Undiagnosed Hypertension Among Market Salespersons in Kitgum Central Market, Northern Uganda.

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE Integrated Blood Pressure Control Pub Date : 2023-01-01 DOI:10.2147/IBPC.S402988
Denish Kilama, Daniel Okumu Ayella, Isaac Asiimwe, Betty Nakibuuka, Florence Laker, Felix Bongomin
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引用次数: 1

Abstract

Introduction: Hypertension may be common among market salespersons who are mostly physically inactive throughout the day. However, the burden of hypertension in this population remains unknown. In this study, we determined the prevalence of undiagnosed hypertension and associated factors among market salesperson in Kitgum central market, Kitgum district, Northern Uganda.

Methods: A cross-sectional study, recruiting market salespersons aged 18 years or older without a prior diagnosis of hypertension or currently on anti-hypertensive therapy was conducted. A standardized questionnaire was administered, and body mass index (BMI) estimated. Hypertension was defined as two consistent measurements of systolic blood pressure ≥140mmHg and/or diastolic blood pressure ≥90mmHg measured 4 hours apart. Multivariable logistic regression analysis was performed to determine factors independently associated with undiagnosed hypertension. P<0.05 was considered statistically significant.

Results: We enrolled 240 participants. The mean age was 39.4 ± 12.8 years. Most (83.3%, n=199) participants were female and urban dwellers (88.3%, n=212). The prevalence of undiagnosed hypertension was 16.7% (n=40). Of the 40 participants with hypertension, 16 (40%) were younger than 40 years. Factors associated with undiagnosed hypertension were, age >50 years (adjusted odds ratio (aOR): 7.0, 95% confidence interval (CI): 1.9-25.6, p=0.003), male gender (aOR: 4.2, 95CI: 1.5-11.1, p=0.005), alcohol consumption (aOR: 2.6, 95CI: 1.1-6.0, p=0.021), and being overweight (aOR: 3.6, 95CI: 1.5-8.8, p=0.005).

Conclusion: About one in six of market salespersons had undiagnosed hypertension, with a disproportionately high burden among those younger than 40 years. A larger multi-centric study is recommended to confirm our findings.

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乌干达北部Kitgum中央市场销售人员未确诊的高血压
导读:高血压可能在市场销售人员中很常见,他们全天大多不运动。然而,这一人群的高血压负担仍然未知。在这项研究中,我们确定了乌干达北部Kitgum地区Kitgum中心市场销售人员中未确诊高血压的患病率及其相关因素。方法:采用横断面研究,招募年龄在18岁及以上、既往无高血压诊断或目前正在接受抗高血压治疗的市场销售人员。进行了标准化问卷调查,并估计了身体质量指数(BMI)。高血压定义为连续4小时测量收缩压≥140mmHg和/或舒张压≥90mmHg。采用多变量logistic回归分析确定与未确诊高血压独立相关的因素。结果:我们招募了240名参与者。平均年龄39.4±12.8岁。大多数(83.3%,n=199)参与者是女性和城市居民(88.3%,n=212)。未确诊的高血压患病率为16.7% (n=40)。在40名高血压患者中,16名(40%)年龄小于40岁。与未确诊高血压相关的因素有:年龄>50岁(校正优势比(aOR): 7.0, 95%可信区间(CI): 1.9-25.6, p=0.003)、男性(aOR: 4.2, 95CI: 1.5-11.1, p=0.005)、饮酒(aOR: 2.6, 95CI: 1.1-6.0, p=0.021)和超重(aOR: 3.6, 95CI: 1.5-8.8, p=0.005)。结论:约六分之一的市场销售人员患有未确诊的高血压,其中年龄小于40岁的负担高得不成比例。建议进行更大规模的多中心研究来证实我们的发现。
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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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