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2018年5月测量月:加纳血压筛查结果分析

May Measurement Month 2018: an analysis of blood pressure screening results from Ghana.

作者信息

Twumasi-Ankrah Betty, Myers-Hansen Gustavus A, Adu-Boakye Yaw, Tannor Elliot K, Nyarko Obed O, Boakye Edwin, Lincoln Mary D, Quarshie Gloria A, Deku Enoch M, Galley Matilda E, Beaney Thomas, Ster Anca Chis, Xia Xin, Poulter Neil

机构信息

Life from 30, Accra, Ghana.

Noguchi Memorial Institute for Medical Research, Accra, Ghana.

出版信息

Eur Heart J Suppl. 2020 Aug;22(Suppl H):H59-H61. doi: 10.1093/eurheartj/suaa029. Epub 2020 Aug 28.

DOI:10.1093/eurheartj/suaa029
PMID:32884472
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7455267/
Abstract

Elevated blood pressure (BP) is one of the leading risk factors for death and disability globally. It is also an important global health challenge because of its high prevalence and resulting morbidities. Albeit, a substantial number of people who have hypertension are either oblivious of it, not treated, or being managed but remain uncontrolled. May Measurement Month (MMM) is a global initiative led by the International Society of Hypertension (ISH) with the goal of increasing awareness of high BP and serving as a spur to establish screening programmes worldwide. An opportunistic cross-sectional survey of volunteers aged ≥18 years was carried out in May 2018. Measurement of BP and collection of relevant health information were performed according to a standardized protocol for MMM. Screening sites were set up in churches, mosques, health facilities, pharmacies, recreational parks, sports facilities, shopping centres, marketplaces, universities, workplaces, and community centres across four regions of Ghana. A total of 6907 participants were screened during MMM 2018. After multiple imputation, 2354 (34.1%) had hypertension. Of individuals not taking antihypertensive medications 1526 (25.1%) were hypertensive of whom 48.4% were aware of having it. Also, of individuals taking antihypertensive medications 432 (52.2%) had uncontrolled BP. Data obtained from this project demonstrates that a significant number of people with hypertension are unaware of having it, are untreated, or are on treatment but remain uncontrolled. It also highlights the effectiveness of BP screening campaigns as a tool to identify persons with elevated BP.

摘要

高血压是全球死亡和残疾的主要危险因素之一。由于其高患病率和由此导致的发病率,它也是一项重要的全球健康挑战。尽管如此,仍有相当数量的高血压患者要么对此浑然不知,要么未接受治疗,要么正在接受治疗但血压仍未得到控制。五月测量月(MMM)是由国际高血压学会(ISH)牵头的一项全球倡议,其目标是提高对高血压的认识,并推动在全球范围内建立筛查项目。2018年5月,对年龄≥18岁的志愿者进行了一项机会性横断面调查。根据MMM的标准化方案进行血压测量和相关健康信息收集。在加纳四个地区的教堂、清真寺、医疗机构、药店、休闲公园、体育设施、购物中心、市场、大学、工作场所和社区中心设立了筛查点。在2018年五月测量月期间,共筛查了6907名参与者。经过多次插补后,有2354人(34.1%)患有高血压。在未服用抗高血压药物的个体中,有1526人(25.1%)患有高血压,其中48.4%的人知道自己患有高血压。此外,在服用抗高血压药物的个体中,有432人(52.2%)血压未得到控制。从该项目获得的数据表明,相当数量的高血压患者不知道自己患有高血压,未接受治疗,或者正在接受治疗但血压仍未得到控制。它还突出了血压筛查活动作为识别血压升高人群工具的有效性。

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May Measurement Month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension.2018 年 5 月测量血压月:国际高血压学会开展的一项提高血压认知度的全球实用筛查活动。
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JAMA. 2013 Sep 4;310(9):959-68. doi: 10.1001/jama.2013.184182.
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