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印度德里一个贫民窟安置区20至59岁居民中高血压的患病率及预测因素

Prevalence and predictors of hypertension among residents aged 20-59 years of a slum-resettlement colony in Delhi, India.

作者信息

Panesar Sanjeet, Chaturvedi Sanjay, Saini N K, Avasthi Rajnish, Singh Abhishek

机构信息

Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Department of Internal Medicine, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.

出版信息

WHO South East Asia J Public Health. 2013 Apr-Jun;2(2):83-87. doi: 10.4103/2224-3151.122937.

DOI:10.4103/2224-3151.122937
PMID:28612764
Abstract

BACKGROUND

Slum-resettlement communities are increasingly adopting urban lifestyles. The aim of this study was to assess the prevalence and identify correlates of hypertension among residents aged 20-59 years of a slum-resettlement colony.

MATERIALS AND METHODS

A community-based cross-sectional study was done from 2010 to 2012 in NandNagri, a slum-resettlement area in east Delhi. 310 participants aged 20-59 years were enrolled through multistage systematic random sampling. Each study subject was interviewed and examined for raised blood pressure; data on risk factors including smoking, alcohol intake, physical activity and salt consumption were also collected. Data were analysed by use of univariate and multivariate regression.

RESULTS

The overall prevalence of hypertension was 17.4% and 35% participants were prehypertensive. On multiple logistic regression, age 40-49 years (P = 0.020) and 50-59 years (P = 0.012), clerical/professional occupation (P = 0.004), abnormal waist circumference (≥90 cm in males and ≥ 80 cm in females; P = 0.001), positive family history of hypertension in both parents (P = 0.013) and above-average daily salt intake (P = 0.000) were significantly associated with hypertension.

CONCLUSIONS

These findings indicate that hypertension is a significant health problem in the study population. Many study participants diagnosed with prehypertension are at risk of developing hypertension, thus immediate public-health interventions are indicated.

摘要

背景

贫民窟安置社区正日益采用城市生活方式。本研究的目的是评估一个贫民窟安置区20至59岁居民中高血压的患病率,并确定其相关因素。

材料与方法

2010年至2012年在东德里的一个贫民窟安置区南纳格里进行了一项基于社区的横断面研究。通过多阶段系统随机抽样招募了310名20至59岁的参与者。对每位研究对象进行访谈并检查血压升高情况;还收集了包括吸烟、饮酒、身体活动和盐摄入量等危险因素的数据。采用单变量和多变量回归分析数据。

结果

高血压的总体患病率为17.4%,35%的参与者为高血压前期。多因素逻辑回归分析显示,年龄在40 - 49岁(P = 0.

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