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. 1985 May 1;132(9):1019–1024.

Prevalence and control of hypertension in an Ontario county

NJ Birkett, AP Donner, M Maynard
PMCID: PMC1346179  PMID: 3986726

Abstract

A survey of a representative population sample was carried out to evaluate the prevalence and control of hypertension in Middlesex County, Ontario. Of the 3067 subjects selected 2735 completed the initial interview. If the diastolic blood pressure was greater than 89 mm Hg in three readings, up to two further visits were made. The prevalence rate of hypertension in the sample was estimated to be 115/1000. Only 5.1% of the hypertensive subjects were unaware of their condition, and 5.4% were aware but not receiving treatment. In 16.9% the hypertension was treated but uncontrolled, while in 72.6% it was treated and controlled. The prevalence rate was significantly higher in the older subjects (p < 0.0001). Control was better in the women and the older subjects. The results indicate that physicians in Middlesex County are detecting and treating most patients with hypertension; screening programs are thus not needed. Control of hypertension could be further improved by determining why the condition in those receiving treatment is not being controlled.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Evans J. G., Prior I. A. Experience with the random-zero sphygmomanometer. Br J Prev Soc Med. 1970 Feb;24(1):10–15. doi: 10.1136/jech.24.1.10. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Folsom A. R., Luepker R. V., Gillum R. F., Jacobs D. R., Prineas R. J., Taylor H. L., Blackburn H. Improvement in hypertension detection and control from 1973-1974 to 1980-1981. The Minnesota Heart Survey experience. JAMA. 1983 Aug 19;250(7):916–921. [PubMed] [Google Scholar]
  3. Freeman D. H., Jr, D'Atri D. A., Hellenbrand K., Ostfeld A. M., Papke E., Piorun K., Richards V. A., Sardinas A. The prevalence distribution of hypertension: Connecticut adults 1978-1979. J Chronic Dis. 1983;36(2):171–181. doi: 10.1016/0021-9681(83)90091-7. [DOI] [PubMed] [Google Scholar]
  4. Handa S. P., Roma S., Brewer H. Prevalence of hypertension: a screening survey in an adult population. Can J Public Health. 1980 May-Jun;71(3):171–175. [PubMed] [Google Scholar]
  5. Logan A. G. Report of the Canadian Hypertension Society's consensus conference on the management of mild hypertension. Can Med Assoc J. 1984 Nov 1;131(9):1053–1057. [PMC free article] [PubMed] [Google Scholar]
  6. ROSE G. STANDARDISATION OF OBSERVERS IN BLOOD-PRESSURE MEASUREMENT. Lancet. 1965 Mar 27;1(7387):673–674. doi: 10.1016/s0140-6736(65)91827-1. [DOI] [PubMed] [Google Scholar]
  7. Shapiro M., Bleho J., Curran M., Farrell K., Klein D., Weigensberg A., Weil K. Problems in the control of hypertension in the community. Can Med Assoc J. 1978 Jan 7;118(1):37–40. [PMC free article] [PubMed] [Google Scholar]
  8. Smith W. M. Treatment of mild hypertension: results of a ten-year intervention trial. Circ Res. 1977 May;40(5 Suppl 1):I98–105. [PubMed] [Google Scholar]
  9. Takala J. Screening for hypertension in a middle-aged population in southwest Finland. Prev Med. 1978 Jun;7(2):230–244. doi: 10.1016/0091-7435(78)90249-9. [DOI] [PubMed] [Google Scholar]
  10. Wright B. M., Dore C. F. A random-zero sphygmomanometer. Lancet. 1970 Feb 14;1(7642):337–338. doi: 10.1016/s0140-6736(70)90709-9. [DOI] [PubMed] [Google Scholar]

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