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行动呼吁:撒哈拉以南非洲城市人口高血压患病率及管理情况洞察

A Call to Action: Insights into Hypertension Prevalence and Management in an Urban Sub-Saharan African Population.

作者信息

Mbah Teko Blaise, Lema Bernadette Sandrine, Rikam Armand Boris, Baning Jacques Merci Baning, Ngon Serge's Bruno, Kilama Georgette Merveille, Ngon Divine GoufanA, Ngon Odile Israelle Meto A, Ebango Fabrice Peguy Thome, Ebango Suzanne Adolphine Soppi, Egom Emmanuel Eroume A

机构信息

Heaven Foundation/Foundation CIEL Hartford, Connecticut, USA.

Harmony Health Physical and Spiritual Wellness Center (Harmony Care), Woodland Medical Centre, Hartford, Connecticut, USA.

出版信息

Niger Med J. 2025 Apr 3;66(1):290-302. doi: 10.71480/nmj.v66i1.712. eCollection 2025 Jan-Feb.

DOI:10.71480/nmj.v66i1.712
PMID:40309524
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12038611/
Abstract

BACKGROUND

Hypertension is a global health challenge, with a disproportionate burden in low- and middle-income countries like Cameroon. Urban centers, such as Yaoundé, face increasing prevalence driven by rapid urbanization and healthcare disparities. The study objective is to assess hypertension prevalence, associated risk factors, and barriers to effective management in an urban Cameroonian population.

METHODOLOGY

A cross-sectional study was conducted in 2024 as part of the HEAVEN-CIEL Hypertension Awareness Campaign. Data from 181 adults were collected through structured questionnaires and physical assessments, including blood pressure measurements. Associations with demographic, socioeconomic, and lifestyle factors were analyzed using chi-square tests and logistic regression.

RESULTS

Hypertension prevalence was 59.67%, with rates peaking at 75.56% among individuals aged 46-60 years (p = 0.0019). Medium-income participants showed the highest prevalence at 75.56% (p = 0.043). Obesity (p = 0.0024) and high-fat diets (p = 0.0212) were significant risk factors. Alarmingly, 87.04% of hypertensive individuals were untreated, highlighting gaps in medication access and adherence.

CONCLUSION

Hypertension in Yaoundé represents a major public health concern, driven by age, socioeconomic disparities, and unhealthy lifestyle factors. The low treatment rates reflect systemic healthcare barriers. Comprehensive, culturally sensitive interventions are urgently needed to improve awareness, prevention, and management. Future research should focus on the longitudinal impacts of targeted public health strategies.

摘要

背景

高血压是一项全球性的健康挑战,在喀麦隆等低收入和中等收入国家负担尤为沉重。像雅温得这样的城市中心,由于快速城市化和医疗保健差距,高血压患病率不断上升。本研究的目的是评估喀麦隆城市人口中的高血压患病率、相关风险因素以及有效管理的障碍。

方法

作为“天堂 - 天空高血压认知运动”的一部分,于2024年进行了一项横断面研究。通过结构化问卷和身体评估收集了181名成年人的数据,包括血压测量。使用卡方检验和逻辑回归分析与人口统计学、社会经济和生活方式因素的关联。

结果

高血压患病率为59.67%,在46 - 60岁人群中患病率最高,达到75.56%(p = 0.0019)。中等收入参与者的患病率最高,为75.56%(p = 0.043)。肥胖(p = 0.0024)和高脂肪饮食(p = 0.0212)是显著的风险因素。令人担忧的是,87.04%的高血压患者未接受治疗,这凸显了药物获取和依从性方面的差距。

结论

雅温得的高血压是一个主要的公共卫生问题,受年龄、社会经济差距和不健康生活方式因素驱动。低治疗率反映了系统性的医疗保健障碍。迫切需要全面的、具有文化敏感性的干预措施来提高认知、预防和管理水平。未来的研究应关注有针对性的公共卫生策略的纵向影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b6/12038611/713eca8e2f72/nmj-66-290-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b6/12038611/dd9a9292fc75/nmj-66-290-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b6/12038611/d2d0defa2976/nmj-66-290-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b6/12038611/60fb5c0b4ecf/nmj-66-290-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b6/12038611/713eca8e2f72/nmj-66-290-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b6/12038611/dd9a9292fc75/nmj-66-290-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b6/12038611/d2d0defa2976/nmj-66-290-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b6/12038611/60fb5c0b4ecf/nmj-66-290-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b6/12038611/713eca8e2f72/nmj-66-290-f4.jpg

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