Hypertension among adults in Bangladesh: evidence from a national cross-sectional survey
Hypertension among adults in Bangladesh: evidence from a national cross-sectional survey
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DOI：
10.1186/s12872-016-0197-3
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发表时间：
2016-01-25
影响因子：
2.1
通讯作者：
Ibrahimou, Boubakari
中科院分区：
文献类型：
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作者：
Chowdhury, Muhammad Abdul Baker;Uddin, Md. Jamal;Ibrahimou, Boubakari
背景：高血压在东南亚是一个日益严重的问题，特别是在孟加拉国。虽然在孟加拉国进行了一些关于高血压的流行病学研究，但与该国高血压相关的因素仍不清楚。我们的目的是确定与高血压的成年人在Bangladesh.Methods的相关因素：我们进行了一项横断面研究，使用的数据来自全国代表性的2011年孟加拉国人口与健康调查（BDHS）。共有7，839名（3，964名女性和3，875名男性）年龄在35岁及以上的成年人参加了调查。高血压的定义为收缩压>= 140 mmHg和/或舒张压>= 90 mmHg和/或在调查时接受降压药物治疗。结果：高血压总患病率为26.4%，女性患病率（32.4%）高于男性（20.3%）。60-69岁年龄组的研究参与者患高血压的几率（AOR：3.77，95%CI：3.01-4.72）高于35-39岁年龄组。此外，受教育程度较高的个体（AOR：1.63，95%C.我：高收入人群（AOR = 1.91，95%CI：1.54-2.38）患高血压的危险性高于低收入人群（AOR = 1.25-2.14）。分析还显示，高BMI（AOR：2.19，95% C。I：1.87-2.57）和糖尿病（AOR：1.54，95% C。我：结论：老年人高血压患病风险与年龄、性别、文化程度、居住地、工作状况、财富指数、BMI、糖尿病等因素显著相关。此外，高血压基本上得不到治疗，特别是在农村地区。卫生系统需要制定适当的战略，包括早期诊断，通过大众媒体提高认识，并为孟加拉国的老年人，富人和/或受过高等教育的人启动改变生活方式的健康教育计划。此外，有必要进行针对具体地区的纵向研究，以找出区域差异的根本原因。
Background: Hypertension is an increasing problem in Southeast Asia, particularly in Bangladesh. Although some epidemiological studies on hypertension have been conducted in Bangladesh, the factors associated with hypertension in this nation remain unclear. We aimed to determine the factors associated with hypertension among the adults in Bangladesh.Methods: We conducted a cross-sectional study using data from the nationally representative 2011 Bangladesh Demographic and Health Survey (BDHS). A total of 7,839 (3,964 women and 3,875 men) adults aged 35 years and older who participated in the survey was included. Hypertension was defined by a systolic blood pressure >= 140 mmHg and/or, diastolic blood pressure >= 90 mmHg and/or, receipt of an anti-hypertensive medication at time of the survey. The degree of association between the risk factors and the outcome was assessed by the odd ratio (OR) obtained from the bivariate and multivariable logistic regression models.Results: The overall prevalence of hypertension was 26.4 %, and the prevalence was higher in women (32.4 %) than men (20.3 %). Study participants with the age group of 60-69 years had higher odds of having hypertension (AOR: 3.77, 95 % CI: 3.01-4.72) than the age group 35-39 years. Moreover, individuals who had higher educational attainment (AOR: 1.63, 95 % C. I: 1.25-2.14) and higher wealth status (AOR = 1.91, 95 % CI: 1.54-2.38) had higher odds of having hypertension than the individuals with no education and lower social status, respectively. The analysis also showed that high BMI (AOR: 2.19, 95 % C. I: 1.87-2.57) and having diabetes (AOR: 1.54, 95 % C. I: 1.31-1.83) were associated with the increasing risk of hypertension.Conclusions: Our study shows that the risk of hypertension was significantly associated with older age, sex, education, place of residence, working status, wealth index, BMI, and diabetes. Moreover, hypertension is largely untreated, especially in rural settings. The health system needs to develop appropriate strategies including early diagnosis, awareness via mass media, and health education programs for changing lifestyles should be initiated for older age, wealthy, and/or higher educated individuals in Bangladesh. Moreover, area-specific longitudinal research is necessary to find out the underlying causes of regional variations.