The prevalence of hypertension and its distribution by sociodemographic factors in Central Mozambique: a cross sectional study.
The prevalence of hypertension and its distribution by sociodemographic factors in Central Mozambique: a cross sectional study.
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莫桑比克中部的社会人口统计学因素的高血压及其分布的患病率：横截面研究。
DOI：
10.1186/s12889-020-09947-0
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发表时间：
2020-12-01
影响因子：
4.5
通讯作者：
InCoMaS Study Team
中科院分区：
文献类型：
--
作者：
Matsuzaki M;Sherr K;Augusto O;Kawakatsu Y;Ásbjörnsdóttir K;Chale F;Covele A;Manaca N;Muanido A;Wagenaar BH;Mocumbi AO;Gimbel S;InCoMaS Study Team
高血压（HTN）是心血管疾病的一个主要危险因素，其患病率在低收入和中等收入国家一直在上升。目前的研究描述了HTN在莫桑比克中部的流行情况、财富与血压（BP）之间的关系，以及高血压患者HTN监测和诊断实践。该研究使用了在莫桑比克马尼卡省和索法拉省进行的具有代表性的横断面家庭调查的数据。调查对象4101人，年龄≥20岁。我们测量了平均收缩压和舒张压（收缩压和舒张压）从三个测量在家庭环境。血压升高定义为收缩压≥140或舒张压≥90 mmHg。参与者的平均年龄为36.7岁，其中59.9%为女性，72.5%来自农村地区。调整复杂的调查权重后，15.7% （95%CI: 14.0 ~ 17.4）的女性和16.1% （95%CI: 13.9 ~ 18.5）的男性血压升高，7.5% （95%CI: 6.4 ~ 8.7）的总体人群收缩压≥140和舒张压≥90 mmHg。在血压升高的参与者中，既往血压测量和HTN诊断的参与者比例均较低（分别为34.9% （95% CI: 30.0至40.1）和12.2%(9.9至15.0)）。先前的血压测量和HTN诊断在受过中等或高等教育、来自城市地区、相对富裕的高血压患者中更为常见。在调整后的模型中，财富与较高的收缩压和舒张压呈正相关。目前的研究发现了财富和BP之间正相关的证据。马尼卡省和索法拉省血压升高的患病率低于先前估计的全国患病率。既往的BP筛查和HTN诊断在我们的研究人群中并不常见，特别是在农村居民、教育水平较低的个体和相对较低的财富人群中。随着莫桑比克流行病学转变的进展，有必要制定和实施增加血压筛查和提供适当临床服务的战略，并鼓励在不久的将来有患高血压风险的人群改变生活方式。本文的补充信息为10.1186/s12889-020-09947-0。
Hypertension (HTN) is a major risk factor for cardiovascular diseases, and its prevalence has been rising in low- and middle-income countries. The current study describes HTN prevalence in central Mozambique, association between wealth and blood pressure (BP), and HTN monitoring and diagnosis practice among individuals with elevated BP. The study used data from a cross-sectional, representative household survey conducted in Manica and Sofala provinces, Mozambique. There were 4101 respondents, aged ≥20 years. We measured average systolic and diastolic BP (SBP and DBP) from three measurements taken in the household setting. Elevated BP was defined as having either SBP ≥140 or DBP ≥90 mmHg. The mean age of the participants was 36.7 years old, 59.9% were women, and 72.5% were from rural areas. Adjusting for complex survey weights, 15.7% (95%CI: 14.0 to 17.4) of women and 16.1% (13.9 to 18.5) of men had elevated BP, and 7.5% (95% CI: 6.4 to 8.7) of the overall population had both SBP ≥140 and DBP ≥90 mmHg. Among participants with elevated BP, proportions of participants who had previous BP measurement and HTN diagnosis were both low (34.9% (95% CI: 30.0 to 40.1) and 12.2% (9.9 to 15.0) respectively). Prior BP measurement and HTN diagnosis were more commonly reported among hypertensive participants with secondary or higher education, from urban areas, and with highest relative wealth. In adjusted models, wealth was positively associated with higher SBP and DBP. The current study found evidence of positive association between wealth and BP. The prevalence of elevated BP was lower in Manica and Sofala provinces than the previously estimated national prevalence. Previous BP screening and HTN diagnosis were uncommon in our study population, especially among rural residents, individuals with lower education levels, and those with relatively less wealth. As the epidemiological transition advances in Mozambique, there is a need to develop and implement strategies to increase BP screening and deliver appropriate clinical services, as well as to encourage lifestyle changes among people at risk of developing hypertension in near future. Supplementary information accompanies this paper at 10.1186/s12889-020-09947-0.
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影响因子：
2.8
作者：
Sherr K;Cuembelo F;Michel C;Gimbel S;Micek M;Kariaganis M;Pio A;Manuel JL;Pfeiffer J;Gloyd S
通讯作者：
Gloyd S
全球心血管死亡率的人口统计学和流行病学驱动因素。
DOI：
10.1056/nejmoa1406656
发表时间：
2015-04-02
期刊：
The New England journal of medicine
影响因子：
--
作者：
Roth GA;Forouzanfar MH;Moran AE;Barber R;Nguyen G;Feigin VL;Naghavi M;Mensah GA;Murray CJ
通讯作者：
Murray CJ
DOI：
10.2307/3349375
发表时间：
1971-01-01
期刊：
MILBANK MEMORIAL FUND QUARTERLY
影响因子：
--
作者：
OMRAN, AR
通讯作者：
OMRAN, AR
影响因子：
8.3
作者：
Damasceno, Albertino;Azevedo, Ana;Lunet, Nuno
通讯作者：
Lunet, Nuno
影响因子：
120.7
作者：
Kannel, WB
通讯作者：
Kannel, WB