Challenges of managing hypertension in Pakistan - a review.
Challenges of managing hypertension in Pakistan - a review.
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DOI：
10.1186/s40885-023-00245-6
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发表时间：
2023-06-15
影响因子：
4.2
通讯作者：
Almas, Aysha
中科院分区：
文献类型：
--
作者：
Elahi, Adil;Ali, Arzina Aziz;Khan, Aamir Hameed;Samad, Zainab;Shahab, Hunaina;Aziz, Namra;Almas, Aysha
本综述旨在描述巴基斯坦高血压状况的现有证据，包括高血压的患病率、相关危险因素、预防策略和管理挑战。使用PubMed和Google Scholar以电子方式进行全面文献检索。使用特定的筛选方法，选择纳入55篇文章。我们从这一广泛的审查中发现，一些小型研究报告高血压的患病率很高，但缺乏基于人口的高血压患病率在巴基斯坦。生活方式危险因素，如肥胖，不健康的饮食，减少体力活动，社会经济地位低，缺乏获得护理的主要相关因素与高血压。缺乏血压监测实践和药物不依从性也与巴基斯坦不受控制的高血压有关，在初级保健机构中更为明显。所提供的证据对于确定疾病负担至关重要，从而可以更好地管理这一服务不足的人群。有必要更新调查，以描述巴基斯坦高血压的真实患病率和管理。需要在国家一级制定具有成本效益的实施战略和政策，以预防和控制高血压。
This review aims to describe existing evidence on the state of hypertension in Pakistan, including the prevalence, associated risk factors, preventive strategies, and challenges in the management of hypertension. A comprehensive literature search was conducted electronically using PubMed and Google Scholar. Using specific screening methodology, 55 articles were selected to be included. We found from this extensive review that several small studies report high prevalence of hypertension but there is a lack of population based prevalence of hypertension in Pakistan. Lifestyle risk factors such as obesity, unhealthy diet, decreased physical activity, low socioeconomic status, and lack of access to care were the main associated factors with hypertension. Lack of blood pressure monitoring practices and medication non-adherence were also linked to uncontrolled hypertension in Pakistan and were more evident in primary care setups. The evidence presented is essential for delineating the burden of the disease, hence allowing for better management of this underserved population. There is a need for updated surveys to depict the true prevalence and management of hypertension in Pakistan. Cost-effective implementation strategies and policies at the national level are needed for both prevention and control of hypertension.
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影响因子：
1.2
作者：
Bilal, Muhammad;Haseeb, Abdul;Ghaffar, Palwasha
通讯作者：
Ghaffar, Palwasha
影响因子：
1.8
作者：
Gowani A;Ahmed HI;Khalid W;Muqeet A;Abdullah S;Khoja S;Kamal AK
通讯作者：
Kamal AK
影响因子：
3.3
作者：
Almas, Aysha;Patel, Junaid;Khan, Mohammad Ataullah
通讯作者：
Khan, Mohammad Ataullah
影响因子：
2.5
作者：
Datta, Biplab K.;Husain, Muhammad J.;Fatehin, Sohani
通讯作者：
Fatehin, Sohani
影响因子：
1.6
作者：
Goma, Fastone Mathew;Mwewa, Beatrice;Poulter, Neil R.
通讯作者：
Poulter, Neil R.