Ogola Elijah N, Barasa Anders, Gachemba Yubrine M, Barasa Felix, Gitura Bernard M, Nalwa Wafula, Wairagu Anne, Beaney Thomas, Ster Anca Chis, Poulter Neil R
Department of Clinical Medicine and Therapeutics, University of Nairobi, Ngong Road, Nairobi 00202, Kenya.
Department of Medicine, Aga Khan University, 808 Muthaiga Heights, Nairobi 00100, Kenya.
Eur Heart J Suppl. 2020 Aug;22(Suppl H):H74-H76. doi: 10.1093/eurheartj/suaa033. Epub 2020 Aug 28.
Hypertension (HTN) is highly prevalent and the leading cardiovascular risk factor for death globally. A large proportion of individuals with high blood pressure (BP) are unaware leading to under treatment and poor control. To address this, the International Society of Hypertension (ISH) initiated a global mass screening campaign, the May Measurement Month 2017 (MMM17), in which Kenya participated. Following the success of the campaign, its successor MMM18 was launched. Here, we present the Kenyan results for MMM18. Opportunistic screening of consenting adults was done in various sites across Kenya in May 2018, by volunteers trained using ISH material, under the co-ordination of the Kenya Cardiac Society. Blood pressure, pulse rate, weight, and height were measured by standard methods. Definitions of HTN and statistical methods all adhered to the standard MMM protocol. We screened 49 548 subjects, mean age 39.95 (15.3) years. In total, 49.4% had never had a BP measurement taken. After multiple imputation, 17.1% were hypertensive and of those who were hypertensive, 30.7% were aware, 26.6% were on antihypertensive treatment, and 13.0% had controlled BP. Alcohol use, excess weight, and treatment for HTN were associated with higher BP. The Kenyan MMM18 sites successfully screened more than three times the number screened in 2017, hence improving public awareness. Less than half the population had ever had a BP check. Less than a third of the hypertensives were aware with correspondingly poor treatment and control rates. Opportunistic mass screening is useful in raising public awareness.
高血压（HTN）在全球范围内高度流行，是导致死亡的主要心血管危险因素。很大一部分高血压患者未意识到自己患病，导致治疗不足且控制不佳。为解决这一问题，国际高血压学会（ISH）发起了一项全球大规模筛查活动——2017年五月测量月（MMM17），肯尼亚参与了该活动。在该活动取得成功之后，其后续活动MMM18启动。在此，我们展示MMM18的肯尼亚地区结果。2018年5月，在肯尼亚心脏协会的协调下，由使用ISH材料培训的志愿者在肯尼亚各地的不同地点对同意参与的成年人进行了机会性筛查。通过标准方法测量血压、脉搏率、体重和身高。高血压的定义和统计方法均遵循标准的MMM方案。我们筛查了49548名受试者，平均年龄39.95（15.3）岁。总共有49.4%的人从未测量过血压。经过多重填补后，17.1%的人患有高血压，在这些高血压患者中，30.7%的人知晓自己患病，26.6%的人正在接受抗高血压治疗，13.0%的人血压得到控制。饮酒、超重和高血压治疗与较高的血压相关。肯尼亚MMM18的各筛查点成功筛查的人数是2017年的三倍多，从而提高了公众意识。不到一半的人口曾进行过血压检查。不到三分之一的高血压患者知晓自己患病，相应地治疗率和控制率也很低。机会性大规模筛查有助于提高公众意识。
