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评估高血压和糖尿病的知晓率:叙利亚横断面研究。

Assessment the awareness toward hypertension and diabetes mellitus: Syrian cross sectional study.

机构信息

Faculty of medicine, Aleppo University, Aleppo, Syria.

NMC Royal Hospital, Khalifa city, abu Dhabi, Khalifa City, Abu Dhabi, UAE.

出版信息

BMC Public Health. 2023 Apr 28;23(1):789. doi: 10.1186/s12889-023-15666-z.

Abstract

BACKGROUND

Diabetes and arterial hypertension are the two most common types of non-communicable diseases (NCDs) impacting people globally. There is no prior research on the Syrian population's knowledge and treatment of hypertension and diabetes. It is crucial to investigate how the Syrian public understands and perceives these disorders in order to address the increased incidence and prevalence of hypertension and diabetes. This research intends to assess the level of hypertension and diabetes-related awareness, knowledge, attitude, and practices among Syrian individuals.

METHODS

A cross-sectional survey was conducted online between 1 August and 25 August 2022. The questionnaire for the study was developed based on previous research, and the inclusion criteria for the sample were Syrian residents older than 18 who presently live in Syria. The survey consisted four sections: sociodemographics information, WHO STEPS survey instrument on knowledge of and lifestyle determinants for hypertension and diabetes, respondents' knowledge of and comprehension of hypertension and diabetes, and respondents' awareness of these disorders.

RESULTS

Among 976 participants, 65.8% were females. the most common causes for hypertension from the perspective of participants were (90.1%) for stress, (87%) High salt consumption, (82.1%) genetics, (78.2%) old age, (78%) obesity (69%) anxiety, and (38.6%) for drug usage. Primary and middle school educational status participants had greater hypertension knowledge (92.3%) than other educational levels. There was a statistical significant difference between the knowledge toward the hypertension and the drinking alcohol, which the nonalcoholic knowledgeable persons were the most common (819 / 976)(P < 0.05). Participants whose lifestyles did not include alcohol use had a higher hypertension knowledge level (90.3%). Participants who do not consume alcohol have shown better hypertension knowledge (90.3%) than those who do (81.9%). Almost age groups have shown good knowledge of diabetes, especially participants aged above 55 (93.8%). However, most individuals have examined blood pressure (82.3%), whereas fewer than half had screened for blood sugar (64.4%). About 82.2% of individuals check their blood pressure frequently, whereas 6.2% monitor their blood sugar. There were significant associations between hypertension knowledge and gender, education, employment, and economic position (P value < 0.05). Men (mean = 8.39, SD = 2.02, P-value < 0.05) have a higher hypertension knowledge than females, and knowledge of hypertension among participants was shown to be higher among those in good income status than other economic levels (mean = 8.34, SD = 1.98). Age, gender, education, employment, and marital status were all associated with diabetes knowledge. Participants between the ages of 40 and 55 showed better knowledge of diabetes compared to other age groups (mean = 11.32, SD = 2.54); also, men demonstrated greater knowledge of diabetes than females (mean = 10.76, SD = 2.79).

CONCLUSION

We indicated that the Syrian population has a good to moderate understanding of hypertension and diabetes. However, there is still a shortage of standardized, regular screening practices. Since individuals remain involved in unhealthy lifestyle habits, it is vital to provide accurate information about hypertension and diabetes to encourage them to make healthy changes.

摘要

背景

糖尿病和动脉高血压是全球范围内最常见的两种非传染性疾病(NCD)。目前尚无关于叙利亚人口对高血压和糖尿病的认知和治疗的研究。了解叙利亚公众如何理解和感知这些疾病至关重要,这有助于解决高血压和糖尿病发病率和患病率的上升问题。本研究旨在评估叙利亚个体对高血压和糖尿病相关知识、态度和行为的了解程度。

方法

2022 年 8 月 1 日至 8 月 25 日期间,我们在线进行了一项横断面调查。研究问卷是基于先前的研究制定的,样本的纳入标准为年龄大于 18 岁、目前居住在叙利亚的叙利亚居民。该调查包括四个部分:社会人口统计学信息、世界卫生组织 STEPS 调查工具,用于了解高血压和糖尿病的知识以及生活方式决定因素、受访者对高血压和糖尿病的了解和理解,以及受访者对这些疾病的认识。

结果

在 976 名参与者中,65.8%为女性。从参与者的角度来看,高血压最常见的原因是(90.1%)压力、(87%)高盐摄入、(82.1%)遗传、(78.2%)老年、(78%)肥胖(69%)焦虑和(38.6%)药物使用。小学和中学教育程度的参与者对高血压的知识(92.3%)高于其他教育水平。饮酒与高血压知识之间存在统计学显著差异,不饮酒者是最常见的(819/976)(P<0.05)。不饮酒的生活方式参与者高血压知识水平较高(90.3%)。不饮酒的参与者高血压知识(90.3%)优于饮酒者(81.9%)。几乎所有年龄段的人对糖尿病都有很好的了解,尤其是 55 岁以上的人(93.8%)。然而,大多数人检查了血压(82.3%),而不到一半的人检查了血糖(64.4%)。约 82.2%的人经常检查血压,而 6.2%的人监测血糖。高血压知识与性别、教育、就业和经济状况之间存在显著关联(P 值<0.05)。男性(均值=8.39,标准差=2.02,P 值<0.05)的高血压知识高于女性,收入状况良好的参与者的高血压知识高于其他经济水平的参与者(均值=8.34,标准差=1.98)。年龄、性别、教育、就业和婚姻状况均与糖尿病知识相关。40 至 55 岁的参与者对糖尿病的了解要好于其他年龄组(均值=11.32,标准差=2.54);男性对糖尿病的了解也优于女性(均值=10.76,标准差=2.79)。

结论

我们表明,叙利亚人口对高血压和糖尿病有较好的理解,但仍缺乏标准化、定期的筛查实践。由于个体仍然存在不健康的生活方式习惯,因此提供有关高血压和糖尿病的准确信息以鼓励他们做出健康的改变至关重要。

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