2019冠状病毒病大流行期间牙买加人高血压、血压和脉搏率的健康状况和预测因素

P. Bourne, Vincent M.S. Peterkin
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摘要

当前研究的目的是检查牙买加人在COVID-19期间的健康状况、脉搏率、体重指数(BMI)、高血压以及影响1)高血压、2)血压和3)脉搏率的因素。本研究采用方便抽样的关联研究设计横断面调查法进行。这项研究调查了年龄、性别、身体质量指数、高血压和血压在15至85岁及以上的牙买加人之间的相关性。采用横断面研究和关联研究设计收集2020年6月至8月的数据。研究表明,性别、年龄和脉搏率对高血压有显著的预测作用,模型综合检验(χ2(4) =138.947, P < 0.0001, -2Ll=2098.67), Wald统计量为90.161,P < 0.0001,模型方差为10.8% (Nagelkerke R2)。此外,普通最小二乘(OLS)回归可以用来模拟牙买加人的脉搏率(bpm) (F [4,1676] =17.236, P < 0.0001),该模型解释了牙买加人脉搏率4.0%的方差。性别、身体质量指数和高血压是决定牙买加人脉搏率的因素。舒张压和收缩压由年龄、体重和脉搏率决定,年龄是最重要的预测因子。超重和肥胖人群患高血压的风险更高。发现性别与血压和高血压相关;女性参与者比男性参与者更容易患高血压。在公共卫生策略中,应推荐BMI测量作为一种简单有效的高血压预测指标。有经验证据可以用来证明,自2020年3月10日以来,牙买加人的健康状况有所恶化,Covid-19带来了不健康的生活方式,这些不健康的生活方式将在2021年及以后面临公共卫生挑战。
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Health Status and Predictors of Hypertension, Blood Pressure, and Pulse Rate of Jamaicans During the Covid-19 Pandemic
The objectives of the current research are to examine Jamaicans’ health status, pulse rate, body mass index (BMI), hypertension, and factors influencing 1) hypertension, 2) blood pressure, and 3) pulse rate, during COVID-19. A cross-sectional survey using associational research design by way of convenience sampling was used to conduct this research. This study examined correlation of age, gender, BMI, hypertension, and blood pressure among Jamaicans age ranging from 15 to 85 and above. Cross–sectional study and associational research design were used to collect data for the period of June to August 2020. The study demonstrated that hypertension is significantly predicted by gender, age, and pulse rate one─Omnibus tests of model (χ2(4) =138.947, P < 0.0001, -2Ll=2098.67) and Wald statistic being 90.161, P < 0.0001, and the variance in model 10.8% (Nagelkerke R2). Furthermore, ordinary least square (OLS) regression can be used to model pulse rate (bpm) for Jamaicans (F [4, 1676] =17.236, P < 0.0001), with the model explaining 4.0% of the variance in pulse rate of Jamaicans. Gender, BMI and Hypertensive emerged as the factors that determine the pulse rate of Jamaicans. Diastolic & systolic blood pressure were determined by age, weight, and pulse rate, with age being the most significant predictor. The risk of hypertension was higher among population groups who were overweight and obese. Gender was found to correlate with blood pressure and hypertension; female participants were more likely to be hypertensive than the male participants. BMI measurement should be recommended as a simple and effective predictor of hypertension in public health strategies. There is empirical evidence that can be used to establish that Jamaicans health status has worsen since March 10, 2020, and that Covid-19 has brought with it unhealthy lifestyle practices, which are pending public health challenges come 2021 and beyond.
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