Hypertension control in a large multi-ethnic cohort in Amsterdam, The Netherlands: The HELIUS study
Hypertension control in a large multi-ethnic cohort in Amsterdam, The Netherlands: The HELIUS study
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DOI：
10.1016/j.ijcard.2015.01.061
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发表时间：
2015-03-15
影响因子：
3.5
通讯作者：
Stronks, Karien
中科院分区：
文献类型：
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作者：
Agyemang, Charles;Kieft, Suzanne;Stronks, Karien
目的：高血压是欧洲少数民族的一个主要问题。我们评估了目前的高血压患病率及其管理的多民族人口在Amsterdam，The Netherlands. Methods：数据从HELIUS研究，包括12,974名参与者（1871加纳，2184非洲裔，2278南亚裔，2277土耳其，2222摩洛哥和2142荷兰裔人），年龄在18 - 70岁。各组之间进行了比较，使用比例和年龄调整的患病率（PRs）。结果：高血压患病率范围从24%和16%的摩洛哥男性和女性的52%和62%的加纳男性和女性。除摩洛哥女性外，所有少数民族人群的年龄调整后高血压PR均高于荷兰人。在高血压患者中，少数民族群体的高血压意识和降压治疗水平普遍高于荷兰人。此外，与荷兰裔人群相比，非洲和南亚裔人群中使用一种以上降血压药物处方的患病率普遍较高。相比之下，所有种族的血压控制水平都低于荷兰人，加纳男性的血压控制率明显低于荷兰人（26%，PR = 0.49; 95% CI，0.37 - 0.66）和女性（45%，PR = 0.64; 0.52 - 0.77），非洲裔美国男性（30%，PR = 0.61; 0.46 - 0.81）和女性（45%，PR = 0.72; 0.51 - 0.77），南亚裔马来西亚男性（43%，PR = 0.77; 0.61 - 0.97）和女性（47%，PR = 0.76; 0.63 - 0.92）与荷兰男性（53%）和女性（61%）相比。需要开展更多的工作来揭示导致控制不良的潜在因素，以改善少数民族群体，特别是非洲和南亚血统群体的BP控制。(C)2015爱思唯尔爱尔兰有限公司版权所有。
Objective: Hypertension is a major problem among European ethnic minority groups. We assessed the current situation of hypertension prevalence and its management among a multi-ethnic population in Amsterdam, The Netherlands.Methods: Data from the HELIUS study were used including 12,974 participants (1871 Ghanaian, 2184 African Surinamese, 2278 South-Asian Surinamese, 2277 Turkish, 2222 Moroccan and 2142 Dutch origin people), aged 18-70 years. Comparisons among groups were made using proportions and age-adjusted prevalence ratios (PRs).Results: Hypertension prevalence ranged from 24% and 16% in Moroccan men and women to 52% and 62% in Ghanaian men and women. Except for Moroccan women, age-adjusted PR of hypertension was higher in all the ethnic minority groups than in Dutch. Among hypertensives, ethnic minority groups generally had higher levels of hypertension awareness and BP lowering treatment than Dutch. Moreover, prevalence rates for the prescription of more than one BP lowering drug were generally higher in African and South-Asian origin groups compared with Dutch origin people. By contrast, BP control levels were lower in all the ethnic groups than in Dutch, with control rates being significantly lower in Ghanaian men (26%, PR = 0.49; 95% CI, 0.37-0.66) and women (45%, PR = 0.64; 0.52-0.77), African-Surinamese men (30%, PR = 0.61; 0.46-0.81) and women (45%, PR = 0.72; 0.51-0.77), and South-Asian Surinamese men (43%, PR = 0.77; 0.61-0.97) and women (47%, PR = 0.76; 0.63-0.92) compared with Dutch men (53%) and women (61%).Conclusion: Our findings indicate poor BP control in ethnicminority groups despite the high treatment levels. More work is needed to unravel the potential factors contributing to the poor control in order to improve BP control in ethnic minority groups, particularly among African and South-Asian origin groups. (C) 2015 Elsevier Ireland Ltd. All rights reserved.