Regional differences in mortality during 15-year follow-up of 11,936 hypertensive veterans.
Why the study?
Does residence in the southeastern US Stroke Belt increase all-cause mortality in hypertensive male veterans compared to western states?
Population
11,936 male veterans identified as hypertensive during 1974-1976 in 32 Veterans Administration Hypertension…
Comparison
Residence and treatment in the southeastern… vs Residence and treatment in 9 states west of the…
Design
Cohort
Follow-up
minimum of 13.9 years
Authors
Discussion
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Member takes
Implication
Hypertensive veterans in the Stroke Belt had higher mortality; leaves open whether regional factors warrant targeted interventions or prospective trials.
Structured PICO
Does residence in the southeastern US Stroke Belt increase all-cause mortality in hypertensive male veterans compared to western states?
P
Population
11,936 male veterans identified as hypertensive during 1974-1976 in 32 Veterans Administration Hypertension Screening and Treatment Program (HSTP) clinics, mean age 52.4 years, 5737 black.
I
Intervention
Residence and treatment in the southeastern United States ('Stroke Belt')
C
Comparator
Residence and treatment in 9 states west of the Mississippi River
O
Outcome
All-cause mortalityhard clinical
Hypertensive male veterans residing in the southeastern US 'Stroke Belt' have a significantly higher risk of all-cause mortality compared to those in western states, independent of baseline blood pressure and other risk factors.
Cite This Study
Miller et al. (1994) studied this question.