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加拿大纽芬兰与拉布拉多省2023年5月测量月活动的见解:一项横断面研究。

Insights from the 2023 May measurement month campaign in Newfoundland and Labrador, Canada: A cross-sectional study.

作者信息

Coombs Stephen D, Tsuyuki Ross T, Young Stephanie W, Poulter Neil, Lee Tiffany A

机构信息

Memorial University School of Pharmacy, St. John's, Canada.

University of Alberta Faculty of Medicine and Dentistry, Edmonton, Canada.

出版信息

Medicine (Baltimore). 2025 May 16;104(20):e42522. doi: 10.1097/MD.0000000000042522.

Abstract

May measurement month (MMM) is a global blood pressure (BP) screening campaign that aims to emphasize the importance of BP measurement and identify those who require intervention/follow-up for elevated BP. The objective of this regional analysis in Newfoundland and Labrador (NL), Canada, was to examine the proportion of individuals screened with elevated BP, including those with and without a history of hypertension (HTN). This cross-sectional study was completed in accordance with the global MMM protocol. All consenting adults ≥18 years old were eligible to take part. Data collection took place in 28 community pharmacies across the province of NL. Descriptive statistics were analyzed and associations between elevated BP and covariates of interest were determined using logistic regression. A total of 384 participants took part in this study, with a mean age of 54.4 years (standard deviation 18.2); 66.1% (n = 254) of participants were female and 41.4% (n = 159) had known HTN. A complete set of 3 BP readings were recorded for a total of 375 participants and therefore, these participants were included in the analysis. Elevated BP was observed in 21.9% (n = 82) of participants, including 13.5% of those who had no history of HTN (i.e., 30 of 222). Known HTN and diabetes were statistically significant predictors of elevated BP in the multivariate regression model. Regional implementation of the MMM campaign in NL helped to identify a relatively large proportion of individuals with elevated BP, including those with no history of HTN. Targeted measures are needed to achieve BP targets among individuals with hypertension and diabetes in the province.

摘要

五月测量月(MMM)是一项全球血压筛查活动,旨在强调血压测量的重要性,并识别那些因血压升高而需要干预/随访的人群。加拿大纽芬兰与拉布拉多省(NL)的这项区域分析的目的是检查血压升高的筛查个体比例,包括有和没有高血压(HTN)病史的个体。这项横断面研究是按照全球MMM方案完成的。所有年龄≥18岁且同意参与的成年人都有资格参加。数据收集在NL全省的28家社区药房进行。分析了描述性统计数据,并使用逻辑回归确定了血压升高与感兴趣的协变量之间的关联。共有384名参与者参加了本研究,平均年龄为54.4岁(标准差18.2);66.1%(n = 254)的参与者为女性,41.4%(n = 159)有已知的HTN。共为375名参与者记录了完整的3次血压读数,因此,这些参与者被纳入分析。21.9%(n = 82)的参与者血压升高,包括13.5%没有HTN病史的参与者(即222名中的30名)。在多变量回归模型中,已知的HTN和糖尿病是血压升高的统计学显著预测因素。NL地区实施MMM活动有助于识别相对较大比例的血压升高个体,包括那些没有HTN病史的个体。需要采取针对性措施,以实现该省高血压和糖尿病患者的血压目标。

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本文引用的文献

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Refocusing on hypertension control in Canada.重新聚焦加拿大的高血压控制。
CMAJ. 2021 Jun 7;193(23):E854-E855. doi: 10.1503/cmaj.210140.

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