Daly Amy L, Sriram Nina, Woodall Cheryl, Selvakumar Kierrtana, Briggs Kelly, Garg Parul, Russell Lisa, Yu Michelle, Beetson Karen, Hennessy Annemarie
Canberra Hospital, Canberra, Australian Capital Territory, Australia.
Westmead Hospital, Sydney, New South Wales, Australia.
Intern Med J. 2018 Mar;48(3):269-275. doi: 10.1111/imj.13669.
The prevalence of hypertensive disorders of pregnancy (HDP) in Australia's urban indigenous women is unknown.
To explore the risk factors associated with HDP for a cohort of urban indigenous women in South-Western Sydney, Australia.
This study was conducted in partnership with the Tharawal Aboriginal Medical Service. Women (18-45 years) were recruited at the clinic and community events. The quantitative questionnaire included obstetric history, personal and family history of hypertension. Anthropometric measurements and blood pressure were conducted. Rates were compared with Australian Bureau of Statistics (ABS) national rates.
Eighty-three participants completed the questionnaire. The rate of ever having HDP in a pregnancy was 36.1%. The overall ABS rate was 9.8% and for indigenous women, 14%. The mean maternal age at first pregnancy was 20.8 years (SD 3.7 years). The mean body mass index (BMI) of the sample population (n = 81) was 32.2 kg/m (SD 9.5 kg/m ) and BMI was not related to HDP (P = 0.197). Of those questioned, 25.3% had an individual history and 63.9% had a family history of hypertension. The effect of family history of hypertension (P = 0.020) (odds ratio (OR) 4.29; 95% confidence interval (CI); 1.42-12.93) and individual history of hypertension (P < 0.001) (OR 15.69; 95% CI; 4.50-54.76) were associated with HDP.
There was a higher rate of HDP in urban indigenous women compared to the national indigenous prevalence. The family history, or individual history of hypertension was the most significant risk factors and BMI was not identified as a risk factor for HDP in this population.
澳大利亚城市原住民女性妊娠高血压疾病（HDP）的患病率尚不清楚。
探讨澳大利亚悉尼西南部一群城市原住民女性中与HDP相关的危险因素。
本研究与瑟拉瓦尔原住民医疗服务机构合作开展。在诊所和社区活动中招募年龄在18至45岁之间的女性。定量问卷包括产科病史、个人及家族高血压病史。进行了人体测量和血压测量。将比率与澳大利亚统计局（ABS）的全国比率进行比较。
83名参与者完成了问卷。曾在孕期患HDP的比率为36.1%。ABS的总体比率为9.8%，原住民女性为14%。首次怀孕时的平均产妇年龄为20.8岁（标准差3.7岁）。样本人群（n = 81）的平均体重指数（BMI）为32.2 kg/m²（标准差9.5 kg/m²），且BMI与HDP无关（P = 0.197）。在接受询问的人中，25.3%有个人高血压病史，63.9%有家族高血压病史。高血压家族史（P = 0.020）（比值比（OR）4.29；95%置信区间（CI）：1.42 - 12.93）和个人高血压病史（P < 0.001）（OR 15.69；95% CI：4.50 - 54.76）与HDP相关。
与全国原住民患病率相比，城市原住民女性的HDP患病率更高。高血压家族史或个人病史是最重要的危险因素，且在该人群中BMI未被确定为HDP的危险因素。
