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津巴布韦农村地区女性高血压患病率:孕妇与非孕妇的比较

Prevalence of hypertension among women in rural Zimbabwe: a comparison of pregnant and non-pregnant women.

作者信息

Sparks B T, Mufunda J, Musabayane C T, Sparks H V, Mahomed K, Hunter J M

机构信息

Department of Osteopathic Medicine, Michigan State University, East Lansing 48824, USA.

出版信息

Cent Afr J Med. 1996 Apr;42(4):93-7.

PMID:8791863
Abstract

OBJECTIVES

To determine the prevalence of pregnancy induced hypertension (PIH) in rural Zimbabwe.

DESIGNS

A blood pressure survey conducted in three socio-economic strata of rural Zimbabwe, communal lands, commercial farms and mining areas.

SETTING

Rural Zimbabwe, Mashonaland West Province.

SUBJECTS

627 pregnant (> 20 weeks gestation) and 483 non pregnant (ages 16 to 45) women.

MAIN OUTCOME MEASURE

Prevalence of PIH.

RESULTS

PIH was defined in two ways: 1. A combination of > or = 2+ proteinuria and systolic and/or diastolic pressure > or = SD above the mean for all pregnant women (> or = 123/75 mmHg). 2. > or = 1+ proteinuria and blood pressure of 140 and/or 90 mmHg. Eight women met definition 1 and seven met definition 2, giving a prevalence of 0.8pc; 1.3pc and 3.2pc in communal lands, commercial farms and mines respectively. In non-pregnant women the prevalence of hypertension (> or = 160 and/or 95 mmHg) was 3.5pc; 5.4pc and 15.1pc in communal lands, commercial farms and mines respectively.

CONCLUSION

PIH is rare in rural Zimbabwe. Hypertension among non-pregnant women of child bearing age is most common in mining communities which have many similarities to urban environments.

摘要

目的

确定津巴布韦农村地区妊娠高血压(PIH)的患病率。

设计

在津巴布韦农村的三个社会经济阶层,即社区土地、商业农场和矿区进行血压调查。

地点

津巴布韦西部马绍纳兰省农村。

研究对象

627名孕妇(妊娠>20周)和483名非孕妇(年龄16至45岁)。

主要观察指标

PIH的患病率。

结果

PIH有两种定义方式:1. 蛋白尿≥2+且收缩压和/或舒张压高于所有孕妇平均水平≥标准差(≥123/75 mmHg)。2. 蛋白尿≥1+且血压为140和/或90 mmHg。8名女性符合定义1,7名符合定义2,患病率为0.8%;在社区土地、商业农场和矿区分别为1.3%、3.2%。在非孕妇中,高血压(≥160和/或95 mmHg)的患病率在社区土地、商业农场和矿区分别为3.5%、5.4%和15.1%。

结论

PIH在津巴布韦农村地区很少见。育龄非孕妇中的高血压在与城市环境有许多相似之处的矿区最为常见。

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