1 Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
2 Institute of Tropical Medicine, Antwerp, Belgium.
Asia Pac J Public Health. 2019 Mar;31(2):101-112. doi: 10.1177/1010539518824810. Epub 2019 Jan 24.
Studies on the prevalence of hypertension in Vietnam have reported various estimates. There is no up-to-date assessment of the evidence on the magnitude of hypertension in Vietnam. Search engines for scientific and gray literature were used to identify relevant records for eligibility screening and quality assessment. Data from selected articles were extracted using standardized spreadsheets. Statistical analysis included estimating pooled prevalence and odds ratio, heterogeneity evaluation, meta-regression, and subgroup analysis, in addition to sensitivity analysis and publication bias evaluation. The pooled prevalence of measured hypertension in Vietnam was 21.1% (95% confidence interval = 18.5-23.7) based on 10 studies, and 18.4% (95% confidence interval = 15.2-21.8) based on 3 national surveys. Lower pooled prevalence was estimated for hypertension awareness (9.3%) and hypertension treatment (4.7%). The pooled prevalence of measured hypertension is significantly higher among men. The pooled prevalence of measured hypertension and hypertension awareness and treatment were significantly lower in rural settings. There is a need to strengthen efforts for primary and secondary prevention and disease management to reduce morbidity and mortality, especially in rural residence settings.
越南高血压患病率的研究报告了各种估计值。目前还没有对越南高血压严重程度的证据进行最新评估。使用科学和灰色文献搜索引擎来确定符合入选标准的相关记录，并进行质量评估。使用标准化电子表格提取选定文章的数据。统计分析包括估计汇总患病率和比值比、异质性评估、荟萃回归和亚组分析，以及敏感性分析和发表偏倚评估。基于 10 项研究，越南有测量的高血压的汇总患病率为 21.1%（95%置信区间=18.5-23.7），基于 3 项全国性调查的患病率为 18.4%（95%置信区间=15.2-21.8）。高血压知晓率（9.3%）和高血压治疗率（4.7%）的汇总患病率较低。男性的汇总患病率明显更高。在农村地区，有测量的高血压、高血压知晓率和治疗率的汇总患病率明显较低。需要加强初级和二级预防以及疾病管理的努力，以降低发病率和死亡率，尤其是在农村居住环境中。
