在明尼苏达州一个大型门诊诊所的高血压控制中描述种族差异
Haitham M Hussein1, Ella Chrenka2, Mai Kau Yang1
1University of Minnesota Neurology Department, Minneapolis, MN, USA.
Health services research and managerial epidemiology
|August 29, 2023
概括
赫蒙族,非洲裔美国人和索马里人群体的失控高血压率最高. 针对性干预对于改善高血压控制在这些不同种族群体,特别是年轻人中至关重要.
科学领域:
- 公共卫生 公共卫生
- 心脏病学 心脏病学
- 健康差异 在健康上的差异
背景情况:
- 控制高血压仍然是一个重大的公共卫生挑战,特别是在少数种族群体中.
- 战争难民群体,如赫蒙族和索马里人,可能面临着有效高血压管理的独特障碍.
研究的目的:
- 在一个大型门诊诊所内,分析不同种族和族群的高血压控制率.
- 为了确定特定的人群,包括赫蒙族和索马里难民,高率的失控高血压.
- 为高血压管理的质量改进工作提供信息.
主要方法:
- 对2015-2019年被诊断患有高血压的成年患者的非识别医疗记录的回顾性审查.
- 测量结果:不受控制的高血压率 (静脉压≥140 mmHg或静脉压≥90 mmHg).
- 数据按种族,年龄和性别分层.
主要成果:
- 赫蒙族男性 (33.6%),非洲裔美国人 (31.3%) 和索马里人 (29.2%) 患高血压的比例最高.
- 在女性中,非洲裔美国人 (28.6%),赫蒙人 (28.5%) 和索马里人 (25.7%) 的比例最高.
- 在大多数种族类别中,不受控制的高血压率在18-29岁和≥70岁的年龄组达到顶峰.
结论:
- 赫蒙族,非洲裔美国人和索马里人群中,患高血压的比例较高.
- 高血压管理策略需要根据每个种族群体的具体需求量身定制.
- 干预措施应优先考虑年轻人和老年人,以及特定的少数群体.
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