孟加拉国女性高血压患病率和可改变的决定因素：2022年全国数据的修正泊松回归分析

IF 3.2 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-10-06 DOI:10.1016/j.puhe.2025.105960

Maliha Mahazabin , Meem Haque , Murfia Rahman Muna , Susmita Rani Dey , Fatima Tuz Johora , Mir Fhamid Ahsan Alvi

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引用次数: 0

摘要

目的：妇女高血压必须及早发现并妥善处理。确定某一区域或国家妇女中的风险因素有助于预防其影响并降低过早死亡的风险。我们的研究旨在确定孟加拉国已婚妇女高血压的患病率和可改变的决定因素。研究设计：全国横断面研究。方法：研究采用最新的2022年孟加拉国人口与健康调查（BDHS）数据集，选择4737名已婚妇女进行分析。在我们的调查中，采用修正泊松回归稳健方差来估计决定因素的患病率，使用95%的置信区间和p的显著性阈值。结果：研究显示，Rangamati （Parbattya Chattagram）和Sylhet的高血压患病率很高。关于可改变的决定因素，在超重（aPR: 1.81; 95% CI: 1.63-2.01）、高血糖（aPR: 1.29; 95% CI: 1.12-1.49）、服用医生开具的精神健康药物（aPR: 1.40; 95% CI: 1.08-1.80）、经历过亲密伴侣暴力（IPV）（aPR: 1.18; 95% CI: 1.03-1.36）和吸烟（aPR: 1.25; 95% CI: 1.04-1.50）的妇女中发现了较高的患病率。此外，在孟加拉国妇女中，哺乳与患高血压的风险降低有关（aPR: 0.49; 95% CI: 0.41-0.58）。结论：政府和非政府组织应该启动意识项目，鼓励女性进行体重管理、戒烟和压力管理技术。应在整个产前和产前阶段开展教育运动，以加强母乳喂养做法。此外，应该为IPV的管理提供强有力的政策、法律援助和支持，以降低妇女高血压的风险。

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Prevalence and modifiable determinants of hypertension among women in Bangladesh: A modified poisson regression analysis of nationwide data 2022

Objectives

Hypertension in women must be detected early and managed properly. Identifying risk factors among women in a certain region or country can help prevent its effects and lower the risk of early death. Our study aimed to identify prevalence and modifiable determinants of hypertension among ever-married women in Bangladesh.

Study design

Nationwide cross-sectional study.

Methods

The study employed latest 2022 Bangladesh Demographic and Health Survey (BDHS) dataset, selecting 4737 ever-married women for analysis. Modified Poisson regression with robust variance was applied to estimate the prevalence ratios of the determinants in our investigation, utilizing a 95 % confidence interval and a significance threshold of p < 0.05.

Results

The study revealed high prevalence of hypertension in Rangamati (Parbattya Chattagram) and Sylhet. Regarding modifiable determinants, higher prevalence was found among women with overweight (aPR: 1.81; 95 % CI: 1.63–2.01), hyperglycemia (aPR: 1.29; 95 % CI: 1.12–1.49), those who took doctor-prescribed medication for mental health (aPR: 1.40; 95 % CI: 1.08–1.80), those who experienced intimate partner violence (IPV) (aPR: 1.18; 95 % CI: 1.03–1.36), and those who smoke tobacco (aPR: 1.25; 95 % CI: 1.04–1.50). Moreover, lactation is associated with a decreased risk of developing hypertension (aPR: 0.49; 95 % CI: 0.41–0.58) among Bangladeshi women.

Conclusions

Governments and NGOs should initiate awareness programs encouraging women in weight management, tobacco smoking cessation, and stress management techniques. Educational campaigns should be implemented throughout the antenatal and prenatal stages to enhance breastfeeding practices. Additionally, robust policies, legal assistance, and support should be provided for the management of IPV to reduce the risk of hypertension among women.

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.