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Prevalence, awareness, treatment, and control of hypertension: Rule of thirds in the Skaraborg project

Lindblad, Ulf; Ek, Johanna; Eckner, Jenny; Larsson, Charlotte A LU ; Shan, Guangliang and Råstam, Lennart LU (2012) In Scandinavian Journal of Primary Health Care 30(2). p.88-94
Abstract
Objective. To describe the prevalence, awareness, and control of hypertension in a Swedish population during the early 2000s to address implications for care and prevention. Design. A cross-sectional population survey. Setting. Primary health care in Skaraborg, a rural part of western Sweden. Subjects. Participants (n = 2816) in a population survey of a random sample of men and women between 30 and 75 years of age in the municipalities of Vara (81% participation rate) and Skovde (70%), in western Sweden during 2001-2005. Main outcome measures. Anthropometric measures, blood pressure, leisure-time physical activity, current smoking, fasting glucose, and cholesterol. Hypertension was defined as ongoing treatment for hypertension, or three... (More)
Objective. To describe the prevalence, awareness, and control of hypertension in a Swedish population during the early 2000s to address implications for care and prevention. Design. A cross-sectional population survey. Setting. Primary health care in Skaraborg, a rural part of western Sweden. Subjects. Participants (n = 2816) in a population survey of a random sample of men and women between 30 and 75 years of age in the municipalities of Vara (81% participation rate) and Skovde (70%), in western Sweden during 2001-2005. Main outcome measures. Anthropometric measures, blood pressure, leisure-time physical activity, current smoking, fasting glucose, and cholesterol. Hypertension was defined as ongoing treatment for hypertension, or three consecutive blood pressure readings >= 140 systolic and/or >= 90 mmHg diastolic. Hypertension was considered controlled when the blood pressure was < 140/90 mm Hg (both). Results. The prevalence of hypertension was 20% in both men and women with a steep increase by age. Among hypertensive subjects, 33% were unaware, 36% aware but uncontrolled, and 31% aware and controlled, with no statistically significant differences between men and women. Patients with diabetes had a higher awareness (87% vs. 64%, p < 0.001), but the same control rate (56% vs. 44%, p = 0.133), when compared with those without diabetes. Conclusion. A large proportion of subjects with hypertension are still unaware of their condition, or aware but not controlled. It is important to emphasize population-based prevention to reduce the prevalence of hypertension, to perform screening to increase awareness, and to improve implementation of expert guidelines in clinical practice to improve control. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Awareness, control, hypertension, population survey, prevention
in
Scandinavian Journal of Primary Health Care
volume
30
issue
2
pages
88 - 94
publisher
Taylor & Francis
external identifiers
  • wos:000304602800006
  • scopus:84861749429
ISSN
0281-3432
DOI
10.3109/02813432.2012.684207
language
English
LU publication?
yes
id
9692f806-d566-433b-a0b4-ce11db482a4e (old id 2906878)
date added to LUP
2012-08-01 09:47:21
date last changed
2017-09-17 04:09:27
@article{9692f806-d566-433b-a0b4-ce11db482a4e,
  abstract     = {Objective. To describe the prevalence, awareness, and control of hypertension in a Swedish population during the early 2000s to address implications for care and prevention. Design. A cross-sectional population survey. Setting. Primary health care in Skaraborg, a rural part of western Sweden. Subjects. Participants (n = 2816) in a population survey of a random sample of men and women between 30 and 75 years of age in the municipalities of Vara (81% participation rate) and Skovde (70%), in western Sweden during 2001-2005. Main outcome measures. Anthropometric measures, blood pressure, leisure-time physical activity, current smoking, fasting glucose, and cholesterol. Hypertension was defined as ongoing treatment for hypertension, or three consecutive blood pressure readings &gt;= 140 systolic and/or &gt;= 90 mmHg diastolic. Hypertension was considered controlled when the blood pressure was &lt; 140/90 mm Hg (both). Results. The prevalence of hypertension was 20% in both men and women with a steep increase by age. Among hypertensive subjects, 33% were unaware, 36% aware but uncontrolled, and 31% aware and controlled, with no statistically significant differences between men and women. Patients with diabetes had a higher awareness (87% vs. 64%, p &lt; 0.001), but the same control rate (56% vs. 44%, p = 0.133), when compared with those without diabetes. Conclusion. A large proportion of subjects with hypertension are still unaware of their condition, or aware but not controlled. It is important to emphasize population-based prevention to reduce the prevalence of hypertension, to perform screening to increase awareness, and to improve implementation of expert guidelines in clinical practice to improve control.},
  author       = {Lindblad, Ulf and Ek, Johanna and Eckner, Jenny and Larsson, Charlotte A and Shan, Guangliang and Råstam, Lennart},
  issn         = {0281-3432},
  keyword      = {Awareness,control,hypertension,population survey,prevention},
  language     = {eng},
  number       = {2},
  pages        = {88--94},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Primary Health Care},
  title        = {Prevalence, awareness, treatment, and control of hypertension: Rule of thirds in the Skaraborg project},
  url          = {http://dx.doi.org/10.3109/02813432.2012.684207},
  volume       = {30},
  year         = {2012},
}