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德里一个安置区老年人高血压的患病率、知晓率、治疗率和控制率

Prevalence, awareness, treatment and control of hypertension among the elderly in a resettlement colony of Delhi.

作者信息

Yadav Geeta, Chaturvedi Sanjay, Grover Vijay L

机构信息

University College of Medical Sciences and Guru Teg Bahadur Hospital, Dilshad Garden, Delhi, India.

出版信息

Indian Heart J. 2008 Jul-Aug;60(4):313-7.

Abstract

BACKGROUND

With the increase of the elderly population in India, chronic diseases like hypertension are becoming an important public health problem. Thus, the present study was carried out to assess prevalence, awareness, treatment, and control of hypertension among elderly in a resettlement colony of Delhi.

METHODS

A community-based cross-sectional survey was carried out, using systematic random sampling technique. A total of 294 (119 male and 175 female) subjects aged 60 years or more were studied. Of the total subjects, 210 (71%) were in 60-69 years, 57 (19.47%) were in 70-79 years, and 27 (9.2%) were more than 80 years of age. Blood pressure of each subject was measured on two visits, 1 week apart and was graded according to World Health Organization-International Society of Hypertension/VI Joint National Committee on Prevention, Detection, Evaluation, and Treatment of high blood pressure guidelines. Anthropometric variables and other associated risk factors were also studied.

RESULTS

Hypertension was present in 116 subjects (39.5%), it was more among males 49 (41%) as compared to females 67 (38%). Among the hypertensive subjects, 60 (51.7%) were aware of their condition, 45 (39%) were on treatment, and 17 (14.67%) were controlled on treatment. Level of awareness and treatment were significantly higher among the females. Body mass index of 25 or more and alcohol consumption were found to be significantly associated with risk of having high blood pressure.

CONCLUSION

Prevalence of hypertension in the present study was 39.5%, while level of awareness, treatment, and control were 50%, 39%, and 14.6%, respectively.

摘要

背景

随着印度老年人口的增加,高血压等慢性病正成为一个重要的公共卫生问题。因此,本研究旨在评估德里一个安置区老年人中高血压的患病率、知晓率、治疗率和控制率。

方法

采用系统随机抽样技术进行了一项基于社区的横断面调查。共研究了294名(119名男性和175名女性)60岁及以上的受试者。在所有受试者中,210名(71%)年龄在60 - 69岁,57名(19.47%)年龄在70 - 79岁,27名(9.2%)年龄超过80岁。每位受试者的血压在两次访视时测量,间隔1周,并根据世界卫生组织 - 国际高血压学会/第六次美国国家联合委员会关于预防、检测、评估和治疗高血压的指南进行分级。还研究了人体测量变量和其他相关危险因素。

结果

116名受试者(39.5%)患有高血压,男性中有49名(41%),女性中有67名(38%),男性患病率略高于女性。在高血压患者中,60名(51.7%)知晓自己的病情,45名(39%)正在接受治疗,17名(14.67%)治疗后血压得到控制。女性的知晓率和治疗率明显更高。发现体重指数达到或超过25以及饮酒与患高血压的风险显著相关。

结论

本研究中高血压的患病率为39.5%,而知晓率、治疗率和控制率分别为50%、39%和14.6%。

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