Kilama Denish, Ayella Daniel Okumu, Asiimwe Isaac, Nakibuuka Betty, Laker Florence, Bongomin Felix
Department of Public Health, Faculty of Medicine, Gulu University, Gulu, Uganda.
Department of Medical Microbiology and Immunology, Faculty of Medicine, Gulu University, Gulu, Uganda.
Integr Blood Press Control. 2023 Jul 18;16:37-46. doi: 10.2147/IBPC.S402988. eCollection 2023.
Hypertension may be common among market salespersons who are mostly physically inactive throughout the day. However, the burden of hypertension in this population remains unknown. In this study, we determined the prevalence of undiagnosed hypertension and associated factors among market salesperson in Kitgum central market, Kitgum district, Northern Uganda.
A cross-sectional study, recruiting market salespersons aged 18 years or older without a prior diagnosis of hypertension or currently on anti-hypertensive therapy was conducted. A standardized questionnaire was administered, and body mass index (BMI) estimated. Hypertension was defined as two consistent measurements of systolic blood pressure ≥140mmHg and/or diastolic blood pressure ≥90mmHg measured 4 hours apart. Multivariable logistic regression analysis was performed to determine factors independently associated with undiagnosed hypertension. P<0.05 was considered statistically significant.
We enrolled 240 participants. The mean age was 39.4 ± 12.8 years. Most (83.3%, n=199) participants were female and urban dwellers (88.3%, n=212). The prevalence of undiagnosed hypertension was 16.7% (n=40). Of the 40 participants with hypertension, 16 (40%) were younger than 40 years. Factors associated with undiagnosed hypertension were, age >50 years (adjusted odds ratio (aOR): 7.0, 95% confidence interval (CI): 1.9-25.6, p=0.003), male gender (aOR: 4.2, 95CI: 1.5-11.1, p=0.005), alcohol consumption (aOR: 2.6, 95CI: 1.1-6.0, p=0.021), and being overweight (aOR: 3.6, 95CI: 1.5-8.8, p=0.005).
About one in six of market salespersons had undiagnosed hypertension, with a disproportionately high burden among those younger than 40 years. A larger multi-centric study is recommended to confirm our findings.
高血压在市场销售人员中可能较为常见，他们一天中大多身体活动不足。然而，这一人群中高血压的负担仍不明确。在本研究中，我们确定了乌干达北部基特古姆区基特古姆中央市场销售人员中未诊断高血压的患病率及相关因素。
开展一项横断面研究，招募年龄在18岁及以上、既往未诊断高血压或目前未接受抗高血压治疗的市场销售人员。采用标准化问卷进行调查，并估算体重指数（BMI）。高血压定义为两次间隔4小时测量的收缩压≥140mmHg和/或舒张压≥90mmHg且测量结果一致。进行多变量逻辑回归分析以确定与未诊断高血压独立相关的因素。P<0.05被认为具有统计学意义。
我们纳入了240名参与者。平均年龄为39.4±12.8岁。大多数（83.3%，n=199）参与者为女性，且居住在城市（88.3%，n=212）。未诊断高血压的患病率为16.7%（n=40）。在40名高血压参与者中，16名（40%）年龄小于40岁。与未诊断高血压相关的因素有：年龄>50岁（调整后的优势比（aOR）：7.0，95%置信区间（CI）：1.9 - 25.6，p=0.003）、男性（aOR：4.2，95CI：1.5 - 11.1，p=0.005）、饮酒（aOR：2.6，95CI：1.1 - 6.0，p=0.021）以及超重（aOR：3.6，95CI：1.5 - 8.8，p=0.005）。
约六分之一的市场销售人员患有未诊断高血压，40岁以下人群的负担尤其高。建议开展更大规模的多中心研究以证实我们的发现。
