This Article Free upon publication Full Text Full Text (PDF) All Versions of this Article: 53/3/480    most recent HYPERTENSIONAHA.108.125617v1 Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Falaschetti, E. Articles by Poulter, N. Search for Related Content PubMed PubMed Citation Articles by Falaschetti, E. Articles by Poulter, N. Pubmed/NCBI databases Medline Plus Health Information Blood Pressure Medicines High Blood Pressure Related Collections Health policy and outcome research Cardiovascular Pharmacology Primary prevention Secondary prevention Other hypertension Epidemiology Related Article

(Hypertension. 2009;53:480.)
© 2009 American Heart Association, Inc.

Original Articles

Continued Improvement in Hypertension Management in England

Results From the Health Survey for England 2006

Emanuela Falaschetti; Moushumi Chaudhury; Jennifer Mindell; Neil Poulter

From the Health and Social Surveys Research Group (E.F., M.C., J.M.), Department of Epidemiology and Public Health, University College London; and the International Centre for Circulatory Health (N.P.), National Heart and Lung Institute, Imperial College London, London, United Kingdom.

Correspondence to Emanuela Falaschetti, Health and Social Surveys Research Group, Department of Epidemiology and Public Health, UCL, 1-19 Torrington Place, London WC1E 6BT, United Kingdom. E-mail e.falaschetti{at}ucl.ac.uk

This study evaluate whether blood pressure management has improved in England between 2003 and 2006, using cross-sectional, nationally representative, random samples of 8834 (in 2003) and 7478 (in 2006) noninstitutionalized adults (aged 16 years) of mean age 46 (in 2003) and 47 (in 2006) years. Overall mean blood pressure levels in 2006 were 130.8/74.2 mm Hg in men and 124.0/72.4 mm Hg in women. Awareness of hypertension increased significantly in the overall population (from 62% in 2003% to 66% in 2006; P<0.001), the increase being significant in women (from 64% in 2003% to 71% in 2006; P<0.001) but not in men (from 60% to 62%; P=0.26). Similarly, the proportion treated had risen significantly overall (from 48% to 54%; P<0.001) and in women (from 52% to 62%; P<0.001) but not in men (from 43% to 47%; P=0.05). Control rates (<140/90 mm Hg) were higher in 2006 than in 2003 (from 22% to 28%; P<0.001) and had increased more among women than men: from 23% to 32% in women (P<0.001) and from 21% to 24% in men (P=0.02). Among those on treatment, control rates increased from 46% to 52% (P<0.001; from 44% to 53% in women, P<0.001; and from 48% to 52% in men, P=0.18). The most common agents used for monotherapy have changed since 2003 and were angiotensin-converting enzyme inhibitors or angiotensin receptor blockers. Where 2 drugs were used, the most common antihypertensive class used varied by age and ethnicity. Awareness, treatment, and control of hypertension increased between 2003 and 2006, particularly in women, but opportunities for further improvement remain.

Key Words: hypertension • blood pressure • treatment • control • national survey

Related Article:

Hypertension Management: Time to Shift Gears and Scale Up National Efforts

Sailesh Mohan and Norm R.C. Campbell
Hypertension 2009 53: 450-451. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

				T. H. Jafar, J. Hatcher, N. Poulter, M. Islam, S. Hashmi, Z. Qadri, R. Bux, A. Khan, F. H. Jafary, A. Hameed, et al. Community-Based Interventions to Promote Blood Pressure Control in a Developing Country: A Cluster Randomized Trial Ann Intern Med, November 3, 2009; 151(9): 593 - 601. [Abstract] [Full Text] [PDF]

				E. Falaschetti, N. R.C. Campbell, S. Mohan, and N. Poulter Implementation of Pay for Performance Policy in England Hypertension, July 1, 2009; 54(1): e5 - e5. [Full Text] [PDF]

				S. Mohan and N. R.C. Campbell Hypertension Management: Time to Shift Gears and Scale Up National Efforts Hypertension, March 1, 2009; 53(3): 450 - 451. [Full Text] [PDF]