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Determinants of hypertension among adults in Bangladesh as per the Joint National Committee 7 and 2017 American College of Cardiology/American Hypertension Association hypertension guidelines
Journal of the American Society of Hypertension Pub Date : 2018-10-22 , DOI: 10.1016/j.jash.2018.10.004
Gulam Muhammed Al Kibria , Krystal Swasey , Md. Zabir Hasan , Allysha Choudhury , Rajat Das Gupta , Samuel A. Abariga , Atia Sharmeen , Vanessa Burrowes

We investigated determinants of hypertension in Bangladesh using both Joint National Committee 7 (JNC7) and 2017 American College of Cardiology/American Hypertension Association (2017 ACC/AHA) guidelines. After reporting background characteristics, odds ratios (ORs) were obtained by multilevel logistic regression. Among 7839 respondents aged ≥35 years, 25.7% (n = 2016) and 48.0% (n = 3767) respondents had hypertension as per the JNC7 and 2017 ACC/AHA guidelines, respectively. The following factors were significant according to the 2017 ACC/AHA guideline: ≥65 years (adjusted OR [AOR]: 2.4, 95% confidence interval [CI]: 2.2–3.0), 55–64 years (AOR: 1.6, 95% CI: 1.4–1.9), and 45–54 years (AOR: 1.4, 95% CI: 1.3–1.6) age groups, females (AOR: 2.0, 95% CI: 1.7–2.2), overweight/obesity (AOR: 2.4, 95% CI: 2.0–2.8), diabetes (AOR: 1.4, 95% CI: 1.2–1.6), secondary (AOR: 1.2, 95% CI: 1.1–1.4), or college education level (AOR: 1.8, 95% CI: 1.4–2.3), middle (AOR: 1.3, 95% CI: 1.1–1.6), richer (AOR: 1.5, 95% CI: 1.2–1.8) or richest (AOR: 2.0, 95% CI: 1.6–2.4) wealth quintiles, residence in Khulna (AOR: 1.5, 95% CI: 1.2–1.9), and Rangpur (AOR: 1.7, 95% CI: 1.3–2.2) divisions. All factors were significant as per the JNC7 guideline too. Both guidelines found similar determinants. Prevention and control programs should prioritize increasing awareness among people with higher likelihood of hypertension.



中文翻译:

根据联合全国委员会7和2017年美国心脏病学会/美国高血压协会高血压指南,孟加拉国成年人高血压的决定因素

我们使用联合全国委员会7(JNC7)和2017年美国心脏病学会/美国高血压协会(2017 ACC / AHA)指南调查了孟加拉国高血压的决定因素。报告背景特征后,通过多级Logistic回归获得比值比(OR)。根据JNC7和2017 ACC / AHA指南,在年龄≥35岁的7839名受访者中,分别有25.7%(n = 2016)和48.0%(n = 3767)患有高血压。根据2017年ACC / AHA指南,以下因素很重要:≥65岁(调整OR [AOR]:2.4,95%置信区间[CI]:2.2–3.0),55-64岁(AOR:1.6,95% CI:1.4-1.9)和45-54岁(AOR:1.4,95%CI:1.3-1.6)年龄组,女性(AOR:2.0,95%CI:1.7-2.2),超重/肥胖症(AOR:2.4 ,95%CI:2.0-2.8),糖尿病(AOR:1.4、95%CI:1.2-1.6),中等(AOR:1.2,95%CI:1.1–1.4),或大专以上学历(AOR:1.8,95%CI:1.4–2.3),中(AOR:1.3,95%CI:1.1–1.6),较富裕( AOR:1.5,95%CI:1.2-1.8)或最富有的人(AOR:2.0,95%CI:1.6-2.4)的财富五分之一,居住在库尔纳市(AOR:1.5,95%CI:1.2-1.9)和Rangpur( AOR:1.7,95%CI:1.3–2.2)。根据JNC7指南,所有因素也很重要。两项准则都发现了类似的决定因素。预防和控制计划应优先考虑在高血压可能性更高的人群中提高认识。2)师。根据JNC7指南,所有因素也很重要。两项准则都发现了类似的决定因素。预防和控制计划应优先考虑在高血压可能性更高的人群中提高认识。2)师。根据JNC7指南,所有因素也很重要。两项准则都发现了类似的决定因素。预防和控制计划应优先考虑在高血压可能性更高的人群中提高认识。

更新日期:2018-10-22
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