In the last decade, the long-term survival among people living with HIV (PLHIV) has significantly improved. This is accompanied by an increased burden of non-communicable diseases such as hypertension due to the combi...In the last decade, the long-term survival among people living with HIV (PLHIV) has significantly improved. This is accompanied by an increased burden of non-communicable diseases such as hypertension due to the combined effect of the aging population and the metabolic effect of the Human Immuno-deficiency Virus (HIV) virion and antiretroviral therapy. This study aims to assess the prevalence and factors associated with hypertension among people living with HIV in three large health facilities in Nasarawa State, Nigeria. A descriptive cross-sectional study employed a multistage sampling technique to select 309 adults with HIV, 18 years and above, receiving HIV care in three large health facilities in Nasarawa State. The outcome variable was the participants’ self-reported history of hypertension, confirmed through a positive history of hypertension treatment. Exposure variables included the participant’s socio-demographic characteristics, lifestyle factors, and HIV care and treatment history. Data were presented using frequency tables. Factors associated with hypertension were assessed using binary logistic regression at a 0.05 level of statistical significance. A total of 309 adults living with HIV were sampled. A larger percentage of the participants were married 228 (73.8%), female, 191 (61.8%), within the age group 41 - 50 years, 141 (45.6%). Most of the participants had no family history of hypertension, 188 (60.8%). The prevalence of self-reported hypertension was 11.0% (34/309). Factors associated with hypertension at the bivariate level were age group 21 - 30 years, 41 - 50 years, being widow/widower, divorced, retired from employment or with family history of hypertension. Only participants age group 31 - 40 years [Adjusted Odd Ratio (AOR): 0.18, 95%CI: 0.04 - 0.91, p = 0.04] and family history of hypertension [(AOR): 83.44, 95%CI: 15.75 - 442.11, p < 0.01] were found to predict hypertension among the study participants after adjusting for confounders. In conclusion, Hypertension remains a public health issue among PLHIV. Factors associated with hypertension among PLHIV include age and family history of hypertension. Regular screening for hypertension, its appropriate treatment and optimal control are essential in PLHIV.展开更多
A nation-wide survey of blood pressure (BP) and high BP was made in China in 1991, using standardized methods and covering 950 356 men and women aged 15 years and above, from 30 provinces, autonomous regions, and muni...A nation-wide survey of blood pressure (BP) and high BP was made in China in 1991, using standardized methods and covering 950 356 men and women aged 15 years and above, from 30 provinces, autonomous regions, and municipalities. The purpose of the study was to estimate the prevalence and the status of awareness, treatment, and control of hypertension. The overall prevalence rate of hypertension defined as systolic BP> 140 or diastolic BP> 90 mmHg or currently on antihypertensive medication was 13.6%, and was higher in urban (16.3%) than in rural (11.1%) setting. The rate was 6.6% if a BP cut-point of 160 / 95 mmHg was used. Rates were low in younger age-groups but rose sharply after age 45. The total number of hypertensives in 1990 was estimated to be close to 90 millions. Of all hypertensives, about 1/4 were aware of their high BP, half of these were on medication, and only 3% had their BP controlled. All the rates were higher if the BP cut-point was 160 / 95 mmHg. Higher rates were found in urban than rural setting and, to a lesser degree, for women than men. In conclusion, hypertension was found to be common in China, and the rates of awareness, drug treatment, and controlled BP were low, indicating an urgent need for developing a national program of treatment and prevention of high BP.展开更多
Hypertension survey was carriedout in Guangdong Province in 1991, according to a national sampling survey program. 42 899 urban and rural men and women aged ≥15 were involved in the survey. The results revealed that ...Hypertension survey was carriedout in Guangdong Province in 1991, according to a national sampling survey program. 42 899 urban and rural men and women aged ≥15 were involved in the survey. The results revealed that the standardized prevalence rate of hypertension was 8. 99% (definite 4. 24% , borderline 4. 75% ) . It was higher in men than in women, in urban than in rural samples. Compared with the survey in 1979, the prevalence rate increased by 90% and the curve of aged - prevalence rates shifted leftward. This article also discuss the possible factors that lead to the increase of hypertension.展开更多
Objective To explore the clinical characteristics and risk factors of pulmonary hypertension(PH)in patients with hypertrophic obstructive cardiomyopathy(HOCM).Methods A total of 301 patients admitted in Fuwai Hospital...Objective To explore the clinical characteristics and risk factors of pulmonary hypertension(PH)in patients with hypertrophic obstructive cardiomyopathy(HOCM).Methods A total of 301 patients admitted in Fuwai Hospital and diagnosed with HOCM were included in our study.Incidence rate and severity of PH were depicted.展开更多
文摘In the last decade, the long-term survival among people living with HIV (PLHIV) has significantly improved. This is accompanied by an increased burden of non-communicable diseases such as hypertension due to the combined effect of the aging population and the metabolic effect of the Human Immuno-deficiency Virus (HIV) virion and antiretroviral therapy. This study aims to assess the prevalence and factors associated with hypertension among people living with HIV in three large health facilities in Nasarawa State, Nigeria. A descriptive cross-sectional study employed a multistage sampling technique to select 309 adults with HIV, 18 years and above, receiving HIV care in three large health facilities in Nasarawa State. The outcome variable was the participants’ self-reported history of hypertension, confirmed through a positive history of hypertension treatment. Exposure variables included the participant’s socio-demographic characteristics, lifestyle factors, and HIV care and treatment history. Data were presented using frequency tables. Factors associated with hypertension were assessed using binary logistic regression at a 0.05 level of statistical significance. A total of 309 adults living with HIV were sampled. A larger percentage of the participants were married 228 (73.8%), female, 191 (61.8%), within the age group 41 - 50 years, 141 (45.6%). Most of the participants had no family history of hypertension, 188 (60.8%). The prevalence of self-reported hypertension was 11.0% (34/309). Factors associated with hypertension at the bivariate level were age group 21 - 30 years, 41 - 50 years, being widow/widower, divorced, retired from employment or with family history of hypertension. Only participants age group 31 - 40 years [Adjusted Odd Ratio (AOR): 0.18, 95%CI: 0.04 - 0.91, p = 0.04] and family history of hypertension [(AOR): 83.44, 95%CI: 15.75 - 442.11, p < 0.01] were found to predict hypertension among the study participants after adjusting for confounders. In conclusion, Hypertension remains a public health issue among PLHIV. Factors associated with hypertension among PLHIV include age and family history of hypertension. Regular screening for hypertension, its appropriate treatment and optimal control are essential in PLHIV.
文摘A nation-wide survey of blood pressure (BP) and high BP was made in China in 1991, using standardized methods and covering 950 356 men and women aged 15 years and above, from 30 provinces, autonomous regions, and municipalities. The purpose of the study was to estimate the prevalence and the status of awareness, treatment, and control of hypertension. The overall prevalence rate of hypertension defined as systolic BP> 140 or diastolic BP> 90 mmHg or currently on antihypertensive medication was 13.6%, and was higher in urban (16.3%) than in rural (11.1%) setting. The rate was 6.6% if a BP cut-point of 160 / 95 mmHg was used. Rates were low in younger age-groups but rose sharply after age 45. The total number of hypertensives in 1990 was estimated to be close to 90 millions. Of all hypertensives, about 1/4 were aware of their high BP, half of these were on medication, and only 3% had their BP controlled. All the rates were higher if the BP cut-point was 160 / 95 mmHg. Higher rates were found in urban than rural setting and, to a lesser degree, for women than men. In conclusion, hypertension was found to be common in China, and the rates of awareness, drug treatment, and controlled BP were low, indicating an urgent need for developing a national program of treatment and prevention of high BP.
文摘Hypertension survey was carriedout in Guangdong Province in 1991, according to a national sampling survey program. 42 899 urban and rural men and women aged ≥15 were involved in the survey. The results revealed that the standardized prevalence rate of hypertension was 8. 99% (definite 4. 24% , borderline 4. 75% ) . It was higher in men than in women, in urban than in rural samples. Compared with the survey in 1979, the prevalence rate increased by 90% and the curve of aged - prevalence rates shifted leftward. This article also discuss the possible factors that lead to the increase of hypertension.
文摘Objective To explore the clinical characteristics and risk factors of pulmonary hypertension(PH)in patients with hypertrophic obstructive cardiomyopathy(HOCM).Methods A total of 301 patients admitted in Fuwai Hospital and diagnosed with HOCM were included in our study.Incidence rate and severity of PH were depicted.