Persistent regional variation in treatment of hypertension

Summary Objectives To assess regional variation within England in the proportion of people with survey-defined hypertension who were on treatment, and hypothesize if this was due to chance or confounding. Study design Data from three annual, cross-sectional health examination surveys, the Health Sur...

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Bibliographic Details
Published in:Public health (London) 2012-04, Vol.126 (4), p.317-323
Main Authors: Mindell, J.S, Shelton, N.J, Roth, M.A, Chaudhury, M, Falaschetti, E
Format: Article
Language:English
Subjects:
Adjustment
Adolescent
Adult
Aged
Antihypertensive Agents - therapeutic use
Blood pressure
Comorbidity
Cross-Sectional Studies
Diabetes Mellitus - epidemiology
England
England - epidemiology
Female
Health Behavior
Health Surveys
Humans
Hypertension
Hypertension - drug therapy
Hypertension - epidemiology
Infectious Disease
Internal Medicine
Life Style
Male
Middle Aged
Personal characteristics
Population
Practice Patterns, Physicians' - statistics & numerical data
Prevention
Regional variations
Risk factors
Social Class
Treatment
Young Adult
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Summary:Summary Objectives To assess regional variation within England in the proportion of people with survey-defined hypertension who were on treatment, and hypothesize if this was due to chance or confounding. Study design Data from three annual, cross-sectional health examination surveys, the Health Survey for England. Methods Nationally representative random samples of the free-living general population were visited by an interviewer and a nurse. Blood pressure was measured with an automated monitor using a standardized protocol (2005: n  = 5321, 2006: n  = 10,213, 2007: n  = 4848). Hypertension was defined as systolic blood pressure ≥140 mmHg, diastolic blood pressure ≥90 mmHg, and/or taking prescribed medication to lower blood pressure. Results In London, a higher proportion of participants with survey-defined hypertension were on anti-hypertensive medication in each separate year’s sample compared with the rest of England [2005–2007 average: 61% men, 66% women in London; 43% men, 55% women in England ( P for London vs rest of England
ISSN:0033-3506
1476-5616
DOI:10.1016/j.puhe.2012.01.008