Hikita Naoko, Haruna Megumi, Matsuzaki Masayo, Sasagawa Emi, Murata Minoru, Yura Ariunaa, Oidovsuren Otgontogoo
Department of Midwifery and Women's Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Japan.
Department of Children and Women's Health, Division of Health Science, Graduate School of Medicine, Osaka University, Japan.
Asian Pac Isl Nurs J. 2020;4(4):151-158. doi: 10.31372/20190404.1067.
In Mongolia, cardiovascular disease is the leading cause of death, and prevalence of hypertension is very high. The aim of this study was to investigate the association between hypertension and sociodemographic factors and health-related behaviors among men in Darkhan-Uul Province, Mongolia. This cross-sectional study was conducted between November 2015 and January 2016. Men whose wives were pregnant with ≤ 20 weeks gestation and had attended antenatal health checkups at public health facilities were recruited in this study. The data were collected as part of a survey of pregnant women and their partners. Data were collected using self-administered questionnaires, anthropometry, and spot urine samples. A total of 224 men participated in the survey, and data from 209 participants were included in the analysis. Multiple logistic regression analysis showed that men with higher BMI had higher odds of hypertension than those with lower BMI (adjusted odds ratio [AOR]: 1.14, 95% CI: 1.03-1.26). Those with urinary cotinine > 100 ng/ml (smokers) had a lower risk of hypertension (AOR: 0.24, 95% CI: 0.09-0.67) compared to participants with urinary cotinine/ml (nonsmokers). This is the first study to investigate the association between hypertension and sociodemographic factors and health-related behaviors among men in Mongolia. Based on the findings of this study, clinicians responsible for public health in Mongolia should provide health education regarding the importance of weight control in preventing hypertension.
在蒙古国，心血管疾病是主要死因，高血压患病率很高。本研究旨在调查蒙古国达尔汗乌勒省男性高血压与社会人口学因素及健康相关行为之间的关联。这项横断面研究于2015年11月至2016年1月进行。本研究招募了妻子怀孕≤20周且在公共卫生机构进行过产前健康检查的男性。数据是作为对孕妇及其伴侣的调查的一部分收集的。数据通过自填问卷、人体测量和随机尿样收集。共有224名男性参与了调查，209名参与者的数据纳入分析。多因素logistic回归分析显示，BMI较高的男性患高血压的几率高于BMI较低的男性（调整优势比[AOR]：1.14，95%置信区间[CI]：1.03-1.26）。与尿可替宁/ml的参与者（非吸烟者）相比，尿可替宁>100 ng/ml的参与者（吸烟者）患高血压的风险较低（AOR：0.24，95%CI：0.09-0.67）。这是第一项调查蒙古国男性高血压与社会人口学因素及健康相关行为之间关联的研究。基于本研究结果，蒙古国负责公共卫生的临床医生应提供关于控制体重对预防高血压重要性的健康教育。
