Kokiwar Prashant R, Gupta Sunil S, Durge Pushpa M
Department of Community Medicine, CAIMS, Karimnagar.
J Assoc Physicians India. 2012 Jun;60:26-9.
(1) To study prevalence of hypertension. (2) To study association between various factors and hypertension in a rural community of Central India.
A community based cross sectional study was carried out in rural community. 924 study subjects aged 30 years and above were selected using systematic random sampling of houses. Anthropometry, blood glucose, and blood pressure were measured with standard instruments and methodology for all the study subjects. Statistical tests like Chi square, Student's t test and chi square trend were used to analyze the data where ever applicable.
Prevalence of hypertension was 19.04%. It was higher in females (23.4%) than males (14.4%). It was seen that prevalence of hypertension increased with age. Prevalence of Pre hypertension was high (18.8%). 4.3% had isolated systolic hypertension and 0.9% had isolated diastolic hypertension. Older age, increased body mass index and waist hip ratio were significantly higher among hypertensive compared to normotensive. Factors like upper social class, sedentary physical activity, tobacco use and diabetes were significantly associated with hypertension. Alcohol intake was not associated with hypertension.
The prevalence of hypertension is high and is associated with socio-demographic factors. Hence there is need for primordial prevention efforts on large scale.
(1)研究高血压患病率。(2)研究印度中部一个农村社区中各种因素与高血压之间的关联。
在一个农村社区开展了一项基于社区的横断面研究。采用系统随机抽样的房屋选取法,选取了924名30岁及以上的研究对象。使用标准仪器和方法对所有研究对象进行人体测量、血糖和血压测量。在适用的情况下,使用卡方检验、学生t检验和卡方趋势检验等统计方法分析数据。
高血压患病率为19.04%。女性患病率(23.4%)高于男性(14.4%)。可见高血压患病率随年龄增长而升高。高血压前期患病率较高(18.8%)。4.3%患有单纯收缩期高血压,0.9%患有单纯舒张期高血压。与血压正常者相比,高血压患者的年龄较大、体重指数和腰臀比明显更高。社会阶层较高、久坐不动的身体活动、吸烟和糖尿病等因素与高血压显著相关。饮酒与高血压无关。
高血压患病率较高,且与社会人口学因素有关。因此,需要大规模开展初级预防工作。