埃塞俄比亚南部成人高血压患病率及相关因素

International Journal of Chronic Diseases Pub Date : 2020-04-11 eCollection Date: 2020-01-01 DOI:10.1155/2020/8020129
Belachew Kebede, Gistane Ayele, Desta Haftu, Gebrekiros Gebremichael
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引用次数: 14

摘要

背景:高血压是包括埃塞俄比亚在内的许多发展中国家日益严重的公共卫生问题。确定高血压的患病率和相关因素是至关重要的。目的:了解埃塞俄比亚南部国家、民族和民族地区加莫区Arba Minch镇成人高血压患病率及相关因素。方法:于2017年12月1日至30日在成人中进行横断面研究设计。研究对象的选择采用多阶段系统抽样方法。数据采集采用结构化问卷,在获得书面知情同意后,采用面对面访谈的方式进行。此外,按照标准程序测量了参与者的体重、身高和血压。使用EPI INFO 7将数据输入计算机,并导出到SPSS version 20进行分析。采用双变量和多变量分析探讨高血压及其相关因素之间的关系。采用多变量logistic回归控制混杂因素的影响。结果:本研究共纳入784名研究对象。Arba Minch镇的高血压总患病率为35.2% (95% CI: 32.4%, 38.4%)。近90%的高血压患者是第一次筛查。年龄≥55岁[AOR = 7.74;95% CI: 2.19, 27.23],收入水平大于2501 Ethiopian Birr [AOR = 9.5];95% CI: 4.5, 20.20],每天工作时间少于7小时[AOR = 12.5;95% CI: 4.3, 36.1]和咀嚼“阿拉伯茶”[AOR = 11.06: 95% CI: 4.3, 27.7]是高血压的独立相关因素。结论:本区高血压患病率较高。建议提高对控制“阿拉伯茶”使用的认识,增加身体活动,并加强以社区为基础的高危人群定期筛查计划。
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The Prevalence and Associated Factors of Hypertension among Adults in Southern Ethiopia.

Background: Hypertension is a growing public health problem in many developing countries including Ethiopia. Determining the prevalence of hypertension and identifying the associated factors is crucial.

Objective: To assess the prevalence of hypertension and associated factors, among adult population of Arba Minch town, Gamo Zone, Southern Nations, Nationalities and Peoples Region, Ethiopia.

Methods: A cross-sectional study design was conducted from December 1 to 30, 2017 among adults. Study participants were selected using a multistage systematic sampling method. Data were collected by face-to-face interview after getting written informed consent by using a structured questionnaire. Additionally, weight, height, and blood pressure of participants were measured following standard procedures. Data were entered into a computer using EPI INFO 7 and exported into SPSS version 20 for analysis. Bivariate and multivariable analyses were performed to explore the association between hypertension and associated factors. Multivariable logistic regressions were fitted to control the effect of confounders.

Results: A total of 784 study participants were included in this study. The overall prevalence of hypertension in Arba Minch Town was 35.2%, (95% CI: 32.4%, 38.4%). Nearly 90% of hypertensive patients were screened for the first time. Age ≥55 years [AOR = 7.74; 95% CI: 2.19, 27.23], income level which is greater than 2501 Ethiopian Birr [AOR = 9.5; 95% CI: 4.5, 20.20], working hour less than seven hours per day [AOR = 12.5; 95% CI: 4.3, 36.1], and chewing "khat" [AOR = 11.06: 95% CI: 4.3, 27.7] were the independently associated factors with hypertension.

Conclusion: The prevalence of hypertension is found to be high. Increasing awareness on control use of "khat," increasing physical activity, and strengthening community-based periodic screening programs of high-risk populations are recommended.

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