Meshram Nisha, Verma Nirmal, Shrivastava Neha, Prasad Manish A, Jain Kamlesh, Shinkar Swapnil V
Department of Community Medicine in Bharat Ratna Late Shri Atal Bihari Vajpeyee Memorial Medical College- Rajnandgaon, Chhattisgarh, India.
Department of Community Medicine in Pt. JawaharLal Nehru Memorial Medical College, Raipur, Chhattisgarh, India.
Indian J Community Med. 2023 Jul-Aug;48(4):588-594. doi: 10.4103/ijcm.ijcm_936_22. Epub 2023 Jul 14.
Hypertension is known as the silent killer. It comprehends the top rank in non-infectious disease amongst adults; accountable for the deaths every year across the world. It is essential to consider the individual impact of risk factors and their impact on hypertension. This study thus elicited the socio-demographic characteristics, the prevalence of hypertension and associated risk factors, and its impact on adults with hypertension. To estimate the hypertension prevalence and its associated risk factors among adult tribal populations aged 25-60 years residing in Lohandiguda block of Bastar district of Chhattisgarh.
A community-based cross-sectional analytical study was used and the setting was done at the field practice area under the three primary health centers of Lohandiguda block, Bastar district of Chhattisgarh. It was carried out among 330 adult tribes residing for ≥1 year in the present locality. Data was collected by door-to-door visits through pre-designed, pretested, semi-structured questionnaire via face-to-face interview method and anthropometric measurement was done by using standard guidelines. The sampling method was multistage sampling. IBM SPSS STATISTICS-20.0 (IBM Corp., Armonk, NY, USA) software.
The overall prevalence of pre-hypertension and hypertension among tribal subjects was 34.9% and 47.3%, respectively. Of total hypertensive 27.3% were having stage-1 hypertension, 13.9% were having stage-2 hypertension and 6.0% were already diagnosed cases. Risk factors found in multivariate analysis are occupation (unemployed 0.012), frequency of smokeless tobacco used per day (0.,017) and central obesity (0.000).
As hypertension is a multi-factorial disease the study found strong predictors like occupation, frequency of smokeless tobacco per day and having central obesity with significant difference.
高血压被称为“无声杀手”。它在成年人非传染性疾病中位居首位；是全球每年死亡的原因之一。考虑风险因素的个体影响及其对高血压的影响至关重要。因此，本研究探讨了社会人口学特征、高血压患病率及相关风险因素，以及其对成年高血压患者的影响。旨在评估居住在恰蒂斯加尔邦巴斯塔尔地区洛汉迪古达街区年龄在25 - 60岁的成年部落人群中的高血压患病率及其相关风险因素。
采用基于社区的横断面分析研究，研究地点设在恰蒂斯加尔邦巴斯塔尔地区洛汉迪古达街区三个初级卫生中心的现场实践区域。研究对象为330名在当地居住≥1年的成年部落居民。通过预先设计、预先测试的半结构化问卷，采用面对面访谈的方式逐户收集数据，并使用标准指南进行人体测量。抽样方法为多阶段抽样。使用IBM SPSS STATISTICS - 20.0（IBM公司，美国纽约州阿蒙克）软件。
部落受试者中高血压前期和高血压的总体患病率分别为34.9%和47.3%。在所有高血压患者中，27.3%为1级高血压，13.9%为2级高血压，6.0%为已确诊病例。多因素分析中发现的风险因素有职业（失业0.012）、每日无烟烟草使用频率（0.017）和中心性肥胖（0.000）。
由于高血压是一种多因素疾病，该研究发现职业、每日无烟烟草使用频率和中心性肥胖等因素是强有力的预测指标，且差异显著。
