PURPOSE: The objectives of this manuscript are to assess differences in blood pressure levels and in @entity101 prevalence, awareness, treatment, and control for selected rural and urban areas in the U.S. and Poland, where @entity63 @entity299 mortality trends are different. METHODS: Included are white @entity1 aged 45-64 selected in Minneapolis, MN suburbs [urban] and Washington County, @entity601 [semi-rural] from the U.S. @entity731 Risk in Communities Study (ARIC) surveyed in 1987-89, and in Warsaw [urban] and Tarnobrzeg Province [semi-rural] from Poland's Pol-MONICA Project surveyed in 1987-88. Sample sizes were: U.S.--3,696 @entity1 , 3,801 @entity1 ; Poland--875 @entity1 , 960 @entity1 . RESULTS: Mean blood pressures were > 15% higher for Polish samples than for the U.S. (p < 0.01). In multivariable analysis, @entity101 was significantly positively related to age and body mass index (BMI) in both U.S. and Polish samples (except age in Polish @entity1 ), and to heart rate in Polish samples and U.S. rural @entity1 . Smoking was significantly negatively related to @entity101 in urban Polish and rural U.S. @entity1 . @entity101 awareness, treatment, and control were better in U.S. than in Polish samples. In the U.S. > 80% of subjects with @entity101 (systolic blood pressure (SBP) > or = 160 mmHg or diastolic blood pressure (DBP) > or = 95 mmHg or on treatment) were controlled whereas in Polish samples < or = 17% of @entity101 @entity1 and 16% of @entity101 @entity1 were controlled. When SBP > or = 140 mmHg or @entity11559 > or = 90 mmHg or on treatment defined @entity101 , control was about 55% in U.S. samples and about 2% in Polish samples. CONCLUSIONS: @entity101 prevalence is higher and blood pressure levels are less well controlled in Polish than in U.S. samples. These striking differences can be expected to contribute to opposing trends in @entity301 ( @entity301 ) mortality in the two countries. @entity101 control programs in the U.S. are almost certainly responsible for much of the observed differences. There is a clear need for similar programs in Poland.

Poland and U.S. collaborative study on cardiovascular epidemiology hypertension in the community: prevalence, awareness, treatment, and control of @entity101 in the Pol-MONICA Project and the U.S. XXXX Risk in Communities Study.

@entity1 :: ('9606', 'Species') :: ['women', 'persons', 'men'] @entity11559 :: ('CHEBI:35861', 'Chemical') :: ['DBP'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension', 'Hypertension', 'hypertensive'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemic'] @entity301 :: ('MESH:D003327', 'Disease') :: ['CHD', 'coronary heart disease'] @entity601 :: ('MESH:D009436', 'Disease') :: ['MD'] @entity299 :: ('MESH:D006331', 'Disease') :: ['heart disease'] @entity731 :: ('MESH:D050197', 'Disease') :: ['Atherosclerosis']
@entity731 :: (MESH:D050197,Disease) :: ['Atherosclerosis']
