Ellenga-Mbolla Bertrand, Makani-Bassakouahou Jospin, Landa Christian Kouala, Monabeka Mary-Gaby, Ossou-Nguiet Paul-Macaire, Ngamami Solange Mongo, Sinomono Tony Eyeni, Bouithy Sabrine, Ikama Stéphane-Méo, Ngouma Arlette, Monabeka Henri G, Ngolo-Letomo Kivié, Beaney Thomas, Clarke Jonathan, Poulter Neil R
Faculty of Health Sciences, Marien Ngouabi University, n°1, avenue des 1ers jeux africains, PO Box 2672, Brazzaville, Republic of the Congo.
Department of Cardiology, University Hospital of Brazzaville, 13 Bd Auxence Ikonga, Brazzaville, Republic of the Congo.
Eur Heart J Suppl. 2021 May 20;23(Suppl B):B49-B51. doi: 10.1093/eurheartj/suab028. eCollection 2021 May.
The aim of this study was to determine the proportion with hypertension among an opportunistic sample of the population of the Republic of the Congo. Screening was conducted during the period from 15 May to 15 June 2019. Participants included, consenting persons 18 years of age and over, from five cities: Brazzaville, Pointe-Noire, Oyo, Owando, and Ouesso. In total, 3157 participants were screened as part of the campaign. The mean age was 44.7 years (SD: ±14.9), and 47% were male. Based on the total participants, 881 (27.9%) were overweight and 447 (14.2%) were obese. A total of 583 (18.5%) participated in MMM 2017 or 2018 screenings. The proportion with hypertension was 33.5% ( = 1057), 42.6% of those were aware and 37.3% were taking antihypertensive medication. Of the participants on treatment, 62.4% were controlled (<140/90 mmHg). Overall, 23.3% of patients with hypertension were controlled. After imputation, the proportions with hypertension were 30.1% ( = 1475) according to standardized age and sex. Obesity ( < 0.001) and alcohol intake ( < 0.001) were associated with higher BP compared with normal weight and non-drinkers, respectively. With regards to the social disparities of the different regions of Congo, large scale screening is necessary, in order to report the real situation of hypertension. This will improve the overall management policy for this condition in our country.
本研究的目的是确定刚果共和国机会性抽样人群中高血压患者的比例。筛查于2019年5月15日至6月15日期间进行。参与者包括来自布拉柴维尔、黑角、奥约、奥万多和韦索五个城市的18岁及以上的自愿者。作为该活动的一部分，总共对3157名参与者进行了筛查。平均年龄为44.7岁（标准差：±14.9），47%为男性。在所有参与者中，881人（27.9%）超重，447人（14.2%）肥胖。共有583人（18.5%）参加了2017年或2018年的MMM筛查。高血压患者的比例为33.5%（n = 1057），其中42.6%的人知晓自己患有高血压，37.3%的人正在服用抗高血压药物。在接受治疗的参与者中，62.4%的人血压得到控制（<140/90 mmHg）。总体而言，23.3%的高血压患者血压得到控制。经过推算，根据标准化年龄和性别，高血压患者的比例为30.1%（n = 1475）。与正常体重者和不饮酒者相比，肥胖（P < 0.001）和饮酒（P < 0.001）分别与较高的血压相关。关于刚果不同地区的社会差异，有必要进行大规模筛查，以便报告高血压的实际情况。这将改善我国针对这种疾病的整体管理政策。
