老年妇女患高血压的可能性

F. A. Yulianto, N. Romadhona, Febyana Rosarianto, Vihannis Rahmanda, Salman Barlian, Tresya Anggi Tania, Romy Reynaldi Gunawan, S. Ul Haque, Rifa Nataputri, Aulia Nur Amalia, Paulina Maresta, Haris Nugroho
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引用次数: 0

摘要

高血压是印度尼西亚的一个问题,患病率为34.1%。这一数字反映了帕西尔詹布公共卫生中心2016年临床报告中高血压患者的数量,该报告将其列为最突出的非传染性疾病。本研究旨在了解卫生院所在村高血压的具体发病年龄和危险因素。2017年5月,一项快速调查收集了数据,其中210名女性(代表她们的家庭)在各自的集群中随机选择。通过稳健和简约的逻辑回归模型分析风险因素,并将年龄的概率计数作为最终预测。高血压患病率为59.5%(95%CI:52.966.2%)。经其他风险因素调整后,女性在40岁时患高血压的几率为42.9%(95%CI:33.752.1%)。尽管只有两个可改变的风险因素可以干预,但降低高血压的发病速度和患病率是值得的。妇女高血压是印度尼西亚的一个问题,其患病率为34.1%,在Pasirjambu Puskesmas的年度报告中,这并不是其工作场所最具传染性的疾病。本研究的目的是了解高血压的年龄及其危险因素。数据收集是通过2017年5月的一项快速调查进行的,共有210名女性代表她随机选择的家庭。使用逻辑回归分析的风险因素与最终结果是可预测的。研究显示,高血压的患病率为59.5%(95%CI:52.966.2%)。年龄(OR=1.06;p=0.00)、压力(OR=1.74;p=0.09)和家族性高血压史(OR=1.99;p=0.03)成为一个危险因素,而食用含盐食物的频率(OR=0.64;p=0.10)则成为一个保护因素。在调整了其他变量后,患高血压的可能性为42.9%(95%CI:33.752.1%)。即使只有两个风险因素可以改变,也可以在那个年龄段进行预防,以降低事件的发生率和速度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Probability of Hypertension in Advancing Ages of Women
Hypertension is a problem in Indonesia, with 34.1% prevalence. The number reflected the number of hypertensive patients in the 2016 clinic report of Pasirjambu Public Health Center as the most prominent non-communicable disease. This research aimed to discover the specific age of onset and risk factors of hypertension in the village where the health center located. A rapid survey collected the data in May 2017, where 210 women (representing their household) were chosen by randomization inside their respective clusters. Risk factors were analyzed by a robust and parsimonious logistic regression model along with probability count on age as the final prediction. The prevalence of hypertension was 59.5% (95%CI: 52.9, 66.2%). Risk factors for hypertension were age (OR=1.06, p=0.00), stress (OR=1.74, p=0.09) and family history (OR=1.99, p=0.03) but the protective factor was consumption frequency of salty food (OR=0.64, p=0.10). In conclusion, a woman would have a 42.9% chance (95%CI: 33.7, 52.1%) for having hypertension at 40 years old of age after adjusted by other risk factors. Despite only two modifiable risk factors that can be intervened with, it would be worth trying to decrease the pace of onset in hypertension and the prevalence. KEMUNGKINAN HIPERTENSI BERDASAR ATAS USIA PADA WANITA Hipertensi merupakan sebuah masalah di Indonesia dengan prevalensi sebesar 34,1%, angka tersebut terlihat dalam laporan tahunan Puskesmas Pasirjambu sebagai penyakit tidak menular terbanyak di wilayah kerjanya. Tujuan penelitian ini adalah mengetahui usia munculnya hipertensi dan faktor risikonya. Pengumpulan data dilakukan melalui survei cepat di bulan Mei 2017, melibatkan 210 wanita yang mewakili  rumah tangganya dipilih secara random. Faktor risiko dianalisis menggunakan regresi logistik dengan hasil akhir berupa prediksi kemungkinan. Hasil penelitian menunjukkan prevalensi hipertensi sebesar 59,5% (IK95%: 52,9; 66,2%). Usia (OR=1,06; p=0,00), stress (OR=1,74; p=0,09) dan riwayat hipertensi dalam keluarga (OR=1,99; p=0,03) menjadi faktor risiko, sedangkan frekuensi konsumsi makanan asin (OR=0,64; p=0,10) menjadi faktor protektif. Setelah adjusted terhadap variabel lain, kemungkinan untuk hipertensi seorang wanita usia 40 tahun sebesar 42,9% (IK95%: 33,7; 52,1%). Pencegahan untuk menurunkan prevalensi dan laju insidensi dapat dilakukan dalam usia tersebut walaupun hanya ada dua faktor risiko yang dapat dimodifikasi.
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