在秘鲁成年人中,与高血压危机相关的流行,趋势和因素
Victor Calderon-Ocon1, Fiorella Cueva-Peredo1, Antonio Bernabe-Ortiz1
1Universidad Científica del Sur, Lima, Perú.
Cadernos de saude publica
|February 21, 2024
概括
秘鲁的高血压危机患病率在2014-2022年期间下降. 诸如男性性别,年龄,城市生活,高BMI和糖尿病等因素增加了风险,而教育,社会经济地位和高度降低了风险. 需要改善高血压控制.
科学领域:
- 流行病学 流行病学
- 心血管健康 心血管健康
- 资源有限的环境中的公共卫生.
背景情况:
- 在资源有限的地区,高血压危机流行病学研究不足.
- 了解人口层面的趋势和风险因素对于公共卫生干预至关重要.
研究的目的:
- 确定秘鲁高血压危机的流行率和时间趋势.
- 确定与秘鲁成年人高血压危机相关的因素.
主要方法:
- 2014-2022年秘鲁人口和家庭健康调查 (ENDES) 的二次数据分析.
- 定义高血压危机为静缩血压≥180mmHg或静缩血压≥110mmHg.
- 使用多项逻辑回归和Cochrane-Armitage测试进行分析.
主要成果:
- 整体高血压危机患病率为1.5% (高血压患者中为5.7%).
- 患病率显著下降,从2014年的1.7%降至2022年的1.4% (p=0.001).
- 相关因素包括男性性别,年龄较大,城市居住,高BMI和2型糖尿病;高等教育,社会经济地位和高度显示反向关联.
结论:
- 在秘鲁观察到高血压危机的下降趋势.
- 需要有针对性的干预措施来改善高血压的诊断,治疗和控制,特别是高血压危机.
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