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High Blood Pressure Control
- How To Reduce High Blood Pressure |
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Proportion of Men And Women Reporting
Diagnosis of
High Blood Pressure
by Physician.
By Age and Sex, National Population Health Survey, 1994 –96.
(Canada)
Age group 1994-1996
Overall
9% 10%
25 – 44 years
3% Men, 3% Women 3% Men,
3% Women
45 – 64 years
13% M, 16% W 15% M, 18%
W
65 + years
23% M, 33% W 28% M, 36% W
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High Blood Pressure and High
Blood Pressure Control. |
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HIGH BLOOD PRESSURE |
Scope
of High Blood Pressure in the Population
Heart Health surveys were conducted among adults 18 to 74 years of age in
each province in the late 1980s and early 1990s. They included in-home
measurements of blood pressure on two occasions,
followed by two clinic readings for those whose home readings indicated
that they had high blood pressure. The average of all four readings
was used to assign the participant to the category of high
or normal blood pressure.
Based on the Heart Health surveys, it is estimated that 22% of adult
Canadians – 26% of men and 18% of women - are hypertensive. This
may be an overestimate because the readings were not taken over a
six-month period, the suggested period for diagnosing high blood
pressure.
International estimates of prevalence of high blood pressure
usually range from 10 to 20%17. Comparison among countries is difficult,
however, due to the use of different methodologies and different
diagnostic endpoints. Some countries use a systolic of 160 mm Hg to
define high blood pressure.
In the Heart Health surveys, 13% of the population had been diagnosed with
high blood pressure. Of these, 28% were treated and controlled, 40%
were being treated but were not controlled, and 33% were not treated and
not controlled. Nova Scotia is the only province that has repeated the
Heart Health survey.19 Their results showed an improvement, or reduction,
in the prevalence of high blood pressure in the population. In
1995, 22% had high blood pressure or were on treatment for high blood
pressure compared to 26% in 1986.
The rates among women were 25% in 1995 compared to 29% in 1986, and 19%
and 23%, respectively, among men.
The National Population Health Surveys (NPHS) conducted in 1994 and 1996
provide additional information about the prevalence of self-reported
high blood pressure that was diagnosed by a physician. In 1994 and
1996, 9% and 10% of the population aged 12 and up had been diagnosed
with high blood pressure. This is similar to the 13% found in the late
1980s Heart health surveys with a slightly different population age range
(18 to 74).
The proportion of the men and women who had been diagnosed with high
blood pressure varied markedly by age (Table 1, Figures 1 and 2). In
1996, 28% of the men over age 65 were diagnosed with high blood
pressure. This increased to 36% of the women in the same age group. In
the midadult years (45 to 64) 15% of the men and 18% of the women had been
diagnosed with high blood pressure. Part of the increased rate among women
compared to men may be explained by the higher rate of screening for high
blood pressure among younger women than among men.
Recent American data suggests that the prevalence of hypertension
in the native community ranges from 27% to 56%. Hypertension has
been linked to the increased incidence of diabetes, obesity and smoking
among the native community.22,23 Any number of factors may be contributing
to the high prevalence of hypertension, such as
• current management regimens that may not culturally appropriate,
• additional information and understanding about the condition may be
required,
• management negotiations with the individual may be ineffective, or
• since follow-up in the First Nations people is more difficult, it may
not be being done.
Continued hypertension detection and treatment efforts are needed
for aboriginal peoples as for other groups,24,25 but need to be culturally
appropriate.26,2
 Health
Canada & The Canadian Coalition for High Blood Pressure
Prevention and Control. For the whole report:
CLICK HERE |
This
site is dedicated to High Blood Pressure Control.
The information
is derived from believed to be reliable government sources
and is not meant to be medical advice. High Blood Pressure needs to be
treated by a qualified medical doctor. |
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