The hypertension cascade of care in the midst of conflict: the case of the Gaza Strip.
The hypertension cascade of care in the midst of conflict: the case of the Gaza Strip.
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DOI：
10.1038/s41371-022-00783-w
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发表时间：
2023-10
影响因子：
2.7
通讯作者：
Ghattas, Hala
中科院分区：
文献类型：
--
作者：
Abu Hamad, Bassam A. A.;Jamaluddine, Zeina;Safadi, Gloria;Ragi, Marie-Elizabeth;Ahmad, Raeda El Sayed;Vamos, Eszter P. P.;Basu, Sanjay;Yudkin, John S. S.;Jawad, Mohammed;Millett, Christopher;Ghattas, Hala
尽管高血压在受冲突影响的地区构成了沉重的负担，但人们对其在加沙的流行、控制和管理知之甚少。本研究旨在评估加沙成人高血压的患病率及其相关因素、高血压的诊断和控制。2020年年中，我们在加沙对4576名40岁以上的老年人进行了具有代表性的横断面匿名家庭调查。数据是通过面对面的访谈、人体测量和血压测量收集的。高血压的定义是连续两次读数的平均收缩压≥140 毫米汞柱或平均舒张压≥90 毫米汞或诊断为高血压的人。参与者的平均年龄为56.9 ± 10.5岁，其中54.0%为女性，68.5%为巴勒斯坦难民。高血压患病率为56.5%，确诊患病率为71.5%。在老年参与者、难民、前吸烟者、超重或肥胖以及有包括精神疾病在内的其他共病的人中，高血压明显更高。三分之二(68.3%)的高血压患者正在接受治疗，三分之一(35.6%)的患者高血压得到了控制。在那些接受所有治疗高血压药物的女性和那些从不或很少在食物中添加盐的女性中，控制高血压的比例明显更高。投资于全面但具有成本效益的举措，以加强预防、及早发现和及时治疗冲突环境中的高血压，是至关重要的。必须更好地了解缺乏控制背后的潜在障碍，并制定多部门方案来解决这些障碍。
Although hypertension constitutes a substantial burden in conflict-affected areas, little is known about its prevalence, control, and management in Gaza. This study aims to estimate the prevalence and correlates of hypertension, its diagnosis and control among adults in Gaza. We conducted a representative, cross-sectional, anonymous, household survey of 4576 persons older than 40 years in Gaza in mid-2020. Data were collected through face-to-face interviews, anthropometric, and blood pressure measurements. Hypertension was defined in anyone with an average systolic blood pressure ≥140 mmHg or average diastolic blood pressure ≥90 mmHg from two consecutive readings or a hypertension diagnosis. The mean age of participants was 56.9 ± 10.5 years, 54.0% were female and 68.5% were Palestinian refugees. The prevalence of hypertension was 56.5%, of whom 71.5% had been diagnosed. Hypertension was significantly higher among older participants, refugees, ex-smokers, those who were overweight or obese, and had other co-morbidities including mental illnesses. Two-thirds (68.3%) of those with hypertension were on treatment with one in three (35.6%) having their hypertension controlled. Having controlled hypertension was significantly higher in females, those receiving all medications for high blood pressure and those who never or rarely added salt to food. Investing in comprehensive but cost-effective initiatives that strengthen the prevention, early detection and timely treatment of hypertension in conflict settings is critical. It is essential to better understand the underlying barriers behind the lack of control and develop multi-sectoral programs to address these barriers.
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DOI：
10.1016/s0140-6736(18)30418-5
发表时间：
2018-02-21
期刊：
Lancet (London, England)
影响因子：
--
作者：
Elkahtib, Zoheir
通讯作者：
Elkahtib, Zoheir
影响因子：
2.7
作者：
Khdour, M. R.;Hallak, H. O.;Al-Shahed, Q. N.
通讯作者：
Al-Shahed, Q. N.
DOI：
10.1016/s0140-6736(21)01330-1
发表时间：
2021-09-11
期刊：
Lancet (London, England)
影响因子：
--
作者：
NCD Risk Factor Collaboration (NCD-RisC)
通讯作者：
NCD Risk Factor Collaboration (NCD-RisC)
影响因子：
5.6
作者：
Cuffee, Yendelela;Ogedegbe, Chinwe;Williams, Natasha J.;Ogedegbe, Gbenga;Schoenthaler, Antoinette
通讯作者：
Schoenthaler, Antoinette
影响因子：
4.3
作者：
Ellulu, Mohammed S
通讯作者：
Ellulu, Mohammed S