Key Messages

I. Cherif, N. BenMansour, S. Rejaibi, N. Zoghlami, O. Saidi, A. Skhiri, F. B. Slama, H. B. Romthane, Z. Turki, H. Aounallah-Skhiri, B. Perry, AK Aaris Henningsen, A. Pinborg, S. Opdahl, LV Romundstad, C. Bergh, UB Wennerholm, A. Tiitinen, M. Gissler
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引用次数: 10

Abstract

I Cherif, N Ben Mansour, S Rejaibi, N Zoghlami, O Saidi, A Skhiri, F Ben Slama, H Ben Romthane, Z Turki, H Aounallah-Skhiri National Institute of Health, Tunis, Tunisia Department of preventive medicine, Faculty of medicine of Tunis, Tunis, Tunisia Research Laboratory of Epidemiology and Prevention of Cardiovascular Diseases, Tunis, Tunisia Tunisian Society ofDiabetes Endocrinology and Metabolic Diseases, Tunis, Tunisia Research Laboratory of Nutritional Surveillance and Epidemiology, Tunis, Tunisia Contact: ines.cherif1993@gmail.com Background: Hypertension is becoming increasingly frequent mainly in low and middle income countries. We aimed to assess the prevalence, awareness and control of hypertension among Tunisian adults and identify associated factors with hypertension control. Methods: Data were obtained from the 2016 Tunisian Health Examination Survey, a household survey stratified at three degrees. Adults (age 18 years old) were interviewed using an individual questionnaire, then three blood pressure measurement were performed. Participants were considered hypertensive if they were previously diagnosed or had a systolic blood pressure (SBP) 140mmhg and/or a diastolic blood pressure (DBP) 90mmhg during the survey. Were considered under control, treated persons with SBP<140 mmhg and a DBP<90 mmhg. A weighted binary logistic regression was used to assess associated factors with hypertension control. Input model variables were: sociodemographic variables, comorbidities and lifestyle factors. Results: In this study, 8908 adults were enrolled with a mean age of 42.8 0.2 years old and a sex ratio (M/F) equal to 0.96. Among respondents, 29.3% (95% CI: 28.2-30.5) had hypertension, 60.7% (95% CI: 58.7-62.6) of them were unaware of their disease and only (29.5%, 95% CI: 28.2-30.5) of treated patients had a controlled hypertension. In multivariate analysis, eating more than five fruits and vegetables per day was independently associated with a better hypertension control (AOR=1.7, 95% CI: 1.1-2.5). In addition, participants living in northern Tunisia were more likely to have a controlled hypertension than those living in the south (AOR=1.9, 95% CI: 1.2-2.9). Conclusions: Almost third of Tunisian adults were hypertensive. Low level of awareness and control of hypertension were found in this study. This highlights the urge to reinforce hypertension screening interventions and to strengthen educational programs on this disease with a focus on blood pressure monitoring and healthy lifestyle measures. Key messages: Tunisian adults had a low level of awareness and control of hypertension. Reinforcing hypertension screening interventions and increasing awareness about healthy lifestyle measures are recommended.
关键信息
I Cherif, N Ben Mansour, S Rejaibi, N Zoghlami, O Saidi, A Skhiri, F Ben Slama, H Ben Romthane, Z Turki, H Aounallah-Skhiri国家卫生研究所,突尼斯,突尼斯预防医学系,突尼斯医学院,突尼斯,突尼斯流行病学和预防心血管疾病研究实验室,突尼斯,突尼斯突尼斯糖尿病内分泌和代谢疾病学会,突尼斯,突尼斯营养监测和流行病学研究实验室,突尼斯,背景:高血压主要在低收入和中等收入国家变得越来越常见。我们的目的是评估突尼斯成年人高血压的患病率、意识和控制,并确定与高血压控制相关的因素。方法:数据来自2016年突尼斯健康检查调查,这是一项三度分层的家庭调查。成人(18岁)使用单独问卷进行访谈,然后进行三次血压测量。如果参与者之前被诊断为高血压,或者在调查期间收缩压(SBP)为140mmhg和/或舒张压(DBP)为90mmhg,则认为他们是高血压。收缩压<140 mmhg和舒张压<90 mmhg的患者被认为处于控制状态。采用加权二元logistic回归评估与高血压控制相关的因素。输入模型变量为:社会人口学变量、合并症和生活方式因素。结果:本研究纳入8908名成人,平均年龄42.8 ~ 0.2岁,性别比(M/F)为0.96。在应答者中,29.3% (95% CI: 28.2-30.5)患有高血压,其中60.7% (95% CI: 58.7-62.6)不知道自己的疾病,只有29.5% (95% CI: 28.2-30.5)的治疗患者高血压得到控制。在多变量分析中,每天吃超过5个水果和蔬菜与更好的高血压控制独立相关(AOR=1.7, 95% CI: 1.1-2.5)。此外,生活在突尼斯北部的参与者比生活在南部的参与者更有可能控制高血压(AOR=1.9, 95% CI: 1.2-2.9)。结论:几乎三分之一的突尼斯成年人患有高血压。本研究发现高血压的认知和控制水平较低。这突出了加强高血压筛查干预和加强对这种疾病的教育计划的紧迫性,重点是血压监测和健康的生活方式措施。关键信息:突尼斯成年人对高血压的认识和控制水平较低。建议加强高血压筛查干预措施并提高对健康生活方式措施的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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