BACKGROUND Community-based health check kiosks provide opportunities to improve the detection and long-term monitoring of hypertension. We describe the sociodemographic and cardiovascular characteristics of first-time and repeat users of these kiosks. METHOD This was an observational study. Deidentified data collected from 430 SiSU Health consumer-facing health check stations in pharmacies across Australia between January 2018 and November 2020 were analyzed. Using a logistic regression, we identified factors associated with repeat checks in the overall cohort and in those with possible hypertension presented as adjusted odds ratios (aOR) and 95% CIs. RESULTS A total of 982 122 unique checks were conducted; 54% (n=530 139) of the health check users were female, and the average age of all users was 38.2 (SD 16.0) years. Of those that used the kiosks, 13% used them more than once. Overall, 22% met the definition of possible hypertension, 16% (n=136 345) had blood pressure (BP) ≥140/90 mm Hg, 4% (n=34 349) had BP >160/100 mm Hg, and 13% (121 282) reported taking BP medicines. In the adjusted analysis, first-time users who were aged 50 to 69 years (aOR 0.91 [95% CI 0.87-0.96]) or ≥70 years (aOR 0.68 [95% CI 0.62-0.74]) were less likely than young users (18-29 years) to return for a second health check. Those in very remote areas were 61% (aOR 0.39 [95% CI 0.19-0.72]), and smokers were 13% less likely to return (aOR 0.87 [95% CI 0.83-0.91]). People taking BP medications were more likely to return (aOR 1.16 [95% CI 1.09-1.22]). CONCLUSIONS Community-based health checks may identify people with high BP and could provide an option for self-monitoring. Broader implementation is needed to increase the reach in rural areas and among the elderly population.

中文翻译：

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社区自我指导血压筛查：机遇和挑战。


背景 基于社区的健康检查亭为改进高血压的检测和长期监测提供了机会。我们描述了这些信息亭的首次和重复用户的社会人口学和心血管特征。方法 这是一项观察性研究。分析了 2018 年 1 月至 2020 年 11 月期间从澳大利亚药店的 430 个 SiSU Health 面向消费者的健康检查站收集的去识别化数据。使用 logistic 回归，我们确定了与整个队列和可能患有高血压的患者重复检查相关的因素，表现为调整后的比值比 （aOR） 和 95% CIs。结果 共进行了 982 122 次独特检查;54% （n=530 139） 的健康检查用户是女性，所有用户的平均年龄为 38.2 （SD 16.0） 岁。在使用自助服务终端的受访者中，13% 的受访者不止一次使用。总体而言，22% 的患者符合可能的高血压定义，16% （n=136 345） 血压 （BP） ≥140/90 mm Hg），4% （n=34 349） 血压 >160/100 mm Hg，13% （121 282） 报告服用血压药物。在调整后的分析中，年龄在 50 至 69 岁 （aOR 0.91 [95% CI 0.87-0.96]）或 ≥70 岁 （aOR 0.68 [95% CI 0.62-0.74]）的首次使用者比年轻使用者 （18-29 岁） 返回进行第二次健康检查的可能性更小。非常偏远地区的人为 61% （aOR 0.39 [95% CI 0.19-0.72]），吸烟者返回的可能性低 13% （aOR 0.87 [95% CI 0.83-0.91]）。服用 BP 药物的人更有可能复发 （aOR 1.16 [95% CI 1.09-1.22]）。结论 基于社区的健康检查可能会识别高血压患者，并可能提供自我监测的选择。需要更广泛的实施，以扩大农村地区和老年人口的覆盖面。