伊朗阿巴斯港综合保健中心覆盖的个人血压状况及其指标

S. Fallahi, Shideh Rafati, Hesamaddin Kamalzadeh, T. Aghamolaei, Hossein Farshidi, Masoud Dadras, Seyedeh Masoumeh Mousavinejad, Farideh Dastsouz, M. Nikparvar
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引用次数: 0

摘要

背景:控制高血压是心血管危险因素管理的关键组成部分,是预防策略的重要组成部分。材料和方法:本描述性横断面研究于2019年7月至2020年2月在阿巴斯港的七个综合保健中心进行,涵盖了大多数家庭。据估计,样本量包括968人。组间比较采用独立样本t检验和卡方检验。此外,采用logistic回归分析确定影响血压失控的因素。结果:本组患者中,女性占68.4%,男性占31.6%,其中单身136例,已婚756例。随着年龄的增加,男女高血压未控制患病率均显著增加(P<0.001)。单因素logistic回归(粗比值比,or)显示,年龄超过60岁、吸烟、糖尿病、缺乏运动和盐的使用是影响未控制的高血压存在的最重要因素。多变量logistic回归模型结果显示,吸烟是影响高血压无法控制的最重要因素,在控制其他变量的影响后,吸烟者无法控制高血压的几率是非吸烟者的2.76倍(调整OR: 2.76, 95%可信区间:1.05 ~ 7.26)。结论:由于食用食盐、久坐不动的生活方式和吸烟是心血管疾病的危险因素,强烈建议制定必要的预防和治疗计划,通过公众教育控制可改变的危险因素。
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Blood Pressure Status and Its Indicators in Individuals Covered by Integrated Health Centers in Bandar Abbas, Iran
Background: Controlling hypertension is a key component in the management of cardiovascular risk factors and is an essential part of the prevention strategy. Materials and Methods: This descriptive cross-sectional study was conducted in seven integrated health centers covering most families in Bandar Abbas from July 2019 to February 2020. The sample size was estimated to include 968 individuals. Independent samples t-test and Chi-square test were used to compare groups. In addition, some factors affecting uncontrolled blood pressure were identified using logistic regression. Results: In this study, 68.4% and 31.6% were women and men, respectively, of whom 136 cases were single, while 756 cases were married. With an increase in age, the prevalence of uncontrolled hypertension in both genders showed a significant increase (P<0.001). Univariate logistic regression (crude odds ratios, ORs) demonstrated that age over 60 years, smoking, diabetes mellitus, physical inactivity, and the use of salt were the most important factors influencing the presence of uncontrolled hypertension. According to the results of the multivariable logistic regression model, smoking was the most important factor affecting the inability to control hypertension since controlling the effect of other variables triggered the chance of not controlling hypertension in smokers as 2.76 times higher than in non-smokers (adjusted OR: 2.76, 95% confidence interval: 1.05-7.26). Conclusion: Since using table salt, a sedentary lifestyle, and smoking count as risk factors for cardiovascular diseases, necessary prevention and treatment planning are strongly recommended to control modifiable risk factors in this city through public education.
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