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中国初级卫生保健:2020,34(4):48-51
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云南省德宏州接受抗病毒治疗的HIV感染者高血压患病率及其影响因素
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中文摘要: 目的 了解云南省德宏州接受抗病毒治疗的HIV感染者高血压患病情况,分析相关的影响因素,为HIV感染者高血压综合防治工作提供依据。方法 采用横断面的调查方法,于2015年12月—2016年1月在某地HIV感染者定点就诊医院选取18岁以上、接受抗病毒治疗满1年的HIV感染者进行问卷调查和体格检查。高血压的诊断标准为收缩压≥140 mm Hg 和(或)舒张压≥90 mm Hg(1mmHg=0.133kPa),或既往有高血压史,目前正在服用降血压药。结果 共纳入291名HIV感染者,年龄(40.8±10.7)岁,男性占52.2%,HIV感染时间(6.9±3.3)年,治疗时间(5.1±2.7)年。高血压患病率为40.2%。多因素logistic回归分析得出HIV感染者高血压患病的危险因素有年龄≥45岁、男性、傣族、超重肥胖及腹部肥胖。结论 德宏州HIV感染者高血压患病率较高,以傣族患病最高。应对HIV感染者开展高血压综合防治措施包括高血压相关健康教育、筛查、控制血压以及治疗等,以控制高血压的发生与发展。
中文关键词: HIV感染  高血压  患病率  影响因素
Abstract:OBJECTIVE To investigate the prevalence and associated factors of hypertension among HIV-infected individuals on combination antiretroviral therapy (cART) in Dehong prefecture, Yunnan province and provide evidences for effective prevention and treatment of hypertension. METHODS A cross-sectional study was conducted. HIV-infected individuals who were aged at least 18 years and have received cART for at least 1 year were recruited from HIV/AIDS designated hospitals between December 2015 and February 2016. Hypertension was defined as SBP ≥ 140 mmHor DBP ≥ 90 mmHg(1mmHg=0.133kPa), or current use of antihypertensive therapy with previous diagnosis of hypertension. Logistic regression models were used to assess the associated factors of hypertension among HIV-infected individuals. RESULTS In total, 291 HIV-infected individuals were included in analysis. The average age was (40.8±10.7) years, and 52.2% (152/291) were males. The mean years since HIV diagnosis was (6.9 ±3.3) years, and mean duration on treatment was (5.1±2.7) years. The prevalence of hypertension was 40.2%. In multivariable logistic regression, aged ≥45 years, male, Dai minority ethnic, body mass index ≥24 kg/m2 and abdominal obesity were positively associated with the presence of hypertension. CONCLUSION High prevalence of hypertension is observed among HIV-infected individuals in Dehong, particularly among Dai ethnic minorities. Integrated control measures including hypertension education and screening should be given to HIV-infected individuals for preventing and controlling the development and progression of hypertension.
文章编号:3202004015     中图分类号:R1-9    文献标志码:
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