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Central Autonomic Network Regions and Hypertension: Unveiling Sympathetic Activation and Genetic Therapeutic Perspectives.中枢自主神经网络区域与高血压:揭示交感神经激活及基因治疗前景
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肯尼亚妇女的情感暴力经历与高血压之间的关联。

Association between experience of emotional violence and hypertension among Kenyan women.

机构信息

Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.

School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK.

出版信息

Sci Rep. 2024 Oct 1;14(1):22772. doi: 10.1038/s41598-024-74131-y.

DOI:10.1038/s41598-024-74131-y
PMID:39354053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11445402/
Abstract

Women who experience intimate partner violence (IPV) face increased risks of reproductive health issues and psychological distress. There is also a growing scholarly interest in its effect on cardiovascular health. About 30% of Kenyan women experience emotional violence, and 9.37% are hypertensive. Yet, there is the absence of localized studies on the role of emotional violence on hypertension risk. This study aims to address this gap by investigating the association between emotional violence and hypertension risk among women of reproductive age in Kenya. Using data from the 2022 Kenya demographic and health survey, we analysed the data of 5,109 women. The outcome and exposure were hypertension status and emotional violence, respectively. Descriptive analysis and binary logistic regression models were computed in STATA version 18. Results were presented in tables, showing the frequency, percentage, and adjusted odds ratio (AOR) at a 95% confidence interval (CI). The prevalence of hypertension was 9.78% [95% CI 8.73-10.94]. Women who had experienced emotional violence had 69% higher odds of hypertension [AOR 1.69; 95% CI 1.39-2.06]. After adjusting for covariates (i.e., age, place of residence, wealth status, exposure to media, and educational level), individuals who reported experiencing emotional violence exhibited a 51% higher odds of hypertension compared to those who did not [AOR 1.51; 95% CI 1.23-1.85]. There is a significant association between emotional violence and hypertension. The findings underscore a need for policy makers in Kenya to address emotional violence against women not only as a social issue but as a serious health risk factor. As such, the experience of emotional violence should be considered as part of the criteria to enhance hypertension screening among women.

摘要

遭受亲密伴侣暴力(IPV)的女性面临着增加的生殖健康问题和心理困扰风险。学术界也越来越关注它对心血管健康的影响。大约 30%的肯尼亚女性经历过情感暴力,9.37%患有高血压。然而,关于情感暴力对高血压风险的作用,肯尼亚还没有本地化的研究。本研究旨在通过调查肯尼亚育龄妇女中情感暴力与高血压风险之间的关系来填补这一空白。我们使用了 2022 年肯尼亚人口与健康调查的数据,分析了 5109 名女性的数据。结果和暴露分别为高血压状况和情感暴力。在 STATA 版本 18 中进行了描述性分析和二元逻辑回归模型分析。结果以表格形式呈现,显示了频率、百分比和调整后的优势比(AOR)在 95%置信区间(CI)内。高血压的患病率为 9.78%[95%CI 8.73-10.94]。经历过情感暴力的女性患高血压的几率高出 69%[AOR 1.69;95%CI 1.39-2.06]。在调整了协变量(即年龄、居住地、财富状况、媒体接触和教育水平)后,与未经历过情感暴力的女性相比,报告经历过情感暴力的个体患高血压的几率高出 51%[AOR 1.51;95%CI 1.23-1.85]。情感暴力与高血压之间存在显著关联。这些发现强调了肯尼亚政策制定者不仅要将针对妇女的情感暴力视为社会问题,还要将其视为严重的健康风险因素。因此,情感暴力的经历应被视为增强妇女高血压筛查标准的一部分。