高血压的诊断,治疗和控制在印度
Jithin Sam Varghese1,2, Nikhil Srinivasapura Venkateshmurthy3, Nikkil Sudharsanan4,5
1Emory Global Diabetes Research Center, Woodruff Health Sciences Center, Emory University, Atlanta, Georgia.
JAMA network open
|October 23, 2023
概括
超过四分之一的印度成年人患有高血压,但诊断,治疗和控制率很低. 显著的地区级差异凸显了需要本地化策略来改善印度各地的高血压护理.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管疾病研究研究
背景情况:
- 高血压是全球疾病和死亡的主要原因.
- 印度先前的研究没有分析高血压护理的区级差异.
- 了解当地差异对于有效的高血压管理计划至关重要.
研究的目的:
- 分析印度的高血压护理连续性.
- 评估区级诊断,治疗和控制方面的差异.
主要方法:
- 利用了第五次全国家庭健康调查 (2019-2021) 的数据,覆盖了超过160万名成年人.
- 根据自我报告或测量血压 (≥140/90 mm Hg) 定义的高血压.
- 用于诊断,治疗和控制的计算比例,使用通用线性混合模型划分差异.
主要成果:
- 28.1%的成年人患有高血压;只有36.9%的人被诊断出高血压,17.7%的人接受治疗,8.5%的人控制.
- 观察到重要的地区级差异:诊断 (6.3%-77.5%),治疗 (8.7%-97.1%) 和控制 (2.7%-76.6%).
- 护理连续性指标的大部分变化发生在各州内,而不是在各州之间.
结论:
- 这项研究揭示了印度高血压诊断,治疗和控制方面的重大差距.
- 在高血压护理连续过程中,地区层面的巨大差异需要定制的,分散的干预措施.
- 解决这些局部变异是减少印度高血压负担的关键.
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