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加纳的高血压知晓率、治疗率和控制率:一项横断面研究。

Hypertension awareness, treatment and control in Ghana: a cross-sectional study.

机构信息

Institute of Advanced Studies, University College London, London, United Kingdom.

Regional Institute for Population Studies, University of Ghana, Accra, Ghana.

出版信息

Ethn Health. 2020 Jul;25(5):702-716. doi: 10.1080/13557858.2018.1439898. Epub 2018 Feb 15.

Abstract

This study assessed the rates of hypertension awareness, treatment and control as well as the socio-economic and demographic correlates in Ghana. This was a cross-sectional study. We used wave 1 of the World Health Organization (WHO) Study on global AGEing and adult health (SAGE) conducted between 2007and 2008. The sample was 5526 respondents aged 18 years and above. Descriptive statistics were used to describe the characteristics of the respondents and binary logistic regression was used to determine the correlates of hypertension awareness, treatment and control. The hypertension prevalence was 58.9%. About 19.0% of the individuals living with hypertension were aware of their hypertension; 67.6% of those who were aware of their hypertension were treating the condition, and; 11.6% of those who were on treatment had their hypertension controlled. Age, place of residence, level of education, employment status, ethnicity, and religion were associated with hypertension awareness and treatment. None of the factors was associated with hypertension control. Our study suggests high hypertension prevalence in Ghana, with low rates of awareness, treatment and control. Socio-economic and demographic factors are essential correlates of hypertension awareness and treatment in Ghana. The findings indicate the need to develop pragmatic intervention approaches such as rigorous education programs and use of the task-shifting system, in addressing hypertension and issues related to it.

摘要

本研究评估了加纳高血压知晓率、治疗率和控制率以及社会经济和人口统计学相关因素。这是一项横断面研究。我们使用了 2007 年至 2008 年期间世界卫生组织(WHO)全球老龄化和成人健康研究(SAGE)的第 1 波数据。样本为 5526 名年龄在 18 岁及以上的受访者。描述性统计用于描述受访者的特征,二元逻辑回归用于确定高血压知晓率、治疗率和控制率的相关因素。高血压患病率为 58.9%。约 19.0%的高血压患者知晓自己的高血压;在知晓自己患有高血压的人群中,有 67.6%接受了治疗;在接受治疗的人群中,有 11.6%的人血压得到了控制。年龄、居住地、教育程度、就业状况、种族和宗教与高血压知晓率和治疗率相关。没有任何因素与高血压控制相关。我们的研究表明,加纳高血压患病率较高,而知晓率、治疗率和控制率较低。社会经济和人口统计学因素是加纳高血压知晓率和治疗率的重要相关因素。研究结果表明,需要制定切实可行的干预措施,如强化教育计划和使用任务转移系统,以解决高血压及其相关问题。

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