在美国生育年龄妇女中高血压的流行和控制
Xingran Weng1, Rebecca C Woodruff2, Soyoun Park3
1Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
American journal of preventive medicine
|October 26, 2023
概括
高血压影响着14.5%的生育年龄女性,黑人女性患高血压的比例较高,控制率较低. 州级数据显示,在这个人口群体中,高血压患病率和管理的差异很大.
科学领域:
- 心血管健康 心血管健康
- 公共卫生监督 公共卫生监督
- 妇女健康 妇女健康
背景情况:
- 高血压是心血管疾病的重要危险因素,是生育年龄 (18-44岁) 妇女死亡的主要原因.
- 准确,最新的高血压患病率和控制数据对于有效的公共卫生干预至关重要.
- 电子健康记录为了解人口健康趋势提供了宝贵的资源.
研究的目的:
- 估计美国生育年龄的非怀孕妇女中高血压的患病率和控制率.
- 提供国家和州层面的关于高血压管理的见解.
- 根据种族/种族和地理位置确定高血压患病率和控制的差异.
主要方法:
- 一项采用2019年IQVIA门诊电子医疗记录数据从美国获得的横截面研究.
- 高血压通过诊断代码,单独几天的高血压读数或使用抗高血压药物来确定.
- 高血压控制被定义为血压低于140/90mmHg;估计是根据年龄标准化和分层的.
主要成果:
- 该研究包括超过210万名女性;14.5%的女性患有高血压,71.9%的女性实现了血压控制.
- 与白人女性相比,黑人女性的高血压患病率较高 (22.3%),控制率较低 (60.6%),患病率14.4%,控制率74.0%).
- 国家一级的患病率从13.7%到36%不等,控制率从59.2%到82.9%不等.
结论:
- 这项研究提出了首次在生育年龄妇女中对高血压控制的州级估计.
- 电子健康记录数据增强了传统的监测,为高血压预防和管理策略提供了关键的见解.
- 需要有针对性的干预措施来解决不平等问题,并改善生育年龄妇女的高血压控制.
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