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Poland and U.S. collaborative study on cardiovascular epidemiology hypertension in the community: prevalence, awareness, treatment, and control of hypertension in the Pol-MONICA Project and the U.S. Atherosclerosis Risk in Communities Study.

TitlePoland and U.S. collaborative study on cardiovascular epidemiology hypertension in the community: prevalence, awareness, treatment, and control of hypertension in the Pol-MONICA Project and the U.S. Atherosclerosis Risk in Communities Study.
Publication TypeJournal Article
Year of Publication1998
AuthorsRywik SL, Davis CE, Pajak A, Broda G, Folsom AR, Kawalec E, Williams OD
JournalAnn Epidemiol
Volume8
Issue1
Pagination3-13
Date Published1998 Jan
ISSN1047-2797
KeywordsBlood Pressure, Cardiovascular Diseases, Female, Health Knowledge, Attitudes, Practice, Humans, Hypertension, Male, Maryland, Middle Aged, Minnesota, Poland, Prevalence, Risk Factors, Rural Health, Treatment Outcome, Urban Health
Abstract

PURPOSE: The objectives of this manuscript are to assess differences in blood pressure levels and in hypertension prevalence, awareness, treatment, and control for selected rural and urban areas in the U.S. and Poland, where ischemic heart disease mortality trends are different.

METHODS: Included are white persons aged 45-64 selected in Minneapolis, MN suburbs [urban] and Washington County, MD [semi-rural] from the U.S. Atherosclerosis Risk in Communities Study (ARIC) surveyed in 1987-89, and in Warsaw [urban] and Tarnobrzeg Province [semi-rural] from Poland's Pol-MONICA Project surveyed in 1987-88. Sample sizes were: U.S.--3,696 men, 3,801 women; Poland--875 men, 960 women.

RESULTS: Mean blood pressures were > 15% higher for Polish samples than for the U.S. (p 80% of subjects with hypertension (systolic blood pressure (SBP) > or = 160 mmHg or diastolic blood pressure (DBP) > or = 95 mmHg or on treatment) were controlled whereas in Polish samples or = 140 mmHg or DBP > or = 90 mmHg or on treatment defined hypertension, control was about 55% in U.S. samples and about 2% in Polish samples.

CONCLUSIONS: Hypertension prevalence is higher and blood pressure levels are less well controlled in Polish than in U.S. samples. These striking differences can be expected to contribute to opposing trends in coronary heart disease (CHD) mortality in the two countries. Hypertension control programs in the U.S. are almost certainly responsible for much of the observed differences. There is a clear need for similar programs in Poland.

DOI10.1016/s1047-2797(97)00177-4
Alternate JournalAnn Epidemiol
PubMed ID9465988
Grant ListN01-HV-1-08112 / HV / NHLBI NIH HHS / United States
N01-HV-1-2243 / HV / NHLBI NIH HHS / United States
N01-HV-59224 / HV / NHLBI NIH HHS / United States