High blood pressure: Primary care
Scottish Primary Care Information Resource
The Scottish Primary Care Information Resource (SPIRE) provided aggregate data estimating the prevalence of high blood pressure based on primary care consultations in Scotland between 2018 and 2023, when the service was decommissioned.
Chart 1 shows the number of primary care consultations in 2023 by age group and sex. Overall, SPIRE estimates that 13.2% of patients had a primary care consultation in 2023 relating to high blood pressure. In those under the age of 75, the number of consultations was higher in men than women, with women making up the majority of primary care consultations in over 75s. Across all age groups, the number of consultations was approximately equal in both sexes with women accounting for 51%. This trend cannot be explained by the disparity in life expectancy between men and women, as prevalence of high blood pressure exhibits the same trend. The rise in consultations and prevalence in women in the oldest age groups compared to men may be the result of the withdrawal of the female sex hormone oestrogen during and after menopause, which is thought to protect against hypertension earlier in life (Connelly et al., 2022).