Community control of hypertension - experiences from Finland

被引:24
作者
Nissinen, A
Kastarinen, M
Tuomilehto, J
机构
[1] Univ Helsinki, Dept Epidemiol & Hlth Promot, Natl Publ Hlth Inst KTL, FIN-00300 Helsinki, Finland
[2] Univ Kuopio, Kuopio Univ Hosp, Dept Publ Hlth & Gen Practice, FIN-70211 Kuopio, Finland
[3] Univ Kuopio, Kuopio Univ Hosp, Dept Internal Med, FIN-70211 Kuopio, Finland
关键词
hypertension control; costs; blood pressure; population studies;
D O I
10.1038/sj.jhh.1001696
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
The improvement in the hypertension control in Finland started in the 1970s by the activities of the North Karelia Project, a comprehensive programme for the control of cardiovascular diseases. The blood pressure level of the population has had a continuous downward trend according to the population surveys conducted every fifth year since 1972 and the rule of halves has changed to the rule of two-thirds. The serum cholesterol level has decreased among hypertensives, even though it is still higher than among normotensives; the patients with antihypertensive drug treatment smoke less than the rest of the population. However, the situation is far from optimal; BP levels are high and body mass index is continuously increasing among the patients. The need for intensifying both pharmacological and nonpharmacological treatment among the hypertensives on a large scale is obvious. Journal of Human Hypertension ( 2004).
引用
收藏
页码:553 / 556
页数:4
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