Prevalence of Blood Pressure, Blood Glucose and Serum Lipids Abnormalities Among Ethiopian Immigrants: A Community-Based Cross-Sectional Study
Prevalence of Blood Pressure, Blood Glucose and Serum Lipids Abnormalities Among Ethiopian Immigrants: A Community-Based Cross-Sectional Study
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DOI：
10.1007/s10903-014-0051-6
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发表时间：
2015-08-01
影响因子：
1.9
通讯作者：
Tura, Yisehak
中科院分区：
文献类型：
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作者：
Ghobadzadeh, Maryam;Demerath, Ellen W.;Tura, Yisehak
本研究的主要目的是调查明尼苏达州埃塞俄比亚移民社区高血压、血糖和血脂异常的患病率。这项横断面研究使用了 2007-2012 年教区护理计划的数据。这项研究总共包括 673 次遭遇。检查了各种因变量，包括收缩压（SBP）、舒张压（DBP）、血糖（BG）和血脂。高血压定义为平均收缩压等于或高于 140 毫米/汞柱和/或舒张压等于或高于 90 毫米汞柱。空腹血糖升高定义为水平等于或高于 126 mg/dL。高水平的总胆固醇(TC)、总甘油三酯(TG)、低密度脂蛋白(LDL)胆固醇和低高密度脂蛋白(HDL)胆固醇分别定义为千分之240、千分之200、千分之160和千分之40毫克/分升。使用一般线性回归模型来研究参与者的年龄和性别与连续分布的响应变量的关系，其中包括收缩压和舒张压、BG、TC、TG、LDL 胆固醇和HDL 胆固醇。这是受邀参加教区护士心血管疾病 (CVD) 危险因素筛查计划的成年埃塞俄比亚教会成员的非随机样本。该样本的参与者中有 43% 为男性，57% 为女性。高血压的总体患病率为 30.1%，临界值为 140/90 mm/Hg。男性高血压患病率分别高于女性 33% 和 24%（p < 0.01）。在所有参与者中，12% 的 BG 水平等于或高于 126 mg/dL。 30% 的参与者报告 HDL 水平较低（< 40 mg/dL）。与男性 (16%) 相比，女性中高 LDL 水平的患病率 (20%) 更高。 15% 的女性和 10% 的男性观察到高 TC 水平 (> 240 mg/dL) (p = 0.2)。男性参与者的 SBP 和 DBP 显着高于女性参与者 (p < 0.05)，相反，女性的 TC (p < 0.01)、LDL (0.05) 和 HDL (p < 0.001) 显着较高。女性参与者的 BG 也高于男性参与者，但差异无统计学意义 (p > 0.05)。这个机会样本表明，埃塞俄比亚裔美国成年人社区中心血管疾病危险因素的患病率很高，并且迫切需要对这个不断发展的社区的慢性病健康需求进行更全面和系统的评估。
The main objective of this study was to investigate the prevalence of hypertension, glucose and blood lipid abnormalities among a community of Ethiopian immigrants in Minnesota. This cross-sectional study used data from the parish nursing program 2007-2012. A total of 673 encounters were included in this study. Various dependent variables including systolic blood pressure (SBP), diastolic blood pressure (DBP), blood glucose (BG), and serum lipids were examined. High blood pressure was defined as a mean SBP equal to or higher than 140 mm/Hg and/or DBP equal to or higher than 90 mmHg. Elevated fasting glucose defined as levels equal to or higher than 126 mg/dL. High level of total cholesterol (TC), total triglyceride (TG), low-density lipoprotein (LDL) cholesterol, and low high-density lipoprotein (HDL) cholesterol were defined as a parts per thousand yen240, a parts per thousand yen200, a parts per thousand yen160 and a parts per thousand currency sign40 mg/dL, respectively. General linear regression models were used to investigate the relationship of participants' age and gender, to the continuously distributed response variables, which included systolic and DBP, BG, TC, TG, LDL cholesterol and HDL cholesterol. This is a nonrandom sample of adult Ethiopian church members who were invited to participate in a parish nurse cardiovascular disease (CVD) risk factor screening program. Participants in this sample were 43 % male and 57 % female. The overall prevalence of hypertension was 30.1 % with a cut off mark of 140/90 mm/Hg. The prevalence of hypertension was 33 and 24 % among men than among women, respectively (p < 0.01). Of all participants, 12 % had BG level of equal to or higher than 126 mg/dL. Low levels of HDL were reported in 30 % of the participants (< 40 mg/dL). A higher prevalence of high LDL level (20 %) was observed among women compared to those found in men (16 %). High TC levels (> 240 mg/dL) were observed in 15 % of the women and 10 % of the men (p = 0.2). Higher SBP and DBP were significantly higher in male participants than their female counterparts (p < 0.05) and in contrast, women showed a significantly higher TC (p < 0.01) and LDL (0.05) and HDL (p < 0.001). Female participants also had higher BG than male participants but the difference was not statistically significant (p > 0.05). This opportunity sample suggests high prevalence of CVD risk factors in a community of Ethiopian-American adults, and a pressing need for more comprehensive and systematic assessment of chronic disease health needs in this growing community.