(Hypertension. 2000;35:814.)
© 2000 American Heart Association, Inc.
Scientific Contributions |
Prevalence, Treatment, and Control of Hypertension by Sociodemographic Factors Among the Dutch Elderly
From the Departments of Epidemiology and Biostatistics (C.T.M. van R., J.C.M.W., A.H., D.E.G) and Public Health (C.T.M. van R., H. van de M., J.P.M.), Erasmus University Medical School Rotterdam, Rotterdam, the Netherlands; and Julius Center for Patient Oriented Research (D.E.G.), Utrecht University Medical School, Utrecht, the Netherlands.
Correspondence to Dr Diederick E. Grobbee, Department of Epidemiology and Biostatistics, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, the Netherlands. E-mail d.e.grobbee{at}jc.azu.nl
Abstract—The study objective was
to assess the prevalence, level of treatment, and control of
hypertension in a general elderly population according to age and
sociodemographic factors. We conducted a cross-sectional
analysis of 7983 participants of the Rotterdam Study who were
55 years old and living in a district of Rotterdam. The prevalence of
hypertension was based on blood pressure levels (160/95
mm Hg) and the use of blood pressure–lowering medication for the
indication of hypertension, type of treatment, and control of
hypertension. Systolic blood pressure rises with age, whereas
diastolic blood pressure declines. The prevalence of
hypertension increases with age and was higher among women (39%) than
among men (31%). About 80% of the hypertensives were aware of having
hypertension, and 82% of the 80% were treated. For 70% of them,
treatment was adequate with reference to conservative criteria.
Hypertension was more prevalent among persons not living in a home for
the elderly, for more-educated men, and for less-educated women.
Persons without a partner and men living in a home for the elderly had
a higher risk of being unaware of or of not being treated for existing
hypertension. Treatment was more often successful among those living in
a home for the elderly. The prevalence of hypertension was higher among
older women and increased with age in both genders. A large proportion
of hypertensive elderly persons were aware and were successfully
treated for hypertension. The degree of awareness and control appeared
to be affected by sociodemographic factors. More importantly, the
majority of hypertensives did not have their hypertension well
controlled. This group requires more attention by medical
practitioners to reduce the burden of
cardiovascular diseases in elderly persons.
Key Words: hypertension, detection and control • age • sociodemographic factors • epidemiology
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