Prevalence, Awareness, Treatment and Control of Hypertension in Nigeria: Data from a Nationwide Survey 2017
Prevalence, Awareness, Treatment and Control of Hypertension in Nigeria: Data from a Nationwide Survey 2017
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DOI：
10.5334/gh.848
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发表时间：
2020-01-01
期刊：
影响因子：
3.7
通讯作者：
Isiguzo, Godsent C.
中科院分区：
文献类型：
--
作者：
Odili, Augustine N.;Chori, Babangida S.;Isiguzo, Godsent C.
背景：以往评估尼日利亚高血压患病率、认识和治疗的研究要么局限于该国的某些特定地区，要么是非标准化的，从而使高血压护理趋势的评估变得困难。方法：我们采用世界卫生组织（WHO）逐步方法进行慢性病风险因素监测，在尼日利亚六个地缘政治区各一个州的农村和城市社区中选出具有全国代表性的4192名成年尼日利亚人样本进行评估。结果：总体年龄标准化高血压患病率为38.1%，不同地理政治区域的高血压患病率差异如下：中北部为20.9%；东北部,27.5%;西北,26.8%;东南部,52.8%;南南,44.6%;西南，42.1%。不同居住地的患病率差异无统计学意义（p < 0.05）；39.2% vs 37.5%；城市vs农村。高血压患病率从30岁以下人群的6.8%上升到70岁及以上人群的63.0%。知晓率较高（62.2% vs. 56.6%; P = 0.0272）；与农村居民相比，城市居民的治疗率（40.9% vs. 30.8%; P < 0.0001）和对照组相似（14% vs. 10.8%）。女性更了解（63.3% vs. 52.8%; P < 0.0001）；治疗（36.7% vs. 34.3%）和对照组（33.9% vs. 35.5%）高血压发生率与男性相似（P < 0.05）。结论：我们的研究结果表明，尼日利亚的高血压负担很大，并且以前报道的城乡差距正在缩小。这就要求改变以初级卫生保健系统为基础的公共卫生政策，以解决由高血压引起的新疾病负担。
Background: Previous studies that evaluated the prevalence, awareness and treatment of hypertension in Nigeria were either localized to some specific regions of the country or non-standardized thereby making evaluation of trend in hypertension care difficult.Methods: We used the World Health Organization (WHO) STEPwise approach to chronic disease risk factor surveillance to evaluate in a nationally representative sample of 4192 adult Nigerians selected from a rural and an urban community in one state in each of the six geo-political zones of the country.Results: The overall age-standardized prevalence of hypertension was 38.1% and this varied across the geo-political zones as follows: North-Central, 20.9%; North-East, 27.5%; NorthWest, 26.8%; South-East, 52.8%; South-South, 44.6%; and South-West, 42.1%. Prevalence rate did not differ significantly (p > 0.05) according to place of residence; 39.2% versus 37.5 %; urban vs rural. Prevalence of hypertension increased from 6.8% among subjects less than 30 years to 63.0% among those aged 70 years and above. Awareness was better (62.2% vs. 56.6%; P = 0.0272); treatment rate significantly higher (40.9 % vs. 30.8%; P < 0.0001) and control similar (14 vs. 10.8%) among urban compared to rural residents. Women were more aware of (63.3% vs. 52.8%; P < 0.0001); had similar (P > 0.05) treatment (36.7 vs. 34.3%) and control (33.9% vs. 35.5%) rates of hypertension compared to men.Conclusion: Our results suggest a large burden of hypertension in Nigeria and a closing up of the rural-urban gap previously reported. This calls for a change in public health policies anchored on a primary health care system to address the emerging disease burden occasioned by hypertension.