Nshisso Lemba D, Reese Angela, Gelaye Bizu, Lemma Sebelewengel, Berhane Yemane, Williams Michelle A
Department of Epidemiology, Multidisciplinary International Research Training Program, University of Washington School of Public Health, Seattle, WA, USA.
Diabetes Metab Syndr. 2012 Jan-Mar;6(1):36-41. doi: 10.1016/j.dsx.2012.05.005. Epub 2012 Jun 5.
To determine the prevalence of hypertension and diabetes among members of an Ethiopian occupational cohort; and to examine the proportion of adults who were aware of their conditions.
A total of 2153 of subjects were included in this cross-sectional study. The World Health Organization STEPwise approach for non-communicable diseases was used to collect socio-demographic data, blood pressure measures and blood samples from participants. Prevalence estimates for hypertension and diabetes were determined separately. The 95% confidence intervals for prevalence estimates were also determined.
The overall prevalence of hypertension was 19.1% (95%CI: 17.1-20.8) and 22% (95%CI: 20.2-23.8) and 14.9% (95%CI: 13.4-16.4) among men and women respectively. The overall prevalence of diabetes was 6.5% (95%CI: 5.4-7.6) and 6.4% (95%CI: 5.0-7.8) and 6.6% (95%CI: 4.8-8.4) among men and women correspondingly. Notably, 15% of hypertensives reported never having had their blood pressure checked prior to the present study examination. Approximately 45% of participants who had their blood pressure checked were never diagnosed with hypertension, but were found to be hypertensive in our study. Approximately 27% of newly diagnosed diabetics (during this study) reported never having a previous blood glucose test. Among those who had their blood glucose assessed prior to this study, 17.4% were found to have diabetes but were never diagnosed.
The high prevalence of hypertension and diabetes reported in our study confirms findings from other Sub-Saharan Africa countries, and extends the literature to urban dwelling Ethiopians where non-communicable diseases are emerging as a major public health concern.
确定埃塞俄比亚一个职业队列人群中高血压和糖尿病的患病率;并调查知晓自身病情的成年人比例。
本横断面研究共纳入2153名受试者。采用世界卫生组织非传染性疾病逐步监测方法,收集参与者的社会人口学数据、血压测量值和血液样本。分别确定高血压和糖尿病的患病率估计值。还确定了患病率估计值的95%置信区间。
男性高血压总体患病率为19.1%(95%置信区间:17.1 - 20.8),女性为22%(95%置信区间:20.2 - 23.8),总体患病率为14.9%(95%置信区间:13.4 - 16.4)。男性糖尿病总体患病率为6.5%(95%置信区间:5.4 - 7.6),女性为6.4%(95%置信区间:5.0 - 7.8),总体患病率为6.6%(95%置信区间:4.8 - 8.4)。值得注意的是,15%的高血压患者报告在本研究检查之前从未进行过血压检查。在接受过血压检查的参与者中,约45%从未被诊断为高血压,但在我们的研究中被发现患有高血压。在本研究期间新诊断出的糖尿病患者中,约27%报告此前从未进行过血糖检测。在本研究之前接受过血糖评估的人群中,17.4%被发现患有糖尿病但从未被诊断出来。
我们研究中报告的高血压和糖尿病高患病率证实了撒哈拉以南非洲其他国家的研究结果,并将相关文献扩展至非传染性疾病正成为主要公共卫生问题的埃塞俄比亚城市居民。