自我报告的高血压和相关因素在越南成年人中的有效性:一个横截面研究
Hoang Thi Hai Van1, Dang Thi Huong2, Tran Ngoc Anh3
1Department of Global Health, School of Preventive and Public Health, Hanoi Medical University, Hanoi, Vietnam.
Blood pressure
|December 1, 2023
概括
在越南,自我报告的高血压患病率是不可靠的,自我报告和客观测量之间存在重大分歧. 早期发现高血压对于减轻健康风险至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管健康 心血管健康
背景情况:
- 高血压是全球主要的健康问题.
- 准确的高血压检测对于及时干预和管理至关重要.
- 了解自我报告数据的有效性对于公共卫生监测至关重要.
研究的目的:
- 评估对越南成年人客观血压测量的自我报告高血压的准确性.
- 确定与自我报告和测量高血压之间的差异相关的人口和临床因素.
主要方法:
- 一项涉及越南4219名成年人的横截面研究.
- 自我报告的高血压状态与测量血压的比较.
- 统计分析使用科恩的卡帕协议和逻辑回归因素识别.
主要成果:
- 自我报告的高血压患病率 (13.2%) 低于测量患病率 (20.9%).
- 在自我报告和测量的高血压之间观察到适度一致 (κ=0.39).
- 对于自我报告的高血压,特异性高 (93.9%),但敏感性低 (40.1%),导致不同意率为17.3%.
结论:
- 在越南,自我报告和测量高血压之间存在显著的分歧,突出了潜在的低诊断.
- 诸如男性性别,40岁以上的年龄,少数民族,农业职业和BMI>25 kg/m2等因素与更高的分歧有关.
- 这些发现强调需要改进高血压查和宣传计划,以确保早期检测和管理.
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