Assessing the impact of high blood pressure referrals on hypertension awareness and management, BMI, and blood pressure values in adult Samoans 2010-2019.
Assessing the impact of high blood pressure referrals on hypertension awareness and management, BMI, and blood pressure values in adult Samoans 2010-2019.
复制标题
评估高血压转介对成人萨摩亚人2010- 2019年的高血压意识和管理，BMI和血压值的影响。
DOI：
10.1080/03014460.2020.1822914
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发表时间：
2020-12
影响因子：
1.7
通讯作者：
Hawley NL
中科院分区：
文献类型：
--
作者：
Rivara AC;Pomer A;Naseri T;Reupena MS;Viali S;Choy CC;McGarvey ST;Hawley NL
在过去30年中，萨摩亚人口的非传染性疾病流行率和非传染性疾病风险因素迅速增加。然而，了解如何提高对这些疾病的认识和治疗，以减少疾病负担仍然研究不足。使用萨摩亚成年人心脏代谢健康纵向研究（2010 - 2019）的数据，我们评估了血压升高（BP）转诊对BP变化的影响，医生对高血压和药物使用的诊断，体重指数（BMI）和其他血压升高的风险因素。分析比较了2010年（1）因血压升高（BP ≥ 140/90 mmHg）而转诊或（2）测量的BP指示高血压前期（BP ≥ 120/80 mmHg）但未转诊的成年萨摩亚人（n = 328）。使用线性和逻辑回归、配对T检验和McNemar检验以及Wilcoxon秩和评估对数据进行分析。2010年的转诊显著增加了2018年报告医生诊断高血压（OR 2.16; 1.18，3.95）和高血压药物使用（OR 3.52; 1.86，6.73）的几率;然而，转诊、药物使用和诊断与血压值或血压升高几率降低无关。尽管转诊对高血压相关的医疗保健有积极的影响，我们的研究结果表明，其他因素也影响有效的BP/高血压控制。我们提倡卫生研究人员与当地卫生部门的行为者更多地接触，以提高研究人员提供的健康转诊将导致长期健康改善的可能性。
The Samoan population has experienced rapid increases in the prevalence of non-communicable diseases (NCDs) and NCD risk factors over the last 30 years. However, understanding how increased awareness and treatment of these conditions in reducing disease burden remains understudied. Using data from a longitudinal study (2010–2019) of cardiometabolic health among Samoan adults, we assess the impact of a referral for elevated blood pressure (BP) on changes in BP, physician’s diagnoses of hypertension and medication use, body mass index (BMI), and other risk factors for elevated BP. Analyses compared adult Samoans (n=328) who in 2010 either (1) received a referral for elevated blood pressure (BP ≥140/90 mmHg) or (2) had measured BP indicative of pre-hypertension (BP ≥120/80 mmHg) but were not referred. Data were analysed using linear and logistic regression, paired T- and McNemar’s tests, and Wilcoxon Rank Sum assessments. Referrals in 2010 significantly increased the odds of reporting a physician’s diagnosis of hypertension (OR 2.16; 1.18, 3.95) and hypertension medication use (OR 3.52; 1.86, 6.73) in 2018; however, referrals, medication use and diagnoses were not associated with BP values or reduced odds of having elevated BP. Despite the referral having positive effects on hypertension-related health care, our results demonstrate that other factors are influencing effective BP/ hypertension control. We advocate for greater engagement of health researchers with local health sector actors to improve the probability that researcher-provided health referrals will result in long-term health improvements.
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影响因子：
4.9
作者：
Swinburn, BA;Ley, SJ;Planck, LD
通讯作者：
Planck, LD
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Zimmet, Paul
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通讯作者：
McGarvey, Stephen T.