Debre Berhan Health Science College, Department of Nursing, Debre Berhan, Ethiopia.
Debre Berhan University Health Science College, Department of Nursing, Debre Berhan, Ethiopia.
Vasc Health Risk Manag. 2021 May 5;17:203-210. doi: 10.2147/VHRM.S297403. eCollection 2021.
Hypertension is a serious medical condition that significantly increases the risks of heart, brain, kidney, and other diseases. The prevalence is highest in Africa (27%) and lowest in America (18%). Hypertension is a major reason for premature death worldwide; this is why it will become a targeted non-communicable disease by 2025.
To assess the prevalence of hypertension and associated factors among adults in Debre Berhan town, Amhara region, Ethiopia.
A community-based cross-sectional study was conducted among 680 participants who were selected by a systematic sampling technique. Data were checked, cleaned, and entered into Epi-data then exported to SPSS-23 for analysis. Hosmer-Lemeshow test was used to check the model fitness. Binary logistic regression analysis was used to see the association between dependent and independent variables. All variables with p <0.25 were taken into the multivariable model to minimize the possible confounders. The multi collinearity test was carried out to see the correlation between independent variables by using a variance inflation factor (VIF). The odds ratio along with 95% CI were estimated to measure the strength of association and to identify factors associated with hypertension using multivariable logistic regression. Descriptive statistics in the form of tables, figures, percent with measure of central tendency and dispersion with multivariable analysis were used to report the findings and to identify the factors associated with the outcome variable at a p<0.05.
Among 680 participants, the prevalence of hypertension was 27.5%. Sex, being male (AOR: 1.77, 95% CI: 1.12-2.81), alcohol consumption (AOR: 2.76: 95% CI: 1.87-4.05), physical exercise (AOR: 2.17, 95% CI: 1.28-3.71), being overweight (AOR: 1.99, 95% CI: 1.11-3.58), and family history of hypertension (AOR: 2.10, 95% CI: 1.43-3.08) were found to be significantly associated with hypertension.
Prevalence of hypertension in Debre Berhan town was relatively high compared with other studies. So, it is necessary to emphasize intervention in the community for behavioral change, in order to minimize alcohol consumption and to encourage adoption of regular physical exercise, with the existing health system and partners working on hypertension.
高血压是一种严重的医学病症，会显著增加心脏、大脑、肾脏和其他疾病的风险。高血压的患病率在非洲最高（27%），在美洲最低（18%）。高血压是全球范围内导致过早死亡的主要原因；这就是为什么它将成为 2025 年的目标非传染性疾病。
评估埃塞俄比亚阿姆哈拉地区德布雷伯翰镇成年人高血压的患病率和相关因素。
采用系统抽样技术，对 680 名参与者进行了一项基于社区的横断面研究。数据经过检查、清理并输入到 EpiData 中，然后导出到 SPSS-23 进行分析。Hosmer-Lemeshow 检验用于检查模型拟合度。二元逻辑回归分析用于观察因变量和自变量之间的关联。所有 p<0.25 的变量均被纳入多变量模型，以最小化可能的混杂因素。使用方差膨胀因子（VIF）检查自变量之间的多重共线性。使用优势比（OR）及其 95%置信区间（CI）来衡量关联强度，并使用多变量逻辑回归识别与高血压相关的因素。使用表格、图形、中央趋势和离散度的百分比以及多变量分析来报告发现，并确定与结果变量相关的因素，p<0.05。
在 680 名参与者中，高血压的患病率为 27.5%。性别（男性：OR：1.77，95%CI：1.12-2.81）、饮酒（OR：2.76：95%CI：1.87-4.05）、体育锻炼（OR：2.17，95%CI：1.28-3.71）、超重（OR：1.99，95%CI：1.11-3.58）和高血压家族史（OR：2.10，95%CI：1.43-3.08）与高血压显著相关。
与其他研究相比，德布雷伯翰镇高血压的患病率相对较高。因此，有必要在社区强调干预措施，以改变行为，尽量减少饮酒，并鼓励采用有规律的体育锻炼，利用现有的卫生系统和合作伙伴共同开展高血压防治工作。
