercholesterolaemia is much lower in the latter. Control of hypertension and hypercholesterolaemia in both countries is poor and should be improved.
我们在一项横断面研究中评估了来自法国的586名男性和来自北爱尔兰的189名男性（年龄在35至55岁之间，无已知冠状动脉疾病）对高血压和高胆固醇血症的知晓情况及控制情况。法国高血压患病率为28%，北爱尔兰为31%（p<0.42）。在法国，70%的高血压患者知晓自己的病情，而在北爱尔兰这一比例为58%（p<0.10）。总体而言，40%有高血压病史的患者未接受治疗，接受高血压治疗（饮食加/不加药物）的法国患者中只有32%血压正常，北爱尔兰患者中这一比例为12%。法国高胆固醇血症患病率为46%，北爱尔兰为48%（p<0.62）。在法国，59%的高胆固醇血症患者知晓自己的病情，而在北爱尔兰只有17%（p<0.0001）。在这两个国家，有高胆固醇血症病史的患者中有一半未接受治疗，接受高胆固醇血症治疗（饮食加/不加药物）的法国患者中只有47%病情得到控制，北爱尔兰患者中这一比例为43%。虽然法国和北爱尔兰对高血压的知晓情况相当，但北爱尔兰对高胆固醇血症的知晓率要低得多。这两个国家对高血压和高胆固醇血症的控制情况都很差，需要加以改善。
