成年伊拉克人的高血压控制

Nada Abdul Wahhab Mousa, Muna A, Khaleefah, H. J. Al-Badri
{"title":"成年伊拉克人的高血压控制","authors":"Nada Abdul Wahhab Mousa, Muna A, Khaleefah, H. J. Al-Badri","doi":"10.32007/jfacmedbagdad.6431935","DOIUrl":null,"url":null,"abstract":"Background: Hypertension is a chronic illness that affects one billion people both in high and low-income countries and is the most common risk factor for death throughout the world. It is also responsible for stroke, ischemic heart disease, heart, and kidney failure in addition to its huge effect on the economy. Like many developing countries, Iraq is undergoing a transitional epidemiological period with increasing burden of hypertension and its contributing risk factors e.g. unhealthy diet, physical inactivity, obesity, hyperglycemias, hypercholesterolemia, and smoking. In spite of the availability of a screening program for the early detection of hypertension in primary health care centres (PHCCs) little data on hypertension control is available.\nObjectives: Assessing blood pressure control rate among Iraqi adults 18 years and older, and identifying the related determinants.\nPatients and Methods: The study is derived from the second round of Non-Communicable Diseases Risk Factors STEPS survey Iraq 2016. A cross-sectional survey was performed on households from all Iraqi governorates excluding three governorates suffering instability. A Multi-stage cluster sampling technique for a sample of 4120 Iraqi adults was used. Interviews were held from the first week of November for 20 days using Arabic and Kurdish translated versions of STEPS questionnaire. A total of 4071 residents participated.\nResults: the prevalence of hypertension/ high blood pressure was 35.6%. Only 7.9% were under medication and controlled with an evident sex-based difference in favour of women (9.3% vs. 6.6% respectively). Uncontrolled blood pressure increased with age (t=7.4 p=<0.001), and declined with years of education (t= -3.3 p=0.01).  It was significant among subjects with hyper-triglycerides (X²= 4.07 p= 0.044), consumption of salty processed food (X²= 7.35 p= 0.007). Blood pressure was not controlled among those reported being currently on medication (X²= 22.4 p= < 0.001).\nConclusions: Blood pressure control rate is low among Iraqi adults on medical and lifestyle management. Further assessment and strengthening of clinical practice on hypertension management is recommended.","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2022-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Hypertension Control among Adult Iraqis\",\"authors\":\"Nada Abdul Wahhab Mousa, Muna A, Khaleefah, H. J. Al-Badri\",\"doi\":\"10.32007/jfacmedbagdad.6431935\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Hypertension is a chronic illness that affects one billion people both in high and low-income countries and is the most common risk factor for death throughout the world. It is also responsible for stroke, ischemic heart disease, heart, and kidney failure in addition to its huge effect on the economy. Like many developing countries, Iraq is undergoing a transitional epidemiological period with increasing burden of hypertension and its contributing risk factors e.g. unhealthy diet, physical inactivity, obesity, hyperglycemias, hypercholesterolemia, and smoking. In spite of the availability of a screening program for the early detection of hypertension in primary health care centres (PHCCs) little data on hypertension control is available.\\nObjectives: Assessing blood pressure control rate among Iraqi adults 18 years and older, and identifying the related determinants.\\nPatients and Methods: The study is derived from the second round of Non-Communicable Diseases Risk Factors STEPS survey Iraq 2016. A cross-sectional survey was performed on households from all Iraqi governorates excluding three governorates suffering instability. A Multi-stage cluster sampling technique for a sample of 4120 Iraqi adults was used. Interviews were held from the first week of November for 20 days using Arabic and Kurdish translated versions of STEPS questionnaire. A total of 4071 residents participated.\\nResults: the prevalence of hypertension/ high blood pressure was 35.6%. Only 7.9% were under medication and controlled with an evident sex-based difference in favour of women (9.3% vs. 6.6% respectively). Uncontrolled blood pressure increased with age (t=7.4 p=<0.001), and declined with years of education (t= -3.3 p=0.01).  It was significant among subjects with hyper-triglycerides (X²= 4.07 p= 0.044), consumption of salty processed food (X²= 7.35 p= 0.007). Blood pressure was not controlled among those reported being currently on medication (X²= 22.4 p= < 0.001).\\nConclusions: Blood pressure control rate is low among Iraqi adults on medical and lifestyle management. Further assessment and strengthening of clinical practice on hypertension management is recommended.\",\"PeriodicalId\":33125,\"journal\":{\"name\":\"mjl@ kly@ lTb\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-10-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"mjl@ kly@ lTb\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.32007/jfacmedbagdad.6431935\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"mjl@ kly@ lTb","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.32007/jfacmedbagdad.6431935","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1

摘要

背景:高血压是一种慢性疾病,影响着高收入和低收入国家的10亿人,是全世界最常见的死亡危险因素。除了对经济产生巨大影响外,它还会导致中风、缺血性心脏病、心脏病和肾衰竭。与许多发展中国家一样,伊拉克正处于流行病学的过渡时期,高血压的负担日益加重,造成高血压的危险因素包括不健康的饮食、缺乏体育活动、肥胖、高血糖、高胆固醇血症和吸烟。尽管在初级卫生保健中心有一个早期发现高血压的筛查方案,但关于高血压控制的数据很少。目的:评估伊拉克18岁及以上成年人的血压控制率,并确定相关决定因素。患者和方法:该研究来源于2016年伊拉克第二轮非传染性疾病风险因素STEPS调查。对伊拉克所有省份的家庭进行了横断面调查,不包括三个遭受不稳定的省份。对4120名伊拉克成年人采用了多阶段整群抽样技术。从11月的第一个星期开始,用阿拉伯语和库尔德语翻译的STEPS问卷进行了为期20天的访谈。共有4071名居民参与了调查。结果:高血压/高血压患病率为35.6%。只有7.9%的人接受药物治疗并得到控制,性别差异明显(分别为9.3%和6.6%)。未控制血压随年龄增加而升高(t=7.4 p=<0.001),随受教育年限下降(t= -3.3 p=0.01)。在高甘油三酯(X²= 4.07 p= 0.044)和食用咸加工食品(X²= 7.35 p= 0.007)的受试者中具有显著性意义。目前正在服药的患者血压未得到控制(X²= 22.4 p= < 0.001)。结论:通过医疗和生活方式管理,伊拉克成年人血压控制率较低。建议进一步评估和加强高血压管理的临床实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Hypertension Control among Adult Iraqis
Background: Hypertension is a chronic illness that affects one billion people both in high and low-income countries and is the most common risk factor for death throughout the world. It is also responsible for stroke, ischemic heart disease, heart, and kidney failure in addition to its huge effect on the economy. Like many developing countries, Iraq is undergoing a transitional epidemiological period with increasing burden of hypertension and its contributing risk factors e.g. unhealthy diet, physical inactivity, obesity, hyperglycemias, hypercholesterolemia, and smoking. In spite of the availability of a screening program for the early detection of hypertension in primary health care centres (PHCCs) little data on hypertension control is available. Objectives: Assessing blood pressure control rate among Iraqi adults 18 years and older, and identifying the related determinants. Patients and Methods: The study is derived from the second round of Non-Communicable Diseases Risk Factors STEPS survey Iraq 2016. A cross-sectional survey was performed on households from all Iraqi governorates excluding three governorates suffering instability. A Multi-stage cluster sampling technique for a sample of 4120 Iraqi adults was used. Interviews were held from the first week of November for 20 days using Arabic and Kurdish translated versions of STEPS questionnaire. A total of 4071 residents participated. Results: the prevalence of hypertension/ high blood pressure was 35.6%. Only 7.9% were under medication and controlled with an evident sex-based difference in favour of women (9.3% vs. 6.6% respectively). Uncontrolled blood pressure increased with age (t=7.4 p=<0.001), and declined with years of education (t= -3.3 p=0.01).  It was significant among subjects with hyper-triglycerides (X²= 4.07 p= 0.044), consumption of salty processed food (X²= 7.35 p= 0.007). Blood pressure was not controlled among those reported being currently on medication (X²= 22.4 p= < 0.001). Conclusions: Blood pressure control rate is low among Iraqi adults on medical and lifestyle management. Further assessment and strengthening of clinical practice on hypertension management is recommended.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
35
审稿时长
24 weeks
期刊最新文献
Preparation of Idebenone as a Thermosetting Nasal Gel for Better Bioavailability and Histopathological Effect Preparation and Characterization of Prednisolone Acetate Microemulsion for Ophthalmic Use The Advantages of Combined Regional and General Anesthesia in Ophthalmic Surgery in Children A Cross-Sectional Study of Urinary Neutrophil Gelatinase-Associated Lipocalin and its Association with Steroid Responsiveness in Iraqi Children with Idiopathic Nephrotic Syndrome A Comparative Study between Dusting and Fragmentation in Intracorporeal Laser Lithotripsy in Distal Ureteric Stone
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1