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埃塞俄比亚西部内克梅特镇成年人群中高血压的身体、行为和社会人口学决定因素:基于社区的研究

Physical, behavioral and sociodemographic determinants of hypertension among the adult population in Nekemte town, western Ethiopia: community based study.

作者信息

Geleta Gemechis Teshome, Cheme Melese Chego, Roro Elias Merdassa

机构信息

Nekemte Specialized Hospital, Nekemte, Oromia Regional State, Ethiopia.

Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.

出版信息

BMC Res Notes. 2019 Nov 21;12(1):764. doi: 10.1186/s13104-019-4804-0.

Abstract

OBJECTIVES

Hypertension is a growing public health problem in many developing countries. However, there is an insufficiency of scientific evidence on the prevalence of hypertension (HTN) at a community level in the study area. The aim of the study was exploring the prevalence and associated factors of hypertension among adults in Nekemte town, Ethiopia. A community-based cross-sectional study was conducted on 711 adults who were selected by the multistage sampling procedure. Height, weight, blood pressure and waist circumference were measured with standard procedures. Data were analyzed by statistical package for social sciences (SPSS) version 20, and multiple logistic regression model was used to determine the independent risk factors for hypertension.

RESULT

The overall prevalence of hypertension was 34.9% among the adult population. Of them, only 52.7% know their status, and 22.4% were on antihypertensive medication. The prevalence of hypertension was higher among the older aged; AOR 5.85 (95% CI 1.74-20), Obese and over-weighted; (AOR 1.71 (95% CI 1.09-2.67)), Khat chewers in the past year; AOR 2.44 (95% CI 1.05-5.68), and with higher formal education (college and above); AOR 2.75 (95% CI 1.26-6.03) than their respective counterparts. Community-level prevention and treatment of hypertension should get due attention.

摘要

目的

在许多发展中国家,高血压是一个日益严重的公共卫生问题。然而,在研究区域的社区层面,关于高血压患病率的科学证据不足。本研究的目的是探讨埃塞俄比亚内克梅特镇成年人高血压的患病率及其相关因素。对通过多阶段抽样程序选取的711名成年人进行了一项基于社区的横断面研究。采用标准程序测量身高、体重、血压和腰围。数据使用社会科学统计软件包(SPSS)20版进行分析,并使用多元逻辑回归模型确定高血压的独立危险因素。

结果

成年人群中高血压的总体患病率为34.9%。其中,只有52.7%的人知道自己的病情,22.4%的人正在服用抗高血压药物。老年人中高血压患病率较高;调整后比值比(AOR)为5.85(95%置信区间[CI]为1.74 - 20),肥胖和超重者;(AOR为1.71(95%CI为1.09 - 2.67)),过去一年中咀嚼巧茶的人;AOR为2.44(95%CI为1.05 - 5.68),以及受过高等正规教育(大专及以上)的人;AOR为2.75(95%CI为1.26 - 6.03),均高于各自的对照组。社区层面的高血压预防和治疗应得到应有的重视。

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