在开普敦,高血压检测,治疗和控制的患病率和相关性
Nasheeta Peer1,2, Naomi Levitt3,4, Carl Lombard5
1Non-Communicable Diseases Research Unit, South African Medical Research Council, Durban and Cape Town, South Africa. nasheeta.peer@mrc.ac.za.
BMC public health
|May 6, 2025
概括
城市黑人南非人的高血压护理不够理想,女性和糖尿病患者得到更好的护理. 较贫穷和较少城市化的人面临检测挑战,需要公平的高血压管理策略.
科学领域:
- 公共卫生 公共卫生
- 心血管流行病学心血管流行病学
- 健康差异 在健康上的差异
背景情况:
- 高血压的患病率很高,在全球范围内不断增加,南非观察到低于最佳的护理.
- 有效的高血压管理对于预防心血管疾病和死亡率至关重要.
研究的目的:
- 为了确定高血压的患病率,检测,治疗和控制.
- 在南非开普敦的城市黑人成年人中确定与高血压护理相关的因素.
主要方法:
- 一项基于社区的横截面研究,涉及460名高血压参与者.
- 通过问卷,临床测量和生物化学分析收集的数据.
- 后勤回归模型分析了与检测,治疗和控制的关联.
主要成果:
- 总体上,高血压检测 (62.4%),治疗 (75.6%) 和控制 (57.1%) 的次优率.
- 女性和患有糖尿病或CKD的参与者显示出更好的检测和治疗率.
- 较贫穷的参与者不太可能检测到高血压.
结论:
- 女性性别和并发性糖尿病与更好的高血压护理有关.
- 社会经济地位和城市化程度影响高血压检测.
- 需要有针对性的战略来确保高血压护理的公平分配.
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