Hypertension awareness, treatment and control in Africa: a systematic review
Hypertension awareness, treatment and control in Africa: a systematic review
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DOI：
10.1186/1471-2261-13-54
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发表时间：
2013-08-02
影响因子：
2.1
通讯作者：
Nuwaha, Fred
中科院分区：
文献类型：
--
作者：
Kayima, James;Wanyenze, Rhoda K.;Nuwaha, Fred
背景：高血压诊断不充分和控制不佳是非洲心血管疾病发病率和死亡率的主要原因。了解高血压的知晓、治疗和控制水平以及相关因素对高血压控制工作具有重要意义。方法：在 PubMed 数据库中检索 1993 年至 2013 年间发表的与非洲高血压知晓、治疗和控制相关的原始文章。关键搜索术语为：非洲、知晓、治疗、控制和高血压。对已识别文章中引用的参考书目进行了探索，以提供进一步的研究。文章全文来自各种互联网来源和个人作者。使用数据提取表来收集这些信息。结果：来自非洲大陆所有地区 23 个非洲国家的 38 项研究符合纳入标准。各国的认识、治疗和控制水平差异很大。农村人口的意识水平低于城市地区。北非国家的治疗水平是非洲大陆最高的。即使在了解自己状况和接受治疗的受试者中，整个地区的高血压控制也普遍较差。总体来看，女性的控制状况优于男性。结论：高血压的知晓率和治疗水平较低，控制水平更低。需要进行量身定制的研究来揭示这些低水平的认识和治疗，特别是控制水平背后的具体原因，以便为改善非洲高血压患者预后的政策制定提供信息。
Background: Inadequate diagnosis and suboptimal control of hypertension is a major driver of cardiovascular morbidity and mortality in Africa. Understanding the levels of awareness, treatment and control of hypertension and the associated factors has important implications for hypertension control efforts.Methods: The PubMed database was searched for original articles related to awareness, treatment and control of hypertension in Africa published between 1993 and 2013. The key search terms were: Africa, awareness, treatment, control, and hypertension. Exploration of bibliographies cited in the identified articles was done to provide further studies. Full texts of the articles were obtained from various internet sources and individual authors. A data extraction sheet was used to collect this information.Results: Thirty eight studies drawn from 23 African countries from all regions of the continent met the inclusion criteria. The levels of awareness, treatment and control varied widely from country to country. Rural populations had lower levels of awareness than urban areas. North African countries had the highest levels of treatment in the continent. There was generally poor control of hypertension across the region even among subjects that were aware of their status and those that were treated. On the whole, the women had a better control status than the men.Conclusion: There are low levels of awareness and treatment of hypertension and even lower levels of control. Tailored research is required to uncover specific reasons behind these low levels of awareness and treatment, and especially control, in order to inform policy formulation for the improvement of outcomes of hypertensive patients in Africa.