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高血压的患病率及其相关因素——西非尼日利亚奥约州奥凯奥贡地区免费医疗筛查的结果

Prevalence and correlates of hypertension-outcome of a free medical screening in Oke-Ogun area of Oyo state, Nigeria, West Africa.

作者信息

Shittu Rasaki O, Odeigah Louis O, Fakorede Kasali O, Sikiru Biliaminu A, Sule Abdullateef G, Musah Yusuf, Adeyemi Folorunsho M

机构信息

Department of Family Medicine, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.

Department of Family Medicine, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.

出版信息

J Am Soc Hypertens. 2018 Apr;12(4):268-274. doi: 10.1016/j.jash.2018.01.009. Epub 2018 Feb 1.

Abstract

Literature abounds on prevalence of hypertension in Nigeria and urban areas of Oyo state but none in Oke-Ogun geopolitical zone, which constitutes 10 local governments of the 33 in Oyo state, despite the fact that they have high genetic and environmental predisposition to developing high blood pressure. The purpose of the study was to determine the prevalence of high blood pressure and associated risk factors among indigenes of Oke-ogun, Oyo state. A total of 10,000 respondents were recruited using proportionate sampling techniques. Hypertension was defined according to Joint National Committee-8 criteria. The fasting plasma glucose of the respondents were classified as normal (≤6 mmol/L), prediabetes (6.1-6.9 mmol/L), and diabetes (≥7 mmol/L). Body mass index was calculated as weight (kg)/height (m) and classified as malnutrition/underweight (<16-18.49), normal (18.5-24.9), overweight (25-29.9), and obese (30-≥40). Data were analyzed using descriptive statistics, Chi-square and binary logistic regression tests at P < .05. The mean systolic and diastolic blood pressure was 138 ± 27.81 and 86.13 ± 14.39 respectively. The overall prevalence of hypertension was 38.5%. 64.1% were diabetics. 63.4% had no formal education. Majority (82.95%) earned less than N18,000 ($59) per month. 43.3% had family history of hypertension. There is high prevalence of hypertension among the people of Oke-ogun, in Oyo state. Their low socioeconomic status, low educational background, malnutrition, and genetic predisposition were identified risk factors.

摘要

关于尼日利亚及奥约州城市地区高血压患病率的文献众多,但在奥约州33个地方政府中占10个的奥克奥贡地缘政治区却没有相关研究,尽管该地区居民患高血压的遗传和环境易感性很高。本研究的目的是确定奥约州奥克奥贡地区原住民中高血压的患病率及相关危险因素。采用比例抽样技术共招募了10000名受访者。高血压的定义依据美国国家联合委员会第八版标准。受访者的空腹血糖分为正常(≤6 mmol/L)、糖尿病前期(6.1 - 6.9 mmol/L)和糖尿病(≥7 mmol/L)。体重指数计算公式为体重(kg)/身高(m),分类为营养不良/体重过轻(<16 - 18.49)、正常(18.5 - 24.9)、超重(25 - 29.9)和肥胖(30 - ≥40)。数据采用描述性统计、卡方检验和二元逻辑回归检验进行分析,P < 0.05。收缩压和舒张压的平均值分别为138 ± 27.81和86.13 ± 14.39。高血压的总体患病率为38.5%。64.1%为糖尿病患者。63.4%未接受过正规教育。大多数人(82.95%)每月收入低于18000奈拉(59美元)。43.3%有高血压家族史。奥约州奥克奥贡地区居民的高血压患病率很高。他们的社会经济地位低、教育背景差、营养不良和遗传易感性被确定为危险因素。

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