Lim Ooi Wei, Liew How Hui, Eng Xin Ru, Yong Chin Khian, Lim Ling Hong
Malaysia Foundation Programme, Heriot-Watt University, Putrajaya, Malaysia.
Department of Mathematical and Actuarial Sciences, Lee Kong Chian Faculty of Engineering and Science, Universiti Tunku Abdul Rahman, Malaysia.
Malays J Med Sci. 2021 Dec;28(6):88-99. doi: 10.21315/mjms2021.28.6.9. Epub 2021 Dec 22.
Raised blood pressure, also known as hypertension (HPT), has been a distressing health concern among Malaysians. An upward trend is found on the prevalence of newly-diagnosed HPT, contributing to the high number of overall hypertensive patients in Malaysia. To understand the cause and reduce the economic burden caused by HPT, current research aims to examine the dependency among sociodemographic and behavioural determinants of newly-diagnosed HPT among Malaysians.
The current study uses secondary data from the Fifth National Health and Morbidity Survey (NHMS V) 2015, a population based cross-sectional study. This study uses the Bayesian Network (BN) modelling to design and build a 'causal' model and identify potential determinants and their respective conditional probability on the prevalence of newly-diagnosed HPT among Malaysians.
This study shows that Malaysians with newly-diagnosed HPT are directly affected by the age and body mass index (BMI). Additionally, household income, sex, marital status, ethnicity, strata, education levels, occupation, fruit intake, vegetable intake, smoking status, physical activity and plain water intake indirectly affect the incidence of the newly-diagnosed HPT.
These results may be helpful in implementing appropriate policies to prevent and monitor the increasing prevalence of newly-diagnosed HPT among adults in Malaysia.
血压升高,也称为高血压(HPT),一直是马来西亚人困扰的健康问题。新诊断出的高血压患病率呈上升趋势,导致马来西亚高血压患者总数居高不下。为了解其病因并减轻高血压造成的经济负担,当前研究旨在探讨马来西亚新诊断出的高血压患者的社会人口统计学和行为决定因素之间的相关性。
本研究使用2015年第五次全国健康与发病率调查(NHMS V)的二手数据,这是一项基于人群的横断面研究。本研究使用贝叶斯网络(BN)建模来设计和构建一个“因果”模型,并确定马来西亚新诊断出的高血压患病率的潜在决定因素及其各自的条件概率。
本研究表明,新诊断出患有高血压的马来西亚人直接受到年龄和体重指数(BMI)的影响。此外,家庭收入、性别、婚姻状况、种族、阶层、教育水平、职业、水果摄入量、蔬菜摄入量、吸烟状况、体育活动和平水摄入量间接影响新诊断出的高血压的发病率。
这些结果可能有助于实施适当的政策,以预防和监测马来西亚成年人中新诊断出的高血压患病率的上升。