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首页> 外文期刊>Annals of epidemiology >Effect of treatment and adherence on ethnic differences in blood pressure control among adults with hypertension.
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Effect of treatment and adherence on ethnic differences in blood pressure control among adults with hypertension.

机译：治疗和依从性对成年人高血压控制种族差异的影响。

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We evaluated whether hypertension control differs by ethnicity after accounting for patient characteristics, treatment, and adherence to treatment using the third National Health and Nutrition Examination Survey (US population estimate, 42,511,379). Outcome measures were prescribed treatment, treatment adherence, hypertension control (blood pressure [BP]<140/90 mm Hg). Multivariate logistic regression was performed with non-Hispanic whites (NHW) as the comparison group. Non-Hispanic blacks (NHB) were more likely to report medication prescription (odds ratio [OR] 1.6, 95% confidence interval [CI] 1.1-2.5) and being advised to restrict salt (OR 1.5, CI: 1.2-2.0). Among those advised, NHB were more likely to report salt restriction (OR 1.5, CI: 1.1-2.1) and weight-loss attempts (OR 1.7, CI: 1.3-2.3). Among persons advised to follow exercise, alcohol restriction, smoking cessation, tension reduction, or diet modification, NHB (OR 2.2, CI: 1.6-3.0) and Mexican Americans (OR 2.0, CI: 1.1-3.9) were more likely to report adherence. The likelihood of uncontrolled hypertension was higher in NHB (OR 1.4, CI: 1.1-1.7) and Mexican Americans (OR 1.5, CI 1.1-2.0) despite medication adherence. Even after adjustment for treatment and adherence, substantial ethnic differences in hypertension control were found. Initiating treatment, while crucial, is not sufficient and future guidelines should emphasize aggressive treatment escalation to achieve hypertension control.
机译：我们使用第三次全国健康与营养检查调查（美国人口估计数为42,511,379），在考虑了患者特征，治疗和对治疗的依从性之后，评估了高血压控制是否因种族而异。结果措施包括处方治疗，治疗依从性，高血压控制（血压[BP] <140/90 mm Hg）。以非西班牙裔白人（NHW）为对照组进行多元逻辑回归。非西班牙裔黑人（NHB）更有可能报告用药处方（赔率[OR] 1.6，95％置信区间[CI] 1.1-2.5），并建议限制食盐（OR 1.5，CI：1.2-2.0）。在这些建议中，NHB更有可能报告限盐（OR 1.5，CI：1.1-2.1）和减肥尝试（OR 1.7，CI：1.3-2.3）。在建议进行运动，限制饮酒，戒烟，减少紧张或饮食调整的人中，NHB（OR 2.2，CI：1.6-3.0）和墨西哥裔美国人（OR 2.0，CI：1.1-3.9）更有可能报告依从性。尽管坚持药物治疗，NHB（OR 1.4，CI：1.1-1.7）和墨西哥裔美国人（OR 1.5，CI 1.1-2.0）发生高血压的可能性较高。即使在调整治疗和依从性后，在高血压控制方面也发现了实质性的种族差异。尽管至关重要的是开始治疗，但未来的指南应强调积极治疗逐步升级以控制高血压。

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