Wanzhu Zhang, Byakika-Kibwika Pauline, Ingabire Prossie, Nabirye Stella, Beaney Thomas, Janssen-Telders Carolina, Poulter Neil R, Mondo Charles Kiiza
Uganda Heart Institute, Mulago Hospital, Kampala, Uganda.
Department of Medicine, Makerere University College of Health Sciences, Plot No. 1, Upper Mulago Hill Road, P.O. Box 7072, Kampala, Uganda.
Eur Heart J Suppl. 2024 Jul 24;26(Suppl 3):iii93-iii95. doi: 10.1093/eurheartjsupp/suae061. eCollection 2024 Jun.
High blood pressure (BP) is the leading cause of cardiovascular disease in Uganda accounting for more than 50% of cardiovascular related deaths each year. In Uganda, more than 25% of adults have high BP with lack of awareness being the main barrier to achieving satisfactory control rates. May measurement month (MMM) is a global initiative aimed at raising awareness of high BP and to act as a temporary solution to the lack of BP screening programmes. A cross-sectional survey of voluntary screenees aged 18 years and above was carried out between May and September 2021. Screening was carried out in two outpatient departments of two referral hospitals within the capital city, Kampala. BP measurements, the definition of hypertension and statistical analysis followed the standard MMM protocol. A total of 1671 people were screened and included in analysis. After multiple imputation, 1018 (60.9%) had hypertension. Of all 1018 participants with hypertension, 765 (75.1%) were aware and 750 (69.3%) were on antihypertensive medicine. Of the participants on antihypertensive medicine, 248 (35.2%) had controlled BP (<140/90 mmHg). Previous history of stroke and taking alcohol 1-6 times per week were significantly associated with higher diastolic BP. The MMM21 Uganda campaign highlights the importance of measuring BP as it generates real-time data on untreated and inadequately treated hypertension. This should motivate government and policy makers to promote routine local screening for BP.
高血压是乌干达心血管疾病的主要病因，每年超过50%的心血管相关死亡由其导致。在乌干达，超过25%的成年人患有高血压，缺乏认知是实现令人满意的控制率的主要障碍。五月测量月（MMM）是一项全球倡议，旨在提高对高血压的认识，并作为解决血压筛查项目缺乏的临时办法。2021年5月至9月期间，对18岁及以上的自愿筛查者进行了横断面调查。筛查在首都坎帕拉两家转诊医院的两个门诊部进行。血压测量、高血压的定义和统计分析遵循标准的MMM方案。共有1671人接受筛查并纳入分析。经过多重插补后，1018人（60.9%）患有高血压。在所有1018名高血压参与者中，765人（75.1%）知晓病情，750人（69.3%）正在服用降压药。在服用降压药的参与者中，248人（35.2%）的血压得到控制（<140/90 mmHg）。中风病史和每周饮酒1至6次与较高的舒张压显著相关。2021年乌干达五月测量月活动凸显了测量血压的重要性，因为它能生成关于未经治疗和治疗不充分的高血压的实时数据。这应促使政府和政策制定者推动当地常规血压筛查。
