一个新兴国家中高血压及其相关危险因素的患病率。

The prevalence of hypertension and its associated risk factors in a newly developed country.

作者信息

Bener Abdulbari, Al-Suwaidi Jasim, Al-Jaber Khalifa, Al-Marri Saleh, Dagash Mohammed H, Elbagi Isam-Eldin A

机构信息

Department of Medical Statistics and Epidemiology, Hamad General Hospital and Hamad Medical Corporation, PO Box 3050, Doha, Qatar.

出版信息

Saudi Med J. 2004 Jul;25(7):918-22.

PMID:15235700

Abstract

OBJECTIVE

The aim of the present study was to determine the prevalence of hypertension and cardiovascular disease (CVD) risk factors and its association with the sociodemographic, behavioral, and lifestyle characteristics of the adult qatari population.

METHODS

This is a cross-sectional study, which was carried out in primary health care clinics (PHCs). The survey was conducted from January through to July 2003 among qatari nationals 25-65-years of age. Of the 1500 patients who were approached to participate in study, 1208 (80.5%) gave their consent. Face-to-face interviews were based on a questionnaire that included variables on age, sex, socioeconomic status (SES), parity, income level, cigarette smoking, physical activity, lifestyle, body mass index (BMI), and blood pressure. Hypertension was defined according to the world health organization criteria as systolic blood pressure (SBP) >140 mm Hg or diastolic blood pressure (DBP) >90 mm Hg, or both.

RESULTS

Overall, the prevalence of hypertension (BP >/=140 or >/=90 mm Hg, or both or known hypertensive) was 32.1% (32.6% in men and 31.7% in women). The age-standardized prevalence of hypertension (adjusted to the adult population of Qatar) was 31.1% (95% confidence interval 26.7-35.5%) in men and 30.2% in women (95% confidence interval 25.8-34.6%). The CVD risk factor of obesity was more prominent among women 528 (78.3%) than among men 334 (68.9%) (p<0.001). Physical inactivity was again predominant among women and found to be highly significant. A stepwise logistic regression analysis revealed that diabetes (p<0.0001); hormonal problems (p<0.0001), consumption of animal fats (p<0.0001), risk of heart disease (p<0.0001), and BMI (p=0.0307) were all associated with hypertension.

CONCLUSION

The present study was directed at determining the prevalence and risk factors of high blood pressure in the adult population of Qatar. The characterization of these factors will contribute to defining more effective and specific strategies to screen for and control hypertension and CVD.

摘要

目的

本研究旨在确定卡塔尔成年人群中高血压和心血管疾病（CVD）危险因素的患病率及其与社会人口统计学、行为和生活方式特征的关联。

方法

这是一项在初级卫生保健诊所（PHC）开展的横断面研究。该调查于2003年1月至7月对25至65岁的卡塔尔国民进行。在邀请参与研究的1500名患者中，1208名（80.5%）给予了同意。面对面访谈基于一份问卷，问卷包括年龄、性别、社会经济地位（SES）、生育状况、收入水平、吸烟、体育活动、生活方式、体重指数（BMI）和血压等变量。高血压根据世界卫生组织标准定义为收缩压（SBP）>140 mmHg或舒张压（DBP）>90 mmHg，或两者兼有。

结果

总体而言，高血压（血压≥140或≥90 mmHg，或两者兼有或已知高血压患者）的患病率为32.1%（男性为32.6%，女性为31.7%）。年龄标准化的高血压患病率（根据卡塔尔成年人口调整）男性为31.1%（95%置信区间26.7 - 35.5%），女性为30.2%（95%置信区间25.8 - 34.6%）。肥胖这一CVD危险因素在女性中更为突出，有528名（78.3%），高于男性的334名（68.9%）（p<0.001）。缺乏体育活动在女性中同样占主导地位，且具有高度显著性。逐步逻辑回归分析显示，糖尿病（p<0.0001）、激素问题（p<0.0001）、动物脂肪摄入（p<0.0001）、心脏病风险（p<0.0001）和BMI（p = 0.0307）均与高血压相关。