May Measurement Month 2017: Blood pressure screening results from Zambia-Sub-Saharan Africa
May Measurement Month 2017: Blood pressure screening results from Zambia-Sub-Saharan Africa
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DOI：
10.1093/eurheartj/suz077
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发表时间：
2019-04-01
影响因子：
1.6
通讯作者：
Poulter, Neil R.
中科院分区：
文献类型：
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作者：
Goma, Fastone Mathew;Mwewa, Beatrice;Poulter, Neil R.
高血压(BP)是全球范围内日益沉重的负担，每年导致1000多万人死亡。5月测量月(MMM)是一项全球倡议，旨在提高人们对高BP的认识，并作为解决全球缺乏筛查计划的临时解决方案。据报道，赞比亚一些地区的高血压患病率高达34%，但据报道，公众的认识很低。大多数人不知道自己患有高血压，其他人不服用任何药物。2017年5月对18岁的志愿人员进行了机会主义横断面调查。血压测量、高血压的定义和统计分析遵循标准的MMM方案。在购物中心、市场、体育设施、教堂、高等学府和城市诊所建立了测量站点。在MMM17期间，总共对9607人进行了筛查。经多次归罪后，2438人(25.9%)有高血压。在没有接受降压药物治疗的人中，1706人(19.6%)患有高血压。在接受抗高血压药物治疗的患者中，438人(62%)的血压未得到控制。2017年的MMM是赞比亚开展的最大规模的BP筛查活动。这项运动确定了2438名高血压患者，他们得到了心脏健康建议和/或转介到当地诊所接受治疗。这些结果表明，基于方便抽样的大规模BP筛查活动可能是一种有用且相当便宜的工具，有助于提高普通人群的意识，从而帮助解决高血压引起的疾病负担。
Elevated blood pressure (BP) is a growing burden worldwide, leading to over 10 million deaths each year. May Measurement Month (MMM) is a global initiative aimed at raising awareness of high BP and to act as a temporary solution to the lack of screening programmes worldwide. Prevalence of hypertension is reported to reach 34% in some areas of Zambia but public awareness is reportedly low. A majority of individuals do not know that they have high BP and others do not take any medication. An opportunistic cross-sectional survey of volunteers aged >= 18 was carried out in May 2017. Blood pressure measurement, the definition of hypertension and statistical analysis followed the standard MMM protocol. Measurement sites were set-up at shopping malls, markets, sports facilities, churches, higher institutions of learning, and urban clinics. A total of 9607 individuals were screened during MMM17. After multiple imputation, 2438 (25.9%) had hypertension. Of individuals not receiving anti hypertensive medication, 1706 (19.6%) were hypertensive. Of individuals receiving anti hypertensive medication, 438 (62%) had uncontrolled BP. The MMM for 2017 was the largest BP screening campaign undertaken in Zambia. The campaign identified 2438 individuals with hypertension who were given heart health advice and/or referred to the local clinic for treatment. These results suggest that a large BP screening campaign based on convenience sampling could be a useful and reasonably inexpensive tool to help raise awareness in the general population and thereby help address the burden of disease caused by hypertension.