肥胖和其他风险因素对加纳育龄期妇女高血压的影响:工具变量概率模型。
Effect of Obesity and Other Risk Factors on Hypertension among Women of Reproductive Age in Ghana: An Instrumental Variable Probit Model.
机构信息
Department of Agricultural Economics and Extension, North-West University, Mafikeng Campus, Mmabatho 2735, South Africa.
出版信息
Int J Environ Res Public Health. 2019 Nov 26;16(23):4699. doi: 10.3390/ijerph16234699.
: The growing incidence of mortality as a result cardiovascular diseases (CVDs) is a major public health concern in several developing countries. In Ghana, unhealthy food consumption pattern and sedentary lifestyle are promoting overweight and obesity, with significant consequences on the incidence of CVDs. Specifically, hypertension morbidity is now a public health concern among Ghanaian health policy makers. This paper analysed the effect of body mass index (BMI)/arm circumference and other associated factors on hypertension risk among women of reproductive ages in Ghana. : The data were collected as Demographic and Health Survey (DHS) in 2014. This paper analysed the subset of the data that were collected from eligible women 15-49 years of age. The total sample was 9396, while 9367 gave consents to have their blood pressure measured. Data were analysed with instrumental probit regression model with consideration of potential endogeneity of BMI and arm circumference. : The results showed that 25% of the women were either overweight or obese, while 13.28% were hypertensive. Women from the Greater Accra (18.15%), Ashanti (15.53%) and Volta (15.02%) regions had the highest incidences of hypertension. BMI and arm circumferences were truly endogenous and positively associated with the probability of being hypertensive. Other factors that influenced hypertension were age of women, region of residence, urban/rural residence, being pregnant, access to medical insurance, currently working, consumption of broth cubes, processed can meats, salted meat and fruits. : It was concluded that hypertension risk was positively associated with being overweight, obesity, age and consumption of salted meat.It was inter aliaemphasized that engagement in healthy eating with less consumption of salted meats, and more consumption of fruits would assist in controlling hypertension among Ghanaian women.
: 心血管疾病(CVDs)导致的死亡率不断上升是几个发展中国家的主要公共卫生关注点。在加纳,不健康的食物消费模式和久坐不动的生活方式导致超重和肥胖,这对 CVDs 的发病率有重大影响。具体来说,高血压发病率现在是加纳卫生政策制定者关注的公共卫生问题。本文分析了身体质量指数(BMI)/臂围和其他相关因素对加纳育龄妇女患高血压风险的影响。: 数据是作为 2014 年人口与健康调查(DHS)收集的。本文分析了从符合条件的 15-49 岁女性中收集的数据子集。总样本为 9396 人,其中 9367 人同意测量血压。数据采用考虑 BMI 和臂围潜在内生性的工具变量概率回归模型进行分析。: 结果表明,25%的女性超重或肥胖,13.28%患有高血压。大阿克拉(18.15%)、阿散蒂(15.53%)和沃尔特(15.02%)地区的女性高血压发病率最高。BMI 和臂围确实是内生的,与患高血压的概率呈正相关。影响高血压的其他因素包括妇女的年龄、居住地区、城乡居住、怀孕、是否有医疗保险、是否正在工作、是否食用汤块、加工罐头肉、咸肉和水果。: 结论是,高血压风险与超重、肥胖、年龄和食用咸肉呈正相关。此外,强调加纳妇女应通过少吃咸肉和多吃水果来保持健康饮食,这有助于控制高血压。
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