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Title: May Measurement Month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension.
Austin Authors: Beaney, Thomas;Burrell, Louise M ;Castillo, Rafael R;Charchar, Fadi J;Cro, Suzie;Damasceno, Albertino;Kruger, Ruan;Nilsson, Peter M;Prabhakaran, Dorairaj;Ramirez, Agustin J;Schlaich, Markus P;Schutte, Aletta E;Tomaszewski, Maciej;Touyz, Rhian;Wang, Ji-Guang;Weber, Michael A;Poulter, Neil R
Affiliation: State University of New York, Downstate Medical Centre, New York, USA
Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK
Hypertension in Africa Research Team (HART), North-West University, Potchefstroom, South Africa
Hypertension in Africa Research Team; South African Medical Research Council, North-West University, Potchefstroom, South Africa
Department of Medicine, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia
Department of Pharmacology and Physiology, Hospital Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina
Department of Health and Medical Science, University of Western Australia, Perth, WA, Australia
Department of Hypertension, Rujin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Federation University Australia, Ballarat, Victoria, Australia
Department of Research and Policy, Public Health Foundation of India, Haryana, India
Imperial Clinical Trials Unit, Imperial College London, London W12 7RH, UK
Adventist University of the Philippines College of Medicine, Silang, Cavite, Philippines
Imperial Clinical Trials Unit, Imperial College London, London W12 7RH, UK
Department of Physiology, Eduardo Mondlane University, Maputo, Mozambique
Department of History of Medicine, Lund University, Skane University Hospital, Malmo, Sweden
Faculty of Biology, Medicine and Health, Division of Cardiovascular Sciences, University of Manchester, Manchester, UK
Institute of Cardiovascular and Medical Sciences, Cardiovascular Research Centre, Glasgow, Scotland
Imperial Clinical Trials Unit, Imperial College London, London W12 7RH, UK
Issue Date: 7-Jan-2019 2019-05-01
Publication information: European Heart Journal 2019; 40(25): 2006-2017
Abstract: Raised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries. Eighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg) hypertension. May Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk.
DOI: 10.1093/eurheartj/ehz300
ORCID: 0000-0003-1863-7539
PubMed URL: 31041440
Type: Journal Article
Subjects: Blood pressure
Appears in Collections:Journal articles

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