Abdulsalam Saliu, Olugbenga-Bello Adenike, Olarewaju Olakunle, Abdus-Salam Ismail
Department of Community Medicine, Ladoke Akintola University of Technology Teaching Hospital, Ogbomoso, Oyo State, Nigeria.
Department of Community Medicine, Faculty of Clinical Sciences, College of Health Sciences, Ladoke Akintola University of Technology, Osogbo, Nigeria.
Int J Hypertens. 2014;2014:842028. doi: 10.1155/2014/842028. Epub 2014 Dec 21.
Modifiable risk factors of hypertension contribute significantly to all-cause morbidity and mortality worldwide. The study aimed to determine the prevalence of and the association of modifiable risk factors with hypertension in rural community. A cross-sectional study was conducted among 166 male and 201 female adults of 18 years and above using cluster sampling technique. Data were collected using modified WHO STEPS instrument and hypertensive subjects were defined as those with systolic greater than or equal to 140 and diastolic of 90 mmHg. Data were analyzed with SPSS version 17 with level of significance at P < 0.05. The mean age of the subjects was 36.36 (±16.88) years and mean systolic and diastolic pressures were 124 (±16.93) and 76.32 (±11.85) mmHg, respectively. The prevalence of hypertension was high (22.9%) in this rural communities but awareness was low, 10.71%. The prevalence of alcohol consumption, sedentary lifestyle, abnormal weight, inadequate sleep, smoking, significant stress, and female use of hormonal contraceptives was 149 (40.6%), 91 (24.8%), 88 (24.0%), 122 (33.2%), 14 (3.8%), 65 (17.7%), and 53 (26.5%), respectively. Overweight, sex, inadequate sleep, and stress were established as positive predictors of hypertension. The rising prevalence of hypertension and its modifiable risk factors in rural communities require prompt interventions directed at reversing these trends.
高血压的可改变风险因素在全球范围内对全因发病率和死亡率有重大影响。该研究旨在确定农村社区中可改变风险因素的患病率及其与高血压的关联。采用整群抽样技术,对166名18岁及以上男性和201名18岁及以上女性成年人进行了横断面研究。使用改良的世界卫生组织(WHO)的“STEPS”工具收集数据,高血压患者定义为收缩压大于或等于140 mmHg且舒张压为90 mmHg的人群。使用SPSS 17版软件进行数据分析,显著性水平设定为P < 0.05。研究对象的平均年龄为36.36(±16.88)岁,平均收缩压和舒张压分别为124(±16.93)mmHg和76.32(±11.85)mmHg。该农村社区的高血压患病率很高(22.9%),但知晓率很低,仅为10.71%。饮酒、久坐不动的生活方式、体重异常、睡眠不足、吸烟、显著压力以及女性使用激素避孕药的患病率分别为149(40.6%)、91(24.8%)、88(24.0%)、122(33.2%)、14(3.8%)、65(17.7%)和53(26.5%)。超重、性别、睡眠不足和压力被确定为高血压的阳性预测因素。农村社区高血压及其可改变风险因素患病率的上升需要迅速采取干预措施以扭转这些趋势。