Department of Internal Medicine, Faculty of Medicine, University of Botswana, Gaborone, Botswana.
Botswana-Harvard AIDS Institute Partnership, Gaborone, Botswana.
Sci Rep. 2023 Oct 19;13(1):17814. doi: 10.1038/s41598-023-44499-4.
In a population-based representative sample of adults residing in 22 communities in Botswana, a southern African country with high HIV prevalence, 1 in 4 individuals had high blood pressure. High blood pressure was less prevalent in adults with HIV than without HIV. Sixty percent of persons with high blood pressure had not previously been diagnosed. Among individuals with a prior diagnosis of high blood pressure who reported being prescribed anti-hypertension medications, almost half had elevated blood pressure, irrespective of HIV-status. One-third of adults in this setting (mainly men) declined free non-invasive blood pressure assessments in their households. In conclusion, our study highlights alarmingly high hypertension rates in the community, with low levels of awareness and control, emphasizing the urgent need for community level BP screening and active management to reach recommended targets.
在南部非洲国家博茨瓦纳的 22 个社区中，对居住在这些社区的成年人进行了一项基于人群的代表性抽样调查，结果显示，每 4 人中就有 1 人患有高血压。在感染艾滋病毒的成年人中，高血压的发病率低于未感染艾滋病毒的成年人。60%的高血压患者以前没有被诊断出来。在报告接受高血压药物治疗的有既往高血压诊断的人群中，无论艾滋病毒状况如何，几乎一半人的血压升高。在这种情况下，三分之一的成年人（主要是男性）拒绝在自己家中进行免费的非侵入性血压评估。总之，我们的研究强调了社区中令人震惊的高血压发病率，且知晓率和控制率低，这突显了在社区层面进行血压筛查和积极管理以达到推荐目标的迫切需要。
