Document Detail

Socioeconomic status in the epidemiology and treatment of hypertension.
MedLine Citation:
PMID:  2490834     Owner:  NLM     Status:  MEDLINE    
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.
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    
Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill 27599.
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MeSH Terms
African Continental Ancestry Group
Antihypertensive Agents / therapeutic use
Blood Pressure / drug effects
Cardiovascular Diseases / mortality
Educational Status
European Continental Ancestry Group
Follow-Up Studies
Hypertension / drug therapy,  epidemiology*
Middle Aged
North Carolina / epidemiology
Risk Factors
Socioeconomic Factors
Reg. No./Substance:
0/Antihypertensive Agents

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

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