Skip to main content
British Journal of Preventive & Social Medicine logoLink to British Journal of Preventive & Social Medicine
. 1976 Dec;30(4):268–272. doi: 10.1136/jech.30.4.268

Detection and treatment of hypertension in an inner London community.

R F Heller
PMCID: PMC478979  PMID: 1009279

Abstract

A postal survey of a random sample of the population living near St Mary's Hospital, Paddington was taken to determine earlier experience in these people of blood pressure measurement and treatment. Eighty-five per cent of those who could return their questionnaires did so; eighty per cent of the respondents said they had had their blood pressure measured in the past, and 60% reported such a measurement during the previous three years. The respondents aged between 40 and 59 years were invited for a blood pressure screening measurement and 52% responded. Seventy-seven per cent of those found to be hypertensive on screening (systolic greater than or equal to 160 mmHg and/or diastolic greater than or equal to 100 mmHg) said they had had their blood pressure measured during the preceding three years. The reason for the poor control of hypertension in a community, therefore, is more likely to be a failure of doctors to take action on hypertension than a failure to detect it in the first place.

Full text

PDF
268

Selected References

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

  1. Adler M. W., Marson W. S. Proceedings: Randomized controlled trial of treatment of moderate hypertension in general practice: a feasibility study. Proc R Soc Med. 1973 Oct;66(10):1012–1015. [PMC free article] [PubMed] [Google Scholar]
  2. Armitage P., Fox W., Rose G. A., Tinker C. M. The variability of measurements of casual blood pressure. II. Survey experience. Clin Sci. 1966 Apr;30(2):337–344. [PubMed] [Google Scholar]
  3. Cheitlin M. D. The physician and hypertension. JAMA. 1974 Jun 3;228(10):1249–1250. [PubMed] [Google Scholar]
  4. Coope J. A screening clinic for hypertension in general practice. J R Coll Gen Pract. 1974 Mar;24(140):161–166. [PMC free article] [PubMed] [Google Scholar]
  5. Henderson M., Apostolides A., Entwisle G., Hebel R. A study of hypertension in a black urban community: preliminary epidemiologic findings. Prev Med. 1974 Sep;3(3):334–343. doi: 10.1016/0091-7435(74)90045-0. [DOI] [PubMed] [Google Scholar]
  6. Miall W. E., Chinn S. Screening for hypertension: some epidemiological observations. Br Med J. 1974 Sep 7;3(5931):595–600. doi: 10.1136/bmj.3.5931.595. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Schoenberger J. A., Stamler J., Shekelle R. B., Shekelle S. Current status of hypertension control in an industrial population. JAMA. 1972 Oct 30;222(5):559–562. [PubMed] [Google Scholar]
  8. Stokes J. B., 3rd, Payne G. H., Cooper T. Editorial: Hypertension control--the challenge of patient education. N Engl J Med. 1973 Dec 20;289(25):1369–1370. doi: 10.1056/NEJM197312202892511. [DOI] [PubMed] [Google Scholar]
  9. Wilber J. A., Millward D., Baldwin A., Capron B., Silverman D., James L. M., Wolbert T., McCombs N. J. Atlanta Community High Blood Pressure Program methods of community hypertension screening. Circ Res. 1972 Sep;31(9 Suppl):101–109. [PubMed] [Google Scholar]
  10. Wilber J. A. The problem of undetected and untreated hypertension in the community. Bull N Y Acad Med. 1973 Jun;49(6):510–520. [PMC free article] [PubMed] [Google Scholar]

Articles from British journal of preventive & social medicine are provided here courtesy of BMJ Publishing Group

RESOURCES