Marinković Mirjana, Ilić Nevenka, Djokić Dragoljub, Andrejević Vesna, Damjanović Gordana, Samardzić Goran, Tufegdzić Sanja, Vucić-Janković Mila
Vojnosanit Pregl. 2014 Mar;71(3):245-50. doi: 10.2298/vsp120423057m.
BACKGROUND/AIM: World Health Organization (WHO) studies on the global level have shown that one of the major problems of the public health is hypertension. Blood pressure level greater than 140/90 mmHg is directly and predictively linked to other cardiovascular diseases. The aim of this research was to determine the prevalence of hypertension and the risk groups among the adult population in the Sumadija District, Serbia.
This cross-sectional study included 1.669 elderly population of the Sumadija District, aged 25-74. The study was performed according to the protocol of the Countrywide Integrated Noncommunicable Disease Intervention (CINDI) international program.
In the Sumadija District more than a half of the population aged 25-74 suffers from hypertension (53%). In the Sumadija District 9% of population has undiagnosed hypertension. In the group of people familiar with their high blood pressure problems, good disease control is achieved in only 46% of them. Statistically, hypertension occurs more frequently in males aged 45-74, of lower education, and in rural population. This is the target group for implementation of the high risk strategy. Statistically, there is a higher prevalence of hypertension in people suffering from myocardial infarction (p =0.04), angina pectoris (p = 0.00), other cardiac diseases (cardiac insufficiency) (p = 0.00) and cerebrovascular crises (p = 0.04).
A continuous increase of patients with hypertension, coupled with the developed complications and increase in cardiovascular diseases as a cause of death, points to the lack of effective access to prevention and early detection of these diseases in the primary health care among the risk groups in Sumadija.
背景/目的：世界卫生组织（WHO）在全球范围内的研究表明，高血压是公共卫生的主要问题之一。血压水平高于140/90 mmHg与其他心血管疾病直接相关且具有预测性关联。本研究的目的是确定塞尔维亚舒马迪亚地区成年人口中高血压的患病率及风险群体。
这项横断面研究纳入了舒马迪亚地区1669名年龄在25 - 74岁的老年人口。该研究按照全国综合非传染性疾病干预（CINDI）国际项目的方案进行。
在舒马迪亚地区，年龄在25 - 74岁的人口中有超过一半患有高血压（53%）。在舒马迪亚地区，9%的人口患有未确诊的高血压。在知晓自己患有高血压问题的人群中，只有46%的人疾病得到良好控制。从统计学角度来看，高血压在年龄45 - 74岁、受教育程度较低的男性以及农村人口中更为常见。这是实施高风险策略的目标群体。从统计学角度来看，心肌梗死患者（p = 0.04）、心绞痛患者（p = 0.00）、其他心脏病（心功能不全）患者（p = 0.00）和脑血管疾病患者（p = 0.04）中高血压的患病率更高。
高血压患者持续增加，加上并发症的出现以及心血管疾病作为死亡原因的增加，表明舒马迪亚地区风险群体在初级卫生保健中缺乏有效的疾病预防和早期检测途径。
