Jeoffray Diendéré, Toussaint Rouamba, Jean Kaboré, Augustin N Zeba, Halidou Tinto, Sylvin Ouédraogo, Athanase Millogo, Séni Kouanda
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引用次数: 0
Abstract
Background: Excess body weight was associated with a higher chance for hypertension detection.
Aim: To compare the anthropometric characteristics and blood pressure levels between Burkinabè adults who had ever been screened for hypertension and those who had never been screened, and to assess the associated factors with the uptake of hypertension screening.
Setting: Urban and rural Burkina Faso.
Methods: This was a secondary analysis using the Burkina Faso 2013 WHO Stepwise approach to Surveillance cross-sectional survey. Data from 3831 adult men and women were analysed. Descriptive and analytical analyses were performed using Student's t, ANOVA, χ2, Fisher's exact tests and logistic regression.
Results: Among participants, 41.6% (95% CI: 40.0-43.1) had never been screened for hypertension, and compared to those who had ever been screened, they had significantly lower mean weight, waist circumference and body mass index, and lower prevalence of overweight or obesity and abdominal obesity. The prevalence of prehypertension was similar between the two groups (around 40%) and the prevalence of hypertension was lower in those who had never been screened (17.3% vs 20.8%; p = 0.007). Overweight or obesity (adjusted odds ratio [aOR] = 1.3; p = 0.03) and abdominal obesity (aOR = 1.3; p = 0.002) were associated with screening uptake.
Conclusion: The Burkinabè adults who had never been screened for hypertension were apparently thin, but pre-hypertension or hypertension was also common among them. Increasing body size (excess weight or abdominal obesity) may be the reason for screening uptake.
Contribution: Specific awareness-raising messages to motivate slim people to undergo screening need to be developed.
背景:体重过重与高血压检出率增高有关。目的:比较曾经接受过高血压筛查和从未接受过高血压筛查的Burkinabè成年人的人体测量特征和血压水平,并评估高血压筛查的相关因素。环境:布基纳法索的城市和农村。方法:这是采用2013年布基纳法索世卫组织监测逐步方法横断面调查的二次分析。研究人员分析了3831名成年男性和女性的数据。采用Student’st、ANOVA、χ 2、Fisher精确检验和逻辑回归进行描述性和分析分析。结果:在参与者中,41.6% (95% CI: 40.0-43.1)从未接受过高血压筛查,与接受过筛查的参与者相比,他们的平均体重、腰围和体重指数明显较低,超重或肥胖和腹部肥胖的患病率较低。两组的高血压前期患病率相似(约40%),未接受筛查者的高血压患病率较低(17.3% vs 20.8%; p = 0.007)。超重或肥胖(校正优势比[aOR] = 1.3; p = 0.03)和腹部肥胖(aOR = 1.3; p = 0.002)与筛查摄取相关。结论:Burkinabè未做过高血压筛查的成年人明显偏瘦,但高血压前期或高血压也很常见。体重增加(超重或腹部肥胖)可能是筛查摄取的原因。贡献:需要制定具体的提高认识信息,以激励苗条的人接受筛查。
期刊介绍:
The Journal of Public Health in Africa (JPHiA) is a peer-reviewed, academic journal that focuses on health issues in the African continent. The journal editors seek high quality original articles on public health related issues, reviews, comments and more. The aim of the journal is to move public health discourse from the background to the forefront. The success of Africa’s struggle against disease depends on public health approaches.