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巴西南部成年人高血压水平的流行情况及相关因素。

Prevalence of high blood pressure levels and associated factors among adults in Southern Brazil.

机构信息

Programa de Pós-Graduação em Saúde Coletiva, Universidade do Planalto Catarinense, Lages, SC, Brasil.

出版信息

Arq Bras Cardiol. 2009 Oct;93(4):387-94, 380-6. doi: 10.1590/s0066-782x2009001000012.

DOI:10.1590/s0066-782x2009001000012
PMID:19936459
Abstract

BACKGROUND

Few population-based studies have been carried out in Brazilian medium-sized cities in order to estimate high levels of blood pressure and associated factors.

OBJECTIVE

To estimate the prevalence of high blood pressure and associated factors among adults in Lages,Southern Brazil.

METHODS

Population-based cross sectional study carried out in adults aged 20 to 59 years living in the urban area (n=2,022). The dependent variable was high levels of blood pressure (> or = 140/90 mmHg). Exploratory variables: sex, age, schooling, per capita family income, self-reported ethnicity, body mass index, tobacco and alcohol addiction, physical activity and self-reported diabetes. The Chi-square test and linear trends were used to test associations between the dependent variable and the exploratory variables. Unadjusted and adjusted multivariate Poisson regression analyses were performed.

RESULTS

Response rate was 98.6%. The prevalence of high blood pressure levels was 33.7% (95CI%: 31.7-36.1) for the population as a whole, ranging from 31.1% in men to 38.1% in women. After statistical adjustment for possible confounders, the following were associated with high blood pressure levels: male gender (PR =1.22 95%CI 1.1-1.4), older age, overweight (PR= 1.40 95%CI 1.18-1.67), obesity (PR = 1.95 95% CI 1.61-2.36), Asian ethnicity (PR 1.29 95%CI 1.12-1.48) and self-reported diabetes mellitus (PR 1.29 95%CI 1.12-1.48).

CONCLUSIONS

One third of the assessed adults presented high blood pressure levels, similar to most of the Brazilian findings. Factors that can be prevented, such as overweight, obesity and self-reported diabetes were associated with high blood pressure levels.

摘要

背景

在巴西中等城市进行的人群研究很少,以便评估高血压的高发水平和相关因素。

目的

评估巴西南部城市拉热斯成年人高血压的流行程度及其相关因素。

方法

在城市地区(n=2022)居住的 20 至 59 岁成年人中进行了一项基于人群的横断面研究。因变量为高血压水平升高(>或=140/90mmHg)。探索性变量:性别、年龄、教育程度、人均家庭收入、自我报告的种族、体重指数、烟草和酒精成瘾、身体活动和自我报告的糖尿病。使用卡方检验和线性趋势检验因变量与探索性变量之间的关联。进行了未经调整和调整后的多元泊松回归分析。

结果

应答率为 98.6%。高血压水平的总体患病率为 33.7%(95%CI%:31.7-36.1),男性为 31.1%,女性为 38.1%。在对可能的混杂因素进行统计调整后,以下因素与高血压水平相关:男性(PR=1.22 95%CI 1.1-1.4)、年龄较大、超重(PR=1.40 95%CI 1.18-1.67)、肥胖(PR=1.95 95%CI 1.61-2.36)、亚裔(PR=1.29 95%CI 1.12-1.48)和自我报告的糖尿病(PR=1.29 95%CI 1.12-1.48)。

结论

评估的成年人中有三分之一存在高血压水平,与巴西大多数研究结果相似。超重、肥胖和自我报告的糖尿病等可预防的因素与高血压水平相关。

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