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卡西姆大学医学生高血压及其相关危险因素的评估

Assessment of hypertension and its associated risk factors among medical students in Qassim University.

作者信息

AlWabel Ahmed Humaidan, Almufadhi Mohammed Ali, Alayed Faisal Mohammed, Aloraini Abdullah Yousef, Alobaysi Hoor Mohammed, Alalwi Rawan Mazyad

机构信息

College of Medicine, Qassim University, Qassim, Saudi Arabia.

出版信息

Saudi J Kidney Dis Transpl. 2018 Sep-Oct;29(5):1100-1108. doi: 10.4103/1319-2442.243959.

Abstract

Hypertension is a major risk factor for heart disease, stroke, kidney failure, and premature death. In Saudi Arabia, studies looking at the prevalence of hypertension in young adults are scarce. We aim to provide current data on the prevalence and associated risk factors of hypertension in young adults to allow us to assess the magnitude of the problem in this age group and suggest the appropriate recommendations to physicians and policymakers. The objective of the study is to assess the prevalence of hypertension and its associated risk factors in medical students attending the College of Medicine in Qassim University, Qassim, Saudi Arabia. It is a cross-sectional study that was conducted during the year 2017 on medical students attending the College of Medicine at Qassim University. A total of 130 students were selected using multistage stratified random sampling. We collected data on sociodemographic information and risk factors using a self-administered questionnaire derived from the WHO STEPS instrument, and we measured the blood pressure and body mass index (BMI) of the participants. Data were analyzed using Statistical Package for Social Sciences version 23.0. The prevalence of hypertension in the study sample was found to be 14.6%, 6.9% of which had isolated diastolic hypertension while 4.6% had isolated systolic hypertension, and the remaining 3.1% had systolic-diastolic hypertension. The prevalence of prehypertension was found to be 29.2%. Only 21.1% of the participants found to be hypertensive were diagnosed and on antihypertensive therapy. We found a significant association between gender, BMI, and history of diabetes and hypertension. Our study confirms the notion that there are high rates of prehypertension and hypertension among young adults, the majority of which are undiagnosed cases. This calls for the need of a comprehensive national screening program and campaigns that increase awareness about hypertension and its associated risk factors.

摘要

高血压是心脏病、中风、肾衰竭和过早死亡的主要危险因素。在沙特阿拉伯,针对年轻成年人高血压患病率的研究较少。我们旨在提供有关年轻成年人高血压患病率及其相关危险因素的最新数据,以便我们评估该年龄组中这一问题的严重程度,并向医生和政策制定者提出适当的建议。本研究的目的是评估沙特阿拉伯卡西姆市卡西姆大学医学院的医学生中高血压及其相关危险因素的患病率。这是一项横断面研究,于2017年对卡西姆大学医学院的医学生进行。使用多阶段分层随机抽样共选取了130名学生。我们使用源自世界卫生组织(WHO)的“STEPS”工具的自填式问卷收集了社会人口学信息和危险因素的数据,并测量了参与者的血压和体重指数(BMI)。使用社会科学统计软件包第23.0版对数据进行分析。研究样本中高血压的患病率为14.6%,其中6.9%为单纯舒张期高血压,4.6%为单纯收缩期高血压,其余3.1%为收缩期-舒张期高血压。高血压前期的患病率为29.2%。在被发现患有高血压的参与者中,只有21.1%被诊断并接受抗高血压治疗。我们发现性别、BMI和糖尿病病史与高血压之间存在显著关联。我们的研究证实了这样一种观点,即年轻成年人中高血压前期和高血压的发生率很高,其中大多数是未被诊断的病例。这就需要开展全面的全国筛查计划和宣传活动,以提高对高血压及其相关危险因素的认识。

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