High Prevalence of Uncontrolled Hypertension Among Afghan Hypertensive Patients: A Multicenter Cross-Sectional Study.

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE
Ahmad Haroon Baray, Muhammad Haroon Stanikzai, Mohammad Hashim Wafa, Khalid Akbari
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引用次数: 0

Abstract

Background: Despite striking advances in the management of hypertension, blood pressure (BP) control remains suboptimal worldwide. Sustainable Development Goals (SDGs) call for 80% control rates by 2030, highlighting the urgency for improvements in hypertension control.

Objective: We aimed to determine the prevalence of uncontrolled hypertension (≥140/90 mmHg) and assess its associated factors in Afghan hypertensive patients.

Methods: We conducted this multicenter cross-sectional study at three Afghan public hospitals in Afghanistan. We recruited hypertensive patients (n=950) on antihypertensive medications (AHMs) from August to December 2022. We analyzed only complete datasets (853). We employed the 14-item Hill-Bone compliance scale to assess compliance with AHMs. We performed multivariable logistic regression analyses to determine factors associated with uncontrolled hypertension.

Results: The mean age (±SD) of the patients was 47.5 (± 9.5) years and males constituted 50.5% (431) of the study sample. The prevalence of uncontrolled hypertension in this study was 77.3% (95% CI: 74.2-79.9%). Factors associated with uncontrolled hypertension and their adjusted OR (95% CI) were physical inactivity: 3.45 (1.87-6.35), current smoking: 3.04 (1.50-6.15), high salt intake: 3.57 (1.9-6.7), presence of comorbid medical disease: 2.22 (1.20-4.08), higher BMI: 3.32 (1.12-9.88), poor compliance to AHMs: 8.50 (4.62-15.6), and presence of depressive symptoms: 1.99 (1.2-3.27).

Conclusion: The prevalence of uncontrolled hypertension was high in the present study. Factors associated with uncontrolled hypertension may epitomize potential targets for public/individual health interventions in Afghanistan.

Abstract Image

Abstract Image

阿富汗高血压患者中未控制高血压的高患病率:一项多中心横断面研究。
背景:尽管在高血压管理方面取得了显著进展,但在世界范围内,血压(BP)控制仍处于次优状态。可持续发展目标要求到2030年控制率达到80%,强调了改善高血压控制的紧迫性。目的:我们旨在确定阿富汗高血压患者未控制高血压(≥140/90 mmHg)的患病率,并评估其相关因素。方法:我们在阿富汗的三家公立医院进行了多中心横断面研究。我们于2022年8月至12月招募了服用抗高血压药物(AHMs)的高血压患者(n=950)。我们只分析了完整的数据集(853)。我们采用14项Hill-Bone依从性量表来评估ahm的依从性。我们进行了多变量logistic回归分析,以确定与不受控制的高血压相关的因素。结果:患者平均年龄(±SD)为47.5(±9.5)岁,男性占50.5%(431)。本研究中未控制的高血压患病率为77.3% (95% CI: 74.2-79.9%)。与不受控制的高血压相关的因素及其调整后的OR (95% CI)为:缺乏运动:3.45(1.87-6.35),当前吸烟:3.04(1.50-6.15),高盐摄入量:3.57(1.9-6.7),存在合并症:2.22(1.20-4.08),较高的BMI: 3.32(1.12-9.88),对AHMs的依从性差:8.50(4.62-15.6),以及存在抑郁症状:1.99(1.2-3.27)。结论:本研究中高血压未控制的患病率较高。与不受控制的高血压相关的因素可能是阿富汗公共/个人卫生干预措施的潜在目标。
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来源期刊
Integrated Blood Pressure Control
Integrated Blood Pressure Control PERIPHERAL VASCULAR DISEASE-
CiteScore
4.60
自引率
0.00%
发文量
13
审稿时长
16 weeks
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