Factors associated with awareness, treatment and control of hypertension in a disadvantaged rural Indian population
Factors associated with awareness, treatment and control of hypertension in a disadvantaged rural Indian population
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DOI：
10.1038/jhh.2016.85
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发表时间：
2017-05-01
影响因子：
2.7
通讯作者：
Thrift, A. G.
中科院分区：
文献类型：
--
作者：
Busingye, D.;Arabshahi, S.;Thrift, A. G.
本研究的目的是确定与印度农村地区高血压的认识、治疗和控制相关的因素。人群筛选后，所有高血压患者（血压（BP）>= 140/90 mm Hg或服用抗高血压药物）均被邀请参加本研究。我们测量了血压、身高、体重、皮褶、腰围和臀围，并进行了问卷调查，以获得有关社会经济和行为特征的信息。采用多因素Logistic回归分析高血压知晓、治疗和控制的相关因素。我们招募了277名高血压患者。高血压的知晓率（43%）、治疗率（33%）和控制率（27%）较差。距离医疗服务较远（比值比（OR）0.56（95%置信区间（CI））0.32-0.98）与高血压意识差相关，而在前一年内测量过血压（OR 4.72，95% CI 2.71-8.22），年龄较大和体脂百分比较高与意识较好相关。与高血压治疗相关的因素是在前一年内测量过血压（OR 6.18，95%CI 3.23-11.82），年龄≥ 65岁，缺乏体力活动和较高的体脂百分比。与高血压控制相关的唯一因素是较高的体脂百分比（OR 1.05，95%CI 1.01-1.11）。改善卫生服务的地理可及性和利用率应提高农村人口对高血压的认识和治疗。需要进一步研究以确定控制的驱动因素。
The aim of this study was to identify factors associated with awareness, treatment and control of hypertension in a rural setting in India. Following screening of the population, all individuals with hypertension (blood pressure (BP) >= 140/90 mm Hg or taking antihypertensive medications) were invited to participate in this study. We measured BP, height, weight, skinfolds, waist and hip circumference, and administered a questionnaire to obtain information regarding socioeconomic and behavioural characteristics. Multivariable logistic regression was used to determine factors associated with awareness, treatment and control of hypertension. We recruited 277 individuals with hypertension. Awareness (43%), treatment (33%) and control (27%) of hypertension were poor. Greater distance to health services (odds ratio (OR) 0.56 (95% confidence interval (CI)) 0.32-0.98) was associated with poor awareness of hypertension while having had BP measured within the previous year (OR 4.72, 95% CI 2.71-8.22), older age and greater per cent body fat were associated with better awareness. Factors associated with treatment of hypertension were having had BP measured within the previous year (OR 6.18, 95% CI 3.23-11.82), age >= 65 years, physical inactivity and greater per cent body fat. The only factor associated with control of hypertension was greater per cent body fat (OR 1.05, 95% CI 1.01-1.11). Improving geographic access and utilisation of health services should improve awareness and treatment of hypertension in this rural population. Further research is necessary to determine drivers of control.