| Titre : | Population effects on individual systolic blood pressure : A multilevel analysis of the World Health Organization MONICA Project. (2004) |
| Auteurs : | Juan MERLO ; Kjell ASPLUND ; Annette DOBSON ; John LYNCH ; Lennart RASTAM ; Lund University. Section of Preventive Medicine. Department of Community Medicine. Malmö. SWE ; World Health Organization Monica Project. INT |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 159, n° 12, 2004) |
| Pagination : | 1168-1179 |
| Langues: | Anglais |
| Mots-clés : | Homme ; Hypertension artérielle ; Pression artérielle ; OMS ; Médicament antihypertenseur ; Monde ; Epidémiologie ; Appareil circulatoire [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST-CNRS t9R0xdXc. Diffusion soumise à autorisation]. Individuals from the same population share a number of contextual circumstances that may condition a common level of blood pressure over and above individual characteristics. Understanding this population effect is relevant for both etiologic research and prevention strategies. Using multilevel regression analyses, the authors quantified the extent to which individual differences in systolic blood pressure (SBP) could be attributed to the population level. They also investigated possible cross-level interactions between the population in which a person lived and pharmacological (antihypertensive medication) and non pharmacological (body mass index) effects on individual SBP. They analyzed data on 23,796 men and 24,986 women aged 35-64 years from 39 worldwide Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA) study populations participating in the final survey of this World Health Organization project (1989-1997). SBP was positively associated with low educational achievement, high body mass index, and use of antihypertensive medication and, for women, was negatively associated with smoking. About 7-8% of all SBP differences between subjects were attributed to the population level. However, this population effect was particularly strong (i.e., 20%) in antihypertensive medication users and overweight women. This empirical evidence of a population effect on individual SBP emphasizes the importance of developing population-wide strategies to reduce individual risk of hypertension. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact