Woodiwiss Angela J, Orchard Ane, Mels Catharina M C, Uys Aletta S, Nkeh-Chungag Benedicta N, Kolkenbeck-Ruh Andrea, Ware Lisa J, Mahlangu Winnie, Pillay Sarusha, Jones Erika S W, Peterson Vernice R, Beaney Thomas, Ahmadi-Abhari Sara, Poulter Neil R
Cardiovascular Pathophysiology and Genomics Research Unit, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand, 7 York Road, Parktown, Johannesburg, 2193, South Africa.
Clinical Pharmacy Division, Department of Pharmacy and Pharmacology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Eur Heart J Suppl. 2024 Jul 24;26(Suppl 3):iii86-iii89. doi: 10.1093/eurheartjsupp/suae063. eCollection 2024 Jun.
Elevated blood pressure (BP) is a growing burden worldwide, leading to over 10 million deaths each year. In Sub-Saharan Africa, hypertension prevalence is higher and cardiovascular events occur at a younger age than in Europe or America. May Measurement Month (MMM) is a global campaign initiated by the International Society of Hypertension (ISH) aimed at raising awareness of high BP. In South Africa, the MMM campaign in 2017, 2018, and 2019 revealed that approximately one-third of adults had hypertension, only half of hypertensives were receiving antihypertensive therapy, and only a third of those with hypertension had controlled BP. These data highlight the need for continued BP screening and awareness campaigns in South Africa. From May to November 2021, a cross-sectional survey of volunteers aged ≥18 years was performed. Blood pressure measurements, definition of hypertension, and statistical analyses followed the MMM protocol. The screening sites targeted the general population mainly on university campuses and pharmacies in preference to hospitals and clinics, aiming to raise awareness and allow access to screening in those less likely to be aware of their BP status. Of the 2294 individuals (age 37.3 ± 16.9 years) screened, 30.8% had hypertension. Of those with hypertension, only 48.6% were aware and 43.5% were receiving treatment for hypertension. A large proportion (50.4%) of individuals receiving antihypertensive medication had uncontrolled BP (≥140/90 mmHg). In conclusion, the high prevalence of hypertension, despite the young adult age, and the high proportions of individuals unaware of their hypertension and with uncontrolled BP underscore the necessity for hypertension awareness campaigns and more rigorous management of hypertension.
血压升高是全球日益沉重的负担，每年导致超过1000万人死亡。在撒哈拉以南非洲，高血压患病率更高，心血管事件的发生年龄比欧洲或美洲更小。五月测量月（MMM）是由国际高血压学会（ISH）发起的一项全球活动，旨在提高对高血压的认识。在南非，2017年、2018年和2019年的MMM活动显示，约三分之一的成年人患有高血压，只有一半的高血压患者接受抗高血压治疗，且只有三分之一的高血压患者血压得到控制。这些数据凸显了南非持续开展血压筛查和提高认识活动的必要性。2021年5月至11月，对年龄≥18岁的志愿者进行了一项横断面调查。血压测量、高血压定义和统计分析均遵循MMM方案。筛查地点主要针对大学校园和药店的普通人群，而非医院和诊所，目的是提高认识，并让那些不太可能了解自己血压状况的人能够接受筛查。在筛查的2294名个体（年龄37.3±16.9岁）中，30.8%患有高血压。在这些高血压患者中，只有48.6%意识到自己患病，43.5%正在接受高血压治疗。很大一部分（50.4%）接受抗高血压药物治疗的个体血压未得到控制（≥140/90 mmHg）。总之，尽管是青壮年，但高血压患病率高，且很大一部分人不知道自己患有高血压以及血压未得到控制，这凸显了开展高血压认识活动以及更严格管理高血压的必要性。
