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首页> 美国卫生研究院文献>Morbidity and Mortality Weekly Report >Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use by County and Rural-Urban Classification — United States 2017
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Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use by County and Rural-Urban Classification — United States 2017

机译：县域和农村城市分类的自我报告的高血压和抗高血压药物的患病率 - 美国2017年

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In 2017, approximately one in three U.S. adults reported having been told by a health care professional that they had high blood pressure (hypertension) (1). Although hypertension prevalence is well documented at national and state levels, less is known about rural-urban variation and county-level prevalence. To examine prevalence of self-reported hypertension and antihypertensive medication use by rural-urban classification and county, CDC analyzed data reported by 442,641 adults aged ≥18 years who participated in the 2017 Behavioral Risk Factor Surveillance System (BRFSS). In rural (noncore) areas, 40.0% (unadjusted prevalence) of adults reported having hypertension, whereas in the most urban (large central metro) areas, 29.4% reported having hypertension. Age-standardized hypertension prevalence was significantly higher in the most rural areas, compared with the most urban areas within nearly all categories of age, sex, and other demographic characteristics. Model-based hypertension prevalence across counties ranged from 18.0% to 55.0% and was highest in Southeastern* and Appalachian† counties. Model-based county-level prevalence of antihypertensive medication use among adults with hypertension ranged from 54.3% to 84.7%. Medication use also was higher in rural areas compared with use in most urban areas, with prevalence highest in Southeastern and Appalachian counties as well as counties in the Dakotas and Nebraska. CDC is working with states to enhance hypertension awareness and management through a strategy of team-based care that involves physicians, nurses, pharmacists, dietitians, and community health workers. The increased use of telemedicine to support this strategy might improve access to care among underserved populations.
机译：2017年，大约一中的美国成年人报告了一位医疗保健专业人员，他们具有高血压（高血压）（1）。虽然高血压患病率在国家和州水平上有很好的记录，但少了解农村城市变异和县级普遍存在。为了研究农村城市分类和县的自我报告的高血压和抗高血压药物的患病率，CDC分析了442,641名成年人报告的数据≥18岁，他们参加了2017年行为风险因素监测系统（BRFSS）。在农村（非奇路）地区，报告高血压的成人40.0％（未调整的患病率），而在最城市（大型中央地铁）地区，29.4％报告具有高血压。最农村地区的年龄标准化的高血压患病率明显高，与大多数城市地区相比几乎所有类别，性别和其他人口统计特征相比。基于模型的高血压患病率从18.0％到55.0％，在东南*和阿巴拉契亚县县中最高。基于模型的县级抗高血压药物患者患有高血压的成虫患者的患病率从54.3％到84.7％。农村地区的药物在大多数城市地区的使用中也较高，在东南部和阿巴拉契亚县以及达科他州和内布拉斯加州的县中具有普遍存在。疾病疾病疾病委员会正在与各国合作，通过涉及医生，护士，药剂师，营养师和社区卫生工作者来增强高血压意识和管理。随着远程医疗的使用增加，支持这一战略可能会改善欠缺群体之间的护理。

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