Prevalence, detection and drug treatment of hypertension in a rural Australian population : the Greater Green Triangle Risk Factor Study 2004
Data(s) |
01/01/2008
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Resumo |
<b>Background</b>: Hypertension is an important risk factor for cardiovascular disease; however, limited findings are available on its detection and management in rural Australia.<br /><br /><b>Aim</b>: To assess the prevalence, awareness and treatment of hypertension in a rural South-East Australian population.<br /><br /><b>Methods</b>: Three cross-sectional surveys in Limestone Coast, Corangamite Shire and Wimmera regions during 2004–2006 using a random population sample (<i>n</i> = 3320, participation rate 49%) aged 25–74 years. Blood pressure was measured by trained nurses. Information on history of hypertension and medication was obtained by questionnaires. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg and/or on antihypertensive drug treatment.<br /><br /><b>Results</b>: Overall, one-third of participants had hypertension; of these, two-thirds, 54% (95% confidence interval (CI) 47–60) of men and 71% (95% CI 65–77) of women, were aware of their condition. Half of the participants with hypertension were treated and nearly half of these were controlled. Both treatment and control were more common in women (60%, 95% CI 54–67 and 55%, 95% CI 47–64) compared with men (42%, 95% CI 36–49 and 35%, 95% CI 26–44). Monotherapy was used by 55% (95% CI 48–61) of treated hypertensives. Angiotensin-converting enzyme inhibitors were the most frequently used class of antihypertensive drugs in men, whereas angiotensin-converting enzyme inhibitors, angiotensin receptor antagonists and diuretics were all widely used among women.<br /><br /><b>Conclusion</b>: This study emphasizes suboptimal detection and treatment of hypertension, especially in men, in rural Australia.<br /> |
Identificador | |
Idioma(s) |
eng |
Publicador |
Wiley-Blackwell Publishing Asia |
Relação |
http://dro.deakin.edu.au/eserv/DU:30017860/janus-prevalencedetection-2008.pdf http://dx.doi.org/10.1111/j.1445-5994.2007.01583.x |
Direitos |
2008, The Authors |
Palavras-Chave | #hypertension #rural population #Australia #prevention and control #practice guidelines |
Tipo |
Journal Article |