Blood pressure screening, management and control in England: results from the health survey for England 1994

J Hypertens. 1998 Jun;16(6):747-52. doi: 10.1097/00004872-199816060-00005.


Objective: To assess the current levels of awareness, treatment and control of hypertension in England and to determine the number and type of drugs prescribed.

Design: A cross-sectional household-based survey of English adults.

Subjects: A random sample from the adult English population of 12,116 adults who participated in the 1994 Health Survey for England.

Main outcome measures: Prevalences of treatment hypertension, awareness and control.

Results: Using a definition of hypertension as a systolic blood pressure > or = 160 mmHg or a diastolic blood pressure > or = 95 mmHg, or a patient's being administered antihypertensive treatment, the prevalence of awareness of hypertension was 63%. Among hypertensives, 50% were receiving treatment and 30% had their hypertension controlled (< 160 mmHg/95 mmHg). Awareness, treatment and control rates are considerably lower than the most recently reported rates from the USA. Diuretics and beta-blockers remain the most common antihypertensive agents used in England.

Conclusion: There is considerable scope for improving the treatment and control of hypertension in the English adult population.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antihypertensive Agents / therapeutic use*
  • Blood Pressure Determination*
  • Blood Pressure*
  • Cross-Sectional Studies
  • England / epidemiology
  • Female
  • Humans
  • Hypertension / drug therapy
  • Hypertension / epidemiology
  • Hypertension / prevention & control*
  • Male
  • Mass Screening*
  • Middle Aged
  • Prevalence
  • Random Allocation
  • Retrospective Studies
  • Treatment Outcome


  • Antihypertensive Agents