Document Detail


Socioeconomic status in the epidemiology and treatment of hypertension.
MedLine Citation:
PMID:  2490834     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The association of socioeconomic status (SES), as indexed by educational achievement, with the prevalence, prognosis, and efficacy of treatment of hypertension in the Hypertension Detection and Follow-up Program (HDFP) was reviewed. The prevalence of hypertension varied inversely with SES during the screening program initiated to identify HDFP eligibles in 14 communities in 1973-1974. There was a strong inverse gradient of 5-year all-cause mortality with SES among the hypertensive participants referred to usual care in the HDFP. The association of mortality with SES among hypertensive subjects was eliminated by the HDFP stepped-care program. A large portion of the efficacy of the HDFP was associated with in-trial blood pressure control. Inasmuch as these results are generalizable to the nation, a large fraction of hypertension-associated morbidity and mortality in the United States was related to lower SES in the 1970s, before widespread implementation of programs resulting in increased awareness, treatment, and control of hypertension.
Authors:
H A Tyroler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hypertension     Volume:  13     ISSN:  0194-911X     ISO Abbreviation:  Hypertension     Publication Date:  1989 May 
Date Detail:
Created Date:  1991-08-26     Completed Date:  1991-08-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7906255     Medline TA:  Hypertension     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  I94-7     Citation Subset:  IM    
Affiliation:
Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill 27599.
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MeSH Terms
Descriptor/Qualifier:
Adult
African Continental Ancestry Group
Aged
Antihypertensive Agents / therapeutic use
Blood Pressure / drug effects
Cardiovascular Diseases / mortality
Educational Status
European Continental Ancestry Group
Follow-Up Studies
Humans
Hypertension / drug therapy,  epidemiology*
Male
Middle Aged
North Carolina / epidemiology
Prevalence
Prognosis
Risk Factors
Socioeconomic Factors
Chemical
Reg. No./Substance:
0/Antihypertensive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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