高血圧の米国成人の間で抗高血圧薬の使用
Qiuping Gu1, Ryne Paulose-Ram, Charles Dillon
1Harris Corporation, Falls Church, VA, USA.
Circulation
|January 5, 2006
まとめ
抗高血圧薬の使用は,米国の成人では10年以上にわたって増加し,より多くの患者が複数の薬を使用しています. しかし,さまざまな人口集団において,アクセスと治療の格差は依然として存在しています.
科学分野:
- 心血管医学 心血管医学
- 公衆衛生は公衆衛生である.
- 薬剤療法 薬剤療法について
背景:
- 高血圧管理は,抗高血圧薬療法に依存しています.
- 既存の治療法では高血圧を効果的にコントロールできます.
- この研究は,米国の成人の間で抗高血圧薬の使用の傾向を分析しています.
研究 の 目的:
- 米国の成人の処方された抗高血圧薬の使用の傾向を調べる.
- 既定の高血圧ガイドラインと薬物使用パターンを比較する.
- 薬物使用における社会人口学的格差を特定する.
主な方法:
- 国家保健栄養検査調査データ (1988年-1994年,1999年-2002年) の分析
- 血圧や薬物の使用に基づいて高血圧の成人を特定する.
- 集団間の薬物使用パターンの比較とJNCのガイドラインとの比較.
主要な成果:
- 処方された抗高血圧薬の使用は,1988年から1994年,そして1999年から2002年の間に57.3%から62.9%に増加しました.
- 多重抗高血圧薬の使用が著しく増加した (29.1%から35.8%).
- 薬物使用は年齢,性別,人種/民族によって変化し,差異は持続している.
結論:
- ポリセラピーを含む抗高血圧薬の使用は,米国の成人の間で増加しています.
- 社会統計学的要因に基づく薬物使用の格差は依然として大きい.
- JNCのガイドラインに沿った特定の状態の治療パターン.
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