Examining the prevalence of hypertension by urban–rural stratification: A Cross-sectional study of nepal demographic and health survey

M. Khan, Sabira Naznin, H. Halder, Umama Khan, M. Hossain, Tanjim Siddiquee
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引用次数: 6

Abstract

Introduction: Nepal has one of the highest prevalences of hypertension in South Asia, which also causes other cardiovascular diseases. However, no studies investigated the prevalence and risk factors of hypertension by urban-rural stratification. Methods: We used a machine learning, Boruta algorithm to select risk factors and a tenfold random forest classifier to evaluate their performance. Finally, multivariate logistic regression estimated crude and adjusted odds ratios with 95% confidence intervals for knowledge generation. Results: The study included 7825 participants (urban: 4939; rural: 2886), where rural participants were slightly older (median: 37 years; interquartile range: 26–53) and females were more hypertensive (urban: n = 606, 34.5%; rural: n = 308, 31.2%). The prevalence of hypertension was 35.6% in urban and 34.1% in rural regions. The odds of hypertension increased in rural regions for advancing age, provinces (province 4 and 5), and ecological zones (hill and terai). Overweight and obese participants were more likely to have hypertension in both regions. Conclusion: The study recommends the rigorous improvement of public health programs in rural regions of province 4 and 5, concentrating on Dalit and Janajati older males from hill and terai ecological zones. Overweight and obese people from both regions also need special focus. Finally, policymakers and government officials have to tailor campaigns differently for robust implementation of the essential health-care package and multisectoral action plans to prevent and control hypertension.
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通过城乡分层检查高血压患病率:尼泊尔人口与健康调查的横断面研究
尼泊尔是南亚高血压患病率最高的国家之一,高血压也会导致其他心血管疾病。然而,没有研究通过城乡分层调查高血压的患病率和危险因素。方法:使用机器学习、Boruta算法选择风险因素,并使用十倍随机森林分类器评估其性能。最后,多元逻辑回归以95%置信区间估计知识生成的粗比值比和调整比值比。结果:共纳入7825名受试者(市区4939人;农村:2886),其中农村参与者年龄稍大(中位数:37岁;四分位数范围:26-53)和女性高血压发生率更高(城市:n = 606, 34.5%;农村:n = 308, 31.2%)。城市高血压患病率为35.6%,农村为34.1%。农村地区、省(省4、省5)、生态区(山区、台地)高血压发病率增高。超重和肥胖的参与者更有可能在这两个地区患高血压。结论:本研究建议严格改善4省和5省农村地区的公共卫生项目,重点关注来自山地和泰瑞生态区的达利特和贾纳贾提老年男性。来自这两个地区的超重和肥胖人群也需要特别关注。最后,决策者和政府官员必须以不同的方式量身定制运动,以有力地执行基本保健一揽子计划和预防和控制高血压的多部门行动计划。
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来源期刊
Asian Journal of Social Health and Behavior
Asian Journal of Social Health and Behavior Social Sciences-Health (social science)
CiteScore
8.50
自引率
0.00%
发文量
18
审稿时长
17 weeks
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