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印度15-49岁部落人口中高血压的患病率及相关危险因素:来自2019-2021年全国家庭健康调查的证据

Prevalence and Associated Risk Factors of Hypertension Among Tribal Population Aged 15-49 in India: Evidence from National Family Health Survey, 2019-2021.

作者信息

Chinnaiyan Saravanan, Dharmaraj Aravind, Palanisamy Bharathi

机构信息

SRM School of Public Health, SRM Institute of Science and Technology (Deemed to Be University), Kattankulathur, Chennai, India.

Department of Biostatistics, Christian medical college, Vellore, India.

出版信息

J Racial Ethn Health Disparities. 2025 Jun;12(3):1757-1764. doi: 10.1007/s40615-024-02005-0. Epub 2024 Apr 16.

DOI:10.1007/s40615-024-02005-0
PMID:38625664
Abstract

BACKGROUND

Approximately 10% of non-communicable diseases (NCDs) can be attributed to hypertension. The prevalence of hypertension is steadily increasing among urban, rural, and tribal populations alike. There has been a growing incidence of hypertension within underprivileged groups; however, there is a scarcity of research focusing on the risks of hypertension within Indian tribes. The current study aimed to estimate the pooled prevalence of hypertension among tribes and the risk factors of hypertension.

METHODS

This study uses data from the fifth phase of the National Family Health Survey (NFHS-5) in India, covering 2,843,917 individuals in 636,699 households. A total of 69,176 individuals belonging to tribal communities aged between 15 and 49, encompassing both males and females, have been incorporated into our study. The study utilized bivariate and multivariable binary logistic regression analyses, which were conducted using the R statistical software.

RESULTS

Among 69,176 tribal populations between 15 and 49 years, the overall prevalence of hypertension was 12.54% (8676/69176; 95% CI, 12.29%, 12.79%). The prevalence of hypertension among males was 16.4% and 12.07% among females. Age, gender, education, marital status, smoking, and alcohol consumption were found to be the significant predictors of hypertension among tribes.

CONCLUSION

The rising prevalence and potential dangers of hypertension within Indian tribes highlight their epidemiological transition burdened by significant cardiometabolic health concerns, necessitating prompt and ongoing monitoring and surveillance.

摘要

背景

约10%的非传染性疾病可归因于高血压。高血压在城市、农村和部落人群中的患病率均在稳步上升。贫困群体中高血压的发病率不断上升;然而,针对印度部落人群高血压风险的研究却很匮乏。本研究旨在估计部落人群中高血压的合并患病率及其危险因素。

方法

本研究使用了印度全国家庭健康调查(NFHS - 5)第五阶段的数据,涵盖636,699户家庭中的2,843,917人。我们的研究纳入了69,176名年龄在15至49岁之间的部落社区成员,包括男性和女性。该研究采用双变量和多变量二元逻辑回归分析,使用R统计软件进行。

结果

在69,176名15至49岁的部落人群中,高血压的总体患病率为12.54%(8676/69176;95%可信区间,12.29%,12.79%)。男性高血压患病率为16.4%,女性为12.07%。年龄、性别、教育程度、婚姻状况、吸烟和饮酒被发现是部落人群中高血压的重要预测因素。

结论

印度部落人群中高血压患病率的上升及其潜在危害凸显了他们因重大心脏代谢健康问题而面临的流行病学转变负担,需要及时且持续的监测和监督。

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