东加勒比地区粮食不安全和高血压的流行,意识和控制 卫生结果 研究网络研究 研究
Carol R Oladele1, Neha Khandpur2, Deron Galusha1
1Equity Research and Innovation Center, Yale School of Medicine, New Haven, Connecticut, United States of America.
PLOS global public health
|May 5, 2025
概括
在东加勒比地区,粮食不安全与不受控制的高血压有关,特别是在女性中. 通过营养政策解决粮食不安全问题对于更好的高血压管理和健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 心血管健康 心血管健康
- 营养流行病学 营养流行病学
背景情况:
- 加勒比地区粮食不安全 (FI) 和高血压的高负担.
- 关于FI与该地区高血压护理级联之间的关联的研究有限.
研究的目的:
- 检查粮食不安全与高血压患病率,意识和控制在东加勒比地区之间的关系.
- 为了调查这种关联中潜在的性别差异.
主要方法:
- 来自东加勒比卫生结果研究网络队列研究 (n=2961) 的基线数据的横截面分析.
- 使用拉丁美洲和加勒比地区粮食安全量表 (ELCSA) 评估的粮食不安全性.
- 按既定指南定义的高血压;Poisson回归用于估计患病率.
主要成果:
- 总体而言,粮食不安全的流行率为28%.
- 在粮食不安全和高血压患病率或意识之间没有发现显著的关联.
- 中度和严重的粮食不安全与30%更高的不受控制的高血压患病率有关.
- 与粮食安全妇女相比,中度和严重的粮食不安全妇女患有40-41%的失控高血压;男性的结果没有统计学意义.
结论:
- 粮食不安全,特别是在妇女中,与加勒比东部地区的高血压控制较差有关.
- 建议制定营养政策,以减少粮食不安全,改善获得营养食品的机会.
- 需要进一步的研究来了解粮食不安全的性别差异及其对高血压的影响.
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