汤加成年人未确诊高血压的相关因素:一项横断面研究。

IF 3.6 Q1 TROPICAL MEDICINE
Seini Siahi Talanoafoou Fifita, Daisuke Nonaka, Mele Tilema Cama, Mele Inu Filise
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引用次数: 0

摘要

背景:高血压是导致全球许多人过早死亡的原因。然而,许多高血压患者仍未得到诊断。汤加是高血压发病率急剧上升的国家之一,因此未确诊的高血压患者也可能在增加。本研究旨在评估汤加成年人中未确诊高血压的患病率和相关因素:这项横断面研究使用电子问卷和数字血压计,在 2023 年 2 月至 3 月期间通过家访从方便抽样的 473 名参与者中收集数据。纳入标准为年龄在 18-65 岁之间、在村庄居住至少 6 个月且未怀孕。使用 EZR 软件进行了费雪精确检验和混合效应逻辑回归,以评估未确诊高血压与预测变量之间的关联:未确诊高血压的患病率为 22.4%(106/473)。在费雪精确检验中与未确诊高血压明显相关的五个变量被纳入了多变量逻辑回归。总体而言,只有三个变量仍然具有重要意义。首先,从未测量过血压的参与者比最近测量过血压的参与者患病率更高(33.3% 对 19.1%);几率比:2.24)。其次,与了解高血压风险的参与者相比,不了解高血压风险的参与者未确诊高血压的几率明显更高(27.9% 对 16.7%;几率比:1.81)。最后,与 18-29 岁的参与者相比,中年参与者(30-49 岁)和老年参与者(50-65 岁)未确诊高血压的几率明显更高(30.0% 和 23.7% 对 11.8%;几率比:3.58 和 3.38 对 1.00):汤加成年人中未确诊的高血压患病率可能很高,这意味着需要通过进一步研究和审查当前的公共卫生工作来解决这一问题,以应对汤加的高血压问题。未确诊的高血压与没有测量血压的经验、缺乏对高血压的认识和年龄有关。汤加政府应为人们提供更多测量血压的机会,并提高他们的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors associated with undiagnosed hypertension among Tongan adults: a cross-sectional study.

Background: Hypertension is responsible for many premature deaths worldwide. However, many individuals with hypertension remain undiagnosed. Tonga is one of the countries that has had a steep increase in hypertension, thus undiagnosed hypertension could also be increasing. Purpose of this study was to assess the prevalence and factors associated with undiagnosed hypertension among Tongan adults.

Methods: This cross-sectional study used data collected from conveniently sampled 473 participants using electronic questionnaire and digital sphygmomanometer through household visits between February and March 2023. Inclusion criteria were age of 18-65 years, residence in the villages for at least six months, and not being pregnant. Fisher's exact test and mixed-effect logistic regression were performed using the EZR software to assess the association between undiagnosed hypertension and predictor variables.

Results: The prevalence of undiagnosed hypertension was 22.4% (106/473). Five variables that were significantly associated with undiagnosed hypertension in Fisher's exact test were included in the multivariate logistic regression. Overall, only three variables remained significant. First, participants who never had their blood pressure measured had higher prevalence compared to those who had it checked recently (33.3% vs. 19.1%); odds ratio: 2.24). Secondly, participants who were not aware of the risk of developing hypertension were significantly more likely to have undiagnosed hypertension compared to those who were aware (27.9% vs. 16.7%; odds ratio: 1.81). Lastly, middle-aged participants (30-49 years) and older (50-65 years), were significantly more likely to have undiagnosed hypertension compared to those who were 18-29 years old (30.0% and 23.7% vs. 11.8%; odds ratio: 3.58 and 3.38 vs. 1.00).

Conclusion: The prevalence of undiagnosed hypertension could be substantial among Tongan adults, implicating a need to address this issue by doing further research and review current public health work to address hypertension in Tonga. Undiagnosed hypertension was associated with having no experience of blood pressure measurement, lack of awareness about hypertension, and age. Tongan government should provide people with more opportunities to have their blood pressure measured and to improve their awareness.

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来源期刊
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
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