Prevalence of hypertension in the rural adult population of Osun State, southwestern Nigeria
Prevalence of hypertension in the rural adult population of Osun State, southwestern Nigeria
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DOI：
10.2147/ijgm.s42905
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发表时间：
2013-01-01
影响因子：
2.3
通讯作者：
Adewole, T. A.
中科院分区：
文献类型：
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作者：
Asekun-Olarinmoye, E. O.;Akinwusi, P. O.;Adewole, T. A.
背景：本研究的目的是确定高血压的患病率在两个农村社区的Osun州，尼日利亚。方法：一个同意的成年人口的Alajue和Obokun农村社区在西南部尼日利亚，提出了筛选工作参加了这项以社区为基础的横断面描述性研究。作为2011年世界肾脏日和世界青光眼日庆祝活动的一部分，259名18岁以上的受访者完成了一份标准化、预测试、结构化问卷。结果：调查对象平均年龄49.7 ± 1.6岁，男性100人（38.6%），农民84人（32.4%），商人111人（42.9%）。高血压患病率为13.16%（34名受访者）。17例（6.6%）为单纯收缩期高血压，11例（4.2%）为单纯舒张期高血压。236例（91.1%）患者每天进行至少持续30分钟的运动，48例（18.5%）患者曾定期服用降压药物。4名受访者（1.6%）声称有高血压家族史。受访者的平均体重指数（BMI）为23.4 +/- 4.9 kg/m2，51人（19.6%）的BMI为25.0-29.9，30人（11.5%）的BMI = 30。年龄与BMI、性别与高血压无相关性（P> 0.05）。高血压患者中老年和高BMI的发生率显著高于血压正常者。BMI = 25的受访者患高血压的可能性至少是BMI < 25的受访者的三倍（比值比2.9，95%置信区间0.007-0.056，P = 0.011）。结论：高血压的患病率在本研究人群中较高，我们建议扩大一级预防工作，以减少在尼日利亚社区。
Background:The purpose of this study was to determine the prevalence of hypertension in two rural communities of Osun State, Nigeria.Methods:A consenting adult population of the Alajue and Obokun rural communities in southwestern Nigeria that presented for the screening exercise participated in this community-based cross-sectional descriptive study. Two hundred and fifty-nine respondents aged older than 18 years completed a standardized, pretested, structured questionnaire as part of activities celebrating World Kidney Day and World Glaucoma Day in 2011. Anthropometric data and blood pressure were recorded, and the data were analyzed using the Statistical Package for Social Sciences version 17.Results:The mean age of the respondents was 49.7 +/- 1.6 years, 100 (38.6%) were males, 84 (32.4%) were farmers, and 111 (42.9%) were traders. The prevalence of hypertension was 13.16% (present in 34 respondents). Seventeen (6.6%) had isolated systolic hypertension, while 11 (4.2%) had isolated diastolic hypertension. Two hundred and thirty-six (91.1%) undertook daily exercise lasting at least 30 minutes and 48 (18.5%) had ever taken antihypertensive drugs on a regular basis. Four respondents (1.6%) claimed a family history of hypertension. The average body mass index (BMI) among respondents was 23.4 +/- 4.9 kg/m(2), 51 (19.6%) had a BMI of 25.0-29.9, and 30 (11.5%) had a BMI = 30. A significant association existed between age older than 40 years and having hypertension (P < 0.05), while no relationship existed between age and BMI or between gender and hypertension (P > 0.05). Rates of older age and high BMI were significantly higher among hypertensives than among normotensives. Respondents with BMI = 25 had at least a three times greater likelihood of developing hypertension than those with BMI < 25 (odds ratio 2.9, 95% confidence interval 0.007-0.056, P = 0.011).Conclusion:The prevalence of hypertension is high in this study population and we recommend scaling up primary prevention efforts to reduce this in Nigerian communities.