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  1. Cigarette smoking and severe uncontrolled hypertension in inner-city African Americans.

    Article - En anglais

    PURPOSE 

    Although over the past 2 decades great strides have been made in increasing the awareness, detection, and treatment of hypertension (HTN), actual control of blood pressure is far from optimal.

    We hypothesized that current cigarette smoking, by acting as a marker for poor health related behavioral patterns, would be significantly associated with uncontrolled blood pressure (BP).

    PATIENTS AND METHODS 

    Over a 3-month period in 1994, all patients who presented to a public hospital medical walk-in clinic were screened, and had their BP measured if they had been prescribed BP medication within 1 year and were aware of their diagnosis of HTN.

    Patients were defined as controlled hypertensives if both systolic BP and diastolic BP were ¾ 140/90 mm Hg.

    Severe uncontrolled hypertensives were those with either systolic BP = 180 mm Hg or diastolic BP was = 110 mm Hg.

    RESULTS 

    Of the 221 patients meeting all inclusion criteria (1 refusal), 86 had uncontrolled HTN (mean BP=192/106 mm Hg), 130 were controlled (mean BP=130/80 mm Hg), and 5 were not African American.

    Severe uncontrolled hypertensives, when compared with controlled hypertensives, were significantly more likely to be current (versus former) smokers (odds ratio [OR]=4.17 ; 95% confidence interval [Cl] : 1.8 to 9.5), and be less compliant with medications (OR=2.33 ; 95% CI : 1.3 to 4.1).

    Age, gender, alcohol use, marital status, education, and comorbidity were not associated with HTN control. (...)

    Mots-clés Pascal : Hypertension artérielle, Epidémiologie, Communauté, Tabagisme, Facteur risque, Aspect social, Etude cohorte, Africain, Américain, Relation médecin malade, Homme, Géorgie, Etats Unis, Amérique du Nord, Amérique, Appareil circulatoire pathologie, Toxicologie, Education santé

    Mots-clés Pascal anglais : Hypertension, Epidemiology, Community, Tobacco smoking, Risk factor, Social aspect, Cohort study, African, American, Physician patient relation, Human, Georgia, United States, North America, America, Cardiovascular disease, Toxicology, Health education

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0461274

    Code Inist : 002B12B05B. Création : 03/02/1998.