Department of Medicine, Faculty of Clinical Medicine, College of Health Sciences, Delta State University, Abraka, Nigeria.
Health Services Research and Management Division School of Health and Psychological Sciences City, University of London, United Kingdom. E-mail address:
West Afr J Med. 2024 Jun 28;41(6):691-698.
Adolescence is a vulnerable phase when risky behaviours like smoking, poor diet, and physical inactivity set the stage for health problems like hypertension.
This study assessed the prevalence of high blood pressure (HBP) and associated factors among apparently healthy inschool adolescents in Delta State, Nigeria.
A cross-sectional study was conducted among apparently healthy in-school adolescents aged 10 to 19 years, using a multi-stage random sampling technique. HBP was defined using the 2016 European Society of Hypertension Guidelines. Factors associated with HBP were determined using binary logistic regression. A p-value less than 0.05 was taken as significant.
Of the 574 participants surveyed, 331 (57.7%) were females and 243 (42.3%) were males, with a female-to-male ratio of 1.36. The mean age of the study participants was 14.7 years. The mean systolic and diastolic blood pressure of the study participants were 118.81 (±12.703) and 70.16 (±9.972) mmHg respectively. Prehypertension and hypertension were present in 14.8% and 18.3% of the study population, respectively. Age 10-13 years (AOR = 7.70; 95% CI: 2.26-26.22; p = 0.001) and 14-16 years (AOR = 4.62; 95% CI: 1.40 -15.25; p = 0.001), upper socioeconomic status (AOR=1.19; 95% CI: 0.57-2.48; p = 0.020), and obesity (AOR = 2.14; 95% CI: 1.08-4.25; p = 0.039) were factors associated with HBP.
The prevalence of hypertension among the study participants was significant. Factors associated with HBP include younger age (specifically 10-16 years old), higher socioeconomic status, and obesity.
青春期是一个脆弱的阶段，在此期间，吸烟、不良饮食和缺乏身体活动等危险行为为高血压等健康问题奠定了基础。
本研究评估了尼日利亚三角洲州在校青少年中高血压（HBP）的流行情况及其相关因素。
采用多阶段随机抽样技术，对年龄在 10 至 19 岁的在校青少年进行横断面研究。使用 2016 年欧洲高血压学会指南定义 HBP。采用二元逻辑回归分析 HBP 的相关因素。p 值小于 0.05 被认为具有统计学意义。
在 574 名接受调查的参与者中，331 名（57.7%）为女性，243 名（42.3%）为男性，女性与男性的比例为 1.36。研究参与者的平均年龄为 14.7 岁。研究参与者的平均收缩压和舒张压分别为 118.81（±12.703）和 70.16（±9.972）mmHg。研究人群中分别有 14.8%和 18.3%的人患有高血压前期和高血压。10-13 岁（AOR=7.70；95%CI：2.26-26.22；p=0.001）和 14-16 岁（AOR=4.62；95%CI：1.40-15.25；p=0.001）、较高的社会经济地位（AOR=1.19；95%CI：0.57-2.48；p=0.020）和肥胖（AOR=2.14；95%CI：1.08-4.25；p=0.039）是与 HBP 相关的因素。
研究参与者的高血压患病率较高。与 HBP 相关的因素包括年龄较小（特别是 10-16 岁）、较高的社会经济地位和肥胖。
