PMID- 23395221
OWN - NLM
STAT- MEDLINE
DCOM- 20130625
LR  - 20130426
IS  - 1916-7075 (Electronic)
IS  - 0828-282X (Linking)
VI  - 29
IP  - 5
DP  - 2013 May
TI  - Comparison of diagnosed, self-reported, and physically-measured hypertension in 
      Canada.
PG  - 606-12
LID - S0828-282X(12)01474-2 [pii]
LID - 10.1016/j.cjca.2012.11.019 [doi]
AB  - BACKGROUND: Hypertension is a substantial health concern because it poses 
      significant risks for cardiovascular morbidity and mortality and is highly 
      prevalent in the population. Tracking hypertension is important because it is a 
      risk factor for other conditions, but prevalence estimates might vary depending 
      on the data source used. METHODS: This report describes 3 national 
      population-based data sources for estimating hypertension prevalence in Canada 
      and discusses their strengths and weaknesses to aid in their use for policy and 
      program planning. They are compared based on: sample coverage, case 
      identification, and prevalence estimates. RESULTS: Each source produces a 
      different measure of hypertension prevalence, as follows: (1) diagnosed 
      hypertension from the Canadian Chronic Disease Surveillance System (CCDSS) 
      (2007/2008); (2) self-reported diagnosed hypertension from the Canadian Community 
      Health Survey (CCHS) (2007-2008); and, (3) physically-measured hypertension from 
      the Canadian Health Measures Survey (CHMS) (2007-2009). Crude rates and counts of 
      hypertension prevalence among individuals aged 20 to 79 years of age, excluding 
      pregnant women, are compared, resulting in prevalence ranging from 18.2% in 
      self-report data to 20.3% in diagnosed data. The data sources differ in terms of 
      target population, case identification, and limitations, which affects the 
      estimates. CONCLUSIONS: Each source has unique strengths and is best suited for 
      addressing particular research questions. For example, diagnosed hypertension can 
      be used to determine health care utilization patterns, self-reported to examine 
      health determinants, and measured high blood pressure to improve awareness, 
      treatment, and control. Combined, they can address multiple issues and increase 
      our knowledge of hypertension in Canada.
CI  - Copyright (c) 2013 Canadian Cardiovascular Society. All rights reserved.
FAU - Atwood, Kristin M
AU  - Atwood KM
AD  - Population Health Surveillance and Epidemiology, Population and Public Health, BC 
      Ministry of Health, Victoria, British Columbia, Canada. kmatwood@ucalgary.ca
FAU - Robitaille, Cynthia J
AU  - Robitaille CJ
FAU - Reimer, Kim
AU  - Reimer K
FAU - Dai, Sulan
AU  - Dai S
FAU - Johansen, Helen L
AU  - Johansen HL
FAU - Smith, Mark J
AU  - Smith MJ
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20130208
PL  - England
TA  - Can J Cardiol
JT  - The Canadian journal of cardiology
JID - 8510280
SB  - IM
MH  - Adult
MH  - Aged
MH  - Canada/epidemiology
MH  - *Diagnostic Techniques and Procedures
MH  - Female
MH  - *Health Surveys
MH  - Humans
MH  - Hypertension/*diagnosis/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Pregnancy
MH  - Prevalence
MH  - Public Health Surveillance
MH  - Self Report
MH  - Young Adult
EDAT- 2013/02/12 06:00
MHDA- 2013/06/26 06:00
CRDT- 2013/02/12 06:00
PHST- 2012/09/26 00:00 [received]
PHST- 2012/11/19 00:00 [revised]
PHST- 2012/11/20 00:00 [accepted]
PHST- 2013/02/12 06:00 [entrez]
PHST- 2013/02/12 06:00 [pubmed]
PHST- 2013/06/26 06:00 [medline]
AID - S0828-282X(12)01474-2 [pii]
AID - 10.1016/j.cjca.2012.11.019 [doi]
PST - ppublish
SO  - Can J Cardiol. 2013 May;29(5):606-12. doi: 10.1016/j.cjca.2012.11.019. Epub 2013 
      Feb 8.