School of Nursing, College of Health Sciences, Axum University, Tigray, Ethiopia.
Department of Adult Health Nursing, School of Nursing, Axum University, Tigray, Ethiopia.
Int Health. 2023 May 2;15(3):235-241. doi: 10.1093/inthealth/ihac060.
Hypertension among diabetic patients is a worldwide public health challenge and a leading modifiable risk factor for other cardiovascular diseases and death. This study aimed to estimate the prevalence of hypertension among diabetic patients in Ethiopia.
The studies were selected using PubMed, Embase, Health InterNetwork Access to Research Initiative and Cochrane Library databases and Google searches. Two independent authors carried out the data extraction using a predetermined and structured method of data collection. R version 3.5.3 and RStudio version 1.2.5003 were used for analysing the data. To assess possible publication bias, funnel plot test methods were used. The guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses were used to publish the results. This study was registered in the Prospective Register Systematic Reviews (CRD42020170649).
A total of 218 articles were identified but only 6 six full-text abstract papers were included in this systematic review and meta-analysis. The random effects model analysis showed that the pooled prevalence of hypertension among type 2 diabetes mellitus (DM) patients in Ethiopia was 55% (95% confidence interval [CI] 49 to 61). The subgroup analysis of the pooled prevalence of hypertension among type 2 DM patients in the Oromia and Southern regions was 51% (95% CI 42 to 59) and 58% (95% CI 54 to 63), respectively. The pooled prevalence of hypertension among type 2 DM patients was higher among urban residents (60% [95% CI 54 to 67] and 52% [95% CI 41 to 63] among urban and rural residents, respectively).
This study showed a high pooled prevalence of hypertension among type 2 DM patients in Ethiopia. Appropriate preventive measures should be implemented to reduce the burden of hypertension among DM patients in Ethiopia.
糖尿病患者中的高血压是全球公共卫生挑战，也是其他心血管疾病和死亡的主要可改变风险因素。本研究旨在估计埃塞俄比亚糖尿病患者中高血压的患病率。
使用 PubMed、Embase、Health InterNetwork Access to Research Initiative 和 Cochrane Library 数据库以及 Google 搜索来选择研究。两名独立作者使用预定的和结构化的数据收集方法进行数据提取。使用 R 版本 3.5.3 和 RStudio 版本 1.2.5003 分析数据。为评估可能存在的发表偏倚，使用漏斗图检验方法。使用系统评价和荟萃分析的首选报告项目指南发布结果。本研究在 Prospective Register Systematic Reviews（CRD42020170649）中进行了注册。
共确定了 218 篇文章，但只有 6 篇全文摘要论文被纳入本系统评价和荟萃分析。随机效应模型分析表明，埃塞俄比亚 2 型糖尿病患者高血压的总体患病率为 55%（95%置信区间 49%至 61%）。在奥罗莫和南部地区 2 型糖尿病患者中高血压的 pooled 患病率的亚组分析中，分别为 51%（95%置信区间 42%至 59%）和 58%（95%置信区间 54%至 63%）。2 型糖尿病患者中高血压的 pooled 患病率在城市居民中更高（60%[95%置信区间 54%至 67%]和 52%[95%置信区间 41%至 63%]，分别在城市和农村居民中）。
本研究表明埃塞俄比亚 2 型糖尿病患者中高血压的 pooled 患病率较高。应实施适当的预防措施，以减轻埃塞俄比亚糖尿病患者中高血压的负担。
