Ben Romdhane Habiba, Skhiri Hajer, Bougatef Souha, Ennigrou Samir, Gharbi Donia, Chahed Mohemed Kouni, Achour Noureddine
Laboratoire de recherche en épidémiologie et prévention des maladies cardiovasculaires en Tunisie, Institut National de Santé Publique.
Tunis Med. 2005 May;83 Suppl 5:41-6.
The study objective was to assess the prevalence, level of awareness of treatment, and control of hypertension in a general population. We conducted a cross-sectional survey on 1837 adults 40-69 years old. Hypertension and control level are defined according to the WHO/ISH recommendations. HBP is defined as SBP > or = 140 and or DBP > or = 90 mm Hg and the use of blood pressure-lowering medication. Hypertension is controlled by medication if SBP < 140 and DBP < 90 mm Hg. We conduct analysis by socio demographic variable, medical history and CHDs risk factors. 44.3% of adults was hypertensive. The prevalence of hypertension was higher among women (48.2% versus 38.7% on men) and it increases in both genders with age, body mass index. Only 41% of the hypertensive were aware of having hypertension, among them, 74.1% declare that they are treated but only 13.2% were controlled. The study highlights the problem of the hypertension in a developing country. It contributes to identify the huge iceberg of this CVDs risk factor. The national strategy must focus on the population life style and drugs management. The question is how much will be the cost of HBP and CVDs control for a country which has a limited resources.
该研究的目的是评估普通人群中高血压的患病率、治疗知晓水平及控制情况。我们对1837名40至69岁的成年人进行了横断面调查。高血压及控制水平根据世界卫生组织/国际高血压学会的建议定义。高血压定义为收缩压≥140和/或舒张压≥90毫米汞柱以及使用降压药物。若收缩压<140且舒张压<90毫米汞柱，则高血压通过药物得到控制。我们按社会人口统计学变量、病史及冠心病危险因素进行分析。44.3%的成年人患有高血压。女性高血压患病率更高（48.2%，男性为38.7%），且在两性中均随年龄、体重指数增加。只有41%的高血压患者知晓自己患有高血压，其中，74.1%宣称接受了治疗，但只有13.2%得到控制。该研究凸显了发展中国家的高血压问题。它有助于识别这一心血管疾病危险因素的巨大冰山。国家战略必须聚焦于人群生活方式及药物管理。问题在于，对于一个资源有限的国家，控制高血压及心血管疾病的成本会有多高。
