PMID- 16508575
OWN - NLM
STAT- MEDLINE
DCOM- 20060331
LR  - 20061115
IS  - 0263-6352 (Print)
IS  - 0263-6352 (Linking)
VI  - 24
IP  - 2
DP  - 2006 Feb
TI  - Regional disparities of hypertension prevalence and management within Germany.
PG  - 293-9
AB  - OBJECTIVE: To investigate regional variations in the prevalence and management of 
      hypertension in two communities in the north-east and the south-west of Germany. 
      STUDY SETTING: Two population-based surveys of men and women aged 25-74 years, 
      using a common standardized protocol: the Study of Health in Pomerania (SHIP; 
      3744 participants) and the Kooperative Gesundheitsforschung in der Region 
      Augsburg (KORA; 4224 participants). MAIN OUTCOME MEASURES: Comparison of SHIP and 
      KORA with regard to mean systolic (SBP) and diastolic blood pressure (DBP), 
      prevalence of hypertension, percentage of awareness, treatment and control of 
      hypertension in the community, by age and sex. RESULTS: The overall 
      age-standardized prevalence of hypertension for men was 60.1% in SHIP and 41.4% 
      in KORA; the corresponding values for women were 38.5 and 28.6%. Mean blood 
      pressure differences were present in each 10-year age group and sex. The overall 
      SBP difference between SHIP and KORA was 8.2 mmHg (95% confidence interval 
      7.2-9.3) in men and 6.3 mmHg (5.3-7.3) in women, the respective DBP differences 
      were 3.8 mmHg (3.2-4.5) and 3.6 mmHg (3.0-4.2). Nevertheless, the percentage of 
      awareness, treatment and control of hypertension was strikingly similar in the 
      two studies (women, P = 0.858; and men, P = 0.564). CONCLUSIONS: The entire 
      distribution of diastolic and systolic blood pressure values was shifted upwards 
      in the north-eastern as compared to the south-western German population samples 
      and the prevalences of hypertension differed accordingly. Despite such 
      substantial epidemiologic differences, the community management of hypertension 
      was of almost identical quality.
FAU - Meisinger, Christa
AU  - Meisinger C
AD  - Central Hospital of Augsburg, MONICA/KORA Myocardial Infarction Register, 
      Augsburg, Germany.
FAU - Heier, Margit
AU  - Heier M
FAU - Volzke, Henry
AU  - Volzke H
FAU - Lowel, Hannelore
AU  - Lowel H
FAU - Mitusch, Rolf
AU  - Mitusch R
FAU - Hense, Hans-Werner
AU  - Hense HW
FAU - Ludemann, Jan
AU  - Ludemann J
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Netherlands
TA  - J Hypertens
JT  - Journal of hypertension
JID - 8306882
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Germany/epidemiology
MH  - Humans
MH  - Hypertension/drug therapy/*epidemiology
MH  - Male
MH  - Middle Aged
MH  - Prevalence
EDAT- 2006/03/02 09:00
MHDA- 2006/04/01 09:00
CRDT- 2006/03/02 09:00
PHST- 2006/03/02 09:00 [pubmed]
PHST- 2006/04/01 09:00 [medline]
PHST- 2006/03/02 09:00 [entrez]
AID - 00004872-200602000-00015 [pii]
AID - 10.1097/01.hjh.0000200508.10324.8e [doi]
PST - ppublish
SO  - J Hypertens. 2006 Feb;24(2):293-9. doi: 10.1097/01.hjh.0000200508.10324.8e.