尼日利亚吉加瓦州高负担肾病地区成人高血压相关因素:一项横断面调查

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Usman Muhammad Ibrahim, Abubakar Mohammed Jibo, Salisu Muazu, Zahrau Zubairu, Saadatu Uba Ringim, Faruk Abdullahi Namadi, Sadiq Hassan Ringim, Luka Fitto Buba, Rabiu Ibrahim Jalo, Fatimah Ismail Tsiga-Ahmed, Kabiru Abdulsalam, Mustapha Zakariyya Karkarna
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引用次数: 0

摘要

背景:高血压是世界范围内可预防的心血管相关并发症和死亡的主要危险因素。材料和方法:进行了一项横断面调查,以评估来自吉加瓦州四个地方政府地区(LGAs)的361名成年人的高血压患病率和相关因素,这些地区被确定为肾脏疾病的高负担。采用改进的WHO STEPS问卷和多阶段抽样技术,采用IBM SPSS 22.0对数据进行分析。结果:被调查者的年龄范围为18 ~ 102岁,中位数为45岁(四分位数间距为30 ~ 80岁)。超过四分之一(34.9%)的受访者没有工作。很少有饮酒史(0.8%)和吸烟史(1.1%)。收缩期高血压116例(32.1%),舒张期高血压133例(36.8%)。Jahun LGA有较高的收缩期高血压(36.7%),而Dutse LGA有较高的舒张期高血压(47.8%)。收缩期高血压在>35岁的人群中明显升高(P < 0.001)。18 ~ 35岁人群发生收缩期高血压的几率明显低于35岁以上人群,且18 ~ 35岁人群发生收缩期高血压的可能性低于35岁以上人群(校正优势比= 9.0;95%置信区间= 4.6-17.6)。同样,那些有糖尿病和高血压家族史的人(P < 0.001)患收缩期高血压的比例明显更高。结论:高负担肾病区高血压患病率高。政府应为大规模社区筛查风险因素和社区医疗保险制定可持续模式,以有效管理所有已查明的病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors associated with hypertension among adults in high burden kidney disease areas of Jigawa State, Nigeria: A cross-sectional survey.

Background: Hypertension is the leading risk factor for preventable cardiovascular-related complications and mortalities worldwide.

Materials and methods: A cross-sectional survey was conducted to assess the prevalence and factors associated with hypertension among 361 adults from four local government areas (LGAs) of Jigawa state identified to have high burden of kidney diseases. The Modified WHO STEPS questionnaire and multi-stage sampling technique were employed and data were analysed using IBM SPSS version 22.0.

Results: The age of the respondents ranged from 18 to 102 years with a median of 45 (interquartile range = 30-80) years. More than a quarter (34.9%) of the respondents were unemployed. Few reported history of alcohol ingestion (0.8%) and cigarette smoking (1.1%). The prevalence of systolic hypertension was 116 (32.1%), while that of diastolic hypertension was 133 (36.8%). Jahun LGA had higher cases (36.7%) of systolic hypertension, whereas Dutse LGA had higher cases (47.8%) of diastolic hypertension. Systolic hypertension was significantly higher (P < 0.001) among those >35 years of age. The odds of developing systolic hypertension were significantly lower among those between the ages of 18 and 35 years, and those between the ages of 18 and 35 years were less likely to have systolic hypertension than those above the age of 35 years (adjusted odds ratio = 9.0; 95% confidence interval = 4.6-17.6). Similarly, those who reported family history of diabetes and hypertension (P < 0.001) had a significantly higher proportion of systolic hypertension.

Conclusions: The prevalence of hypertension was alarming in the high burden kidney disease areas. The government should develop a sustainable model for the mass community screening of risk factors and community-based health insurance for the effective management of all identified cases.

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来源期刊
Nigerian Postgraduate Medical Journal
Nigerian Postgraduate Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.90
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