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摩洛哥成年人高血压的患病率、控制率及相关危险因素:一项多中心研究。

Prevalence, control and risk factors related to hypertension among Moroccan adults: a multicentre study.

机构信息

Epidemiology, Clinical Research and Community Health, Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Fez, Morocco.

Regional Centre for Careers Education and Training of Fez-Meknes, Seffrou, Morocco.

出版信息

East Mediterr Health J. 2019 Oct 4;25(7):447-456. doi: 10.26719/emhj.18.057.

DOI:10.26719/emhj.18.057
PMID:31612976
Abstract

BACKGROUND

Hypertension is a leading risk factor for mortality and morbidity.

AIMS

The objective of this study was to determine the prevalence and clinical profile of hypertension in a large sample of individuals in Morocco.

METHODS

This was a multicentre and cross-sectional study conducted on patients consulting primary care physicians in Morocco between 2008 and 2009. Data were collected via a medical examination and a questionnaire covering patient demographics, medical history and cardiovascular risk factors.

RESULTS

In total, 10 714 individuals attending primary care physicians participated in this study. Mean age was 49.6 ± 16.3 years. The total prevalence of hypertension was 39.8%. When adjusted for age and sex, the overall prevalence of hypertension was 26.6% (26.3% in men and 28.0% in women). Among patients with history of hypertension, 85.9% of patients were prescribed antihypertensive medication and/or lifestyle and dietary advice. Nevertheless, only 17.1% had controlled hypertension.

CONCLUSIONS

This study suggests that the prevalence of hypertension in Morocco is high. Hypertension may also be underdiagnosed and ineffectively treated. Efforts to heighten public awareness and control of hypertension should be enhanced in the public primary care services.

摘要

背景

高血压是导致死亡和发病的主要危险因素。

目的

本研究旨在确定摩洛哥大量个体中高血压的流行率和临床特征。

方法

这是一项于 2008 年至 2009 年在摩洛哥进行的多中心、横断面研究。通过体格检查和涵盖患者人口统计学、病史和心血管危险因素的问卷收集数据。

结果

共有 10714 名参加初级保健医生咨询的个体参加了这项研究。平均年龄为 49.6±16.3 岁。高血压总患病率为 39.8%。经年龄和性别调整后,高血压总患病率为 26.6%(男性为 26.3%,女性为 28.0%)。在有高血压病史的患者中,85.9%的患者接受了降压药物治疗和/或生活方式和饮食建议。然而,仅有 17.1%的患者高血压得到了控制。

结论

本研究表明,摩洛哥高血压的患病率很高。高血压可能也存在诊断不足和治疗效果不佳的情况。应在公共初级保健服务中加强提高公众认识和控制高血压的努力。

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