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Canadian Journal of Public Health

, Volume 96, Issue 3, pp 217–220 | Cite as

Hypertension Surveillance in Canada

Minimum Standards for Assessing Blood Pressure in Surveys
  • Norm R. C. Campbell
  • Michel R. Joffres
  • Donald W. McKay
Commentary

Abstract

The last Canadian survey that accurately assessed hypertension treatment and control is over 12 years old. The survey indicated that only 13% of adults with hypertension were treated and controlled. Statistics Canada has announced a new survey that will measure health risks in 2007–2008. A committee of hypertension and survey experts was formed to provide recommendations to ensure the survey would address the minimum surveillance needs of the hypertension community. The committee made several innovative recommendations to improve the reproducibility and standardization of blood pressure assessment. In particular, it was recommended to adopt oscillometric measurement and to have measurements conducted in the absence of study personnel. Continued use of standard Canadian survey questions to assess awareness and treatment of hypertension was recommended to allow comparison with prior surveys. It was also recommended that Canada adopt a specific question on lifestyle changes. The new survey will allow the Canadian hypertension community, and in particular the Canadian Hypertension Education Program, to evaluate the effectiveness of current programs for prevention, treatment and control of hypertension and to revise our strategies based on the results.

MeSH terms

Hypertension blood pressure population surveillance public health surveys blood pressure determination sphygmomanometers 

Résmé

La dernière enquête à avoir évalué de façon précise le traitement et le contrôle de l’hypertension au Canada date de 12 ans. Cette enquête a révélé que seulement 13 % des adultes hypertendus étaient à la fois traités et contrôlés. Statistique Canada a annoncé une nouvelle enquête mesurant les facteurs de risques pour la santé en 2007–2008. On a constitué un comité de spécialistes de l’hypertension et des enquêtes de santé, que l’on a chargé de formuler des recommandations pour que l’enquête comporte un minimum de données critiques de surveillance pour la communauté médicale qui s’intéresse à l’hypertension. Le comité a fait plusieurs recommandations novatrices en vue d’améliorer la reproductibilité et la standardisation de la prise de pression artérielle. L’une de ces recommandations est d’adopter les mesures oscillométriques de la pression artérielle et de prendre ces mesures en l’absence des chercheurs associés à l’étude. L’utilisation de questions types tirées d’enquêtes précédentes est recommandée afin de permettre la comparaison avec les données antérieures. Il est également recommandé que le Canada adopte des questions spécifiques sur le changement des modes de vie. La nouvelle enquête permettra à la communauté intéressée par l’hypertension, tout particulièrement au Programme canadien d’éducation sur l’hypertension, d’évaluer l’efficacité des programmes actuels de prévention, de traitement et de contrôle de l’hypertension, et de revoir nos stratégies à la lumière des résultats.

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Copyright information

© The Canadian Public Health Association 2005

Authors and Affiliations

  • Norm R. C. Campbell
    • 1
  • Michel R. Joffres
    • 2
  • Donald W. McKay
    • 3
  1. 1.Department of MedicineUniversity of CalgaryCalgaryCanada
  2. 2.Department of EpidemiologyDalhousie UniversityHalifaxCanada
  3. 3.Faculty of MedicineMemorial UniversitySt. John’sCanada

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