加纳城市沿海社区的高血压患病率和决定因素
Vincent Boima1,2, Alfred Doku1,2, Charles Hayfron-Benjamin1,2
1Author Affiliations: Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, Netherlands (Prof Boima and Prof Doku); Department of Medicine & Therapeutics, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana (Prof Boima, Prof Doku, Prof Hayfron-Benjamin, Prof van den Born, Prof Agyemang); Department of Vascular Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands (Prof Hayfron-Benjamin and Prof van den Born); Department of Physiology, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana (Prof Hayfron-Benjamin); German Development Cooperation House, GIZ, Ghana, Ghana Heart Initiative, Accra, Ghana (Mrs Honny and Mr Mainoo); and Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States (Prof Agyemang).
高血压影响了加纳沿海地区26%的成年人,女性和收入较低的人群的比例更高. 饮酒等生活方式因素会增加高血压的风险.
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:
- 加纳的高血压患病率正在急剧上升.
- 不充分的诊断和护理有助于增加死亡率和发病率.
- 由于血压控制不良,服务不足的沿海社区面临着重大风险.
研究的目的:
- 评估加纳服务不足的沿海社区高血压的流行情况.
- 确定这些人群中高血压的关键决定因素.
- 告知有针对性的公共卫生干预措施.
主要方法:
- 在8个沿海城镇中,对1万名18岁以上的个人进行了查调查.
- 利用波桑回归来分析社会经济因素与高血压之间的关联.
- 这是一项准实验性倡议的一部分,旨在将患者与当地护理联系起来.
主要成果:
- 总体年龄标准化高血压率为26.0%,具有显著的社区水平变化.
- 患病率随着月收入的增加而下降.
- 与高血压增加相关的因素包括年龄,女性性别,婚姻和酒精消费.
结论:
- 加纳的沿海社区的高血压患病率很高,特别是在女性中.
- 定制的公共卫生战略对于降低风险至关重要.
- 干预措施应包括生活方式教育,娱乐设施和技术辅助监测.
相关概念视频
Hypertension I: Introduction
Hypertension III: Clinical Manifestations and Diagnostic Studies
Hypertension II: Pathophysiology
Factors affecting Blood pressure
Physiological Factors:
Hypertension and Regulation of Blood Pressure
Hypertension IV: Drug Therapy and Lifestyle Modifications


