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巴西首次全国原住民健康与营养调查中女性的血压情况。

Blood pressure in women in the First National Survey of Health and Nutrition of Indigenous Peoples in Brazil.

作者信息

Tavares Felipe Guimarães, Nobre Aline Araújo, Horta Bernardo Lessa, Marinho Gerson Luiz, Cardoso Andrey Moreira

机构信息

Instituto de Saúde Coletiva, Universidade Federal Fluminense. R. Marquês de Paraná 303, 3º andar, anexo ao Hospital Universitário Antônio Pedro, Centro. 24030-215 Niterói RJ Brasil.

Programa de Computação Científica, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil.

出版信息

Cien Saude Colet. 2024 Dec;29(12):e10222024. doi: 10.1590/1413-812320242912.10222024. Epub 2024 Jun 19.

Abstract

Estimating average blood pressure levels and prevalence of arterial hypertension (AH) and associated factors is essential to monitoring health and planning actions to combat noncommunicable diseases (NCDs) in Indigenous peoples in Brazil. This is a cross-sectional study that investigated average blood pressure levels and prevalence of arterial hypertension in 4,680 Indigenous women (aged 18-49 years), using data from the 1st National Survey of Health and Nutrition of Indigenous Peoples (2008-2009) and associated factors, such as through gamma regression and multilevel logistics. The prevalence of hypertension was 10.7%, varying across macro-regions: North, Northeast, Midwest, and South/Southeast. Women who lived in villages without domestic waste collection and in households without stable income were more likely to have AH. Increasing BMI and age were positively associated with the chances of developing high blood pressure. In the model for DBP, unlike education, the variables stable household income, BMI, and age were positively associated. In the model for SBP, there was a negative association with education, in the medium and high strata of the household goods index and in households with no stable income, and a positive association with the housing indicator, BMI and age.

摘要

估计平均血压水平、动脉高血压(AH)患病率及其相关因素对于监测巴西原住民的健康状况以及规划防治非传染性疾病(NCDs)的行动至关重要。这是一项横断面研究,利用第一次全国原住民健康与营养调查(2008 - 2009年)的数据,对4680名18 - 49岁的原住民女性的平均血压水平和动脉高血压患病率及其相关因素进行了调查,采用了伽马回归和多水平逻辑回归等方法。高血压患病率为10.7%,在不同宏观区域(北部、东北部、中西部和南部/东南部)有所不同。生活在没有生活垃圾收集的村庄且家庭没有稳定收入的女性患AH的可能性更大。体重指数(BMI)增加和年龄增长与患高血压的几率呈正相关。在舒张压(DBP)模型中,与教育程度不同,家庭稳定收入、BMI和年龄等变量呈正相关。在收缩压(SBP)模型中,在家庭用品指数的中高阶层以及没有稳定收入的家庭中,教育程度与之呈负相关,而与住房指标、BMI和年龄呈正相关。

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