PDF(Pubmed)
Abstract：
Our objectives were to ascertain the following: (1) the prevalence and socioeconomic distribution of hypertension (HTN), undiagnosed for HTN, and untreated cases of HTN-diagnosed individuals; (2) the relationship between SES and the prevalence of HTN, undiagnosed for HTN, and untreated for HTN; and (3) whether sex moderate this association. Data from the 2017-18 Bangladesh Demographic Health Survey were used. 11,776 participants who were 18 years of age or older responded to our analysis. The age-adjusted prevalence of HTN, undiagnosed for HTN, and untreated cases was 25.1%, 57.2%, and 12.3%. Compared to females, males were less likely to have HTN but more likely to have undiagnosed HTN. People in the rich SES groups had a higher odd of (adjusted odds ratio [aoR] 1.25; 95% confidence interval [CI] 1.08-3.45) of having HTN compared to those in the poor SES group. When compared to individuals in the poor SES group, those in the rich SES group had lower odds of undiagnosed (aoR 0.57; 95% CI 0.44-0.74) and untreated (aoR 0.56; 95% CI 0.31-0.98) for HTN. Sex moderated the association between SES and HTN prevalence, which showed that men from rich SES were more likely to suffer from HTN than men from poor SES. According to this study, the government and other pertinent stakeholders should concentrate more on developing suitable policy measures to reduce the risk of HTN, particularly for men in rich socioeconomic groups. They should also concentrate on screening and diagnosing HTN in socioeconomically disadvantaged populations, regardless of sex.
摘要：
我们的目标是确定以下内容：（1）高血压（HTN）的患病率和社会经济分布，未诊断为HTN，和未经治疗的HTN诊断个体；（2）SES与HTN患病率之间的关系，未诊断为HTN，并且未经HTN治疗；（3）性别是否缓和了这种关联。使用2017-18年孟加拉国人口健康调查的数据。18岁或以上的11,776名参与者对我们的分析做出了回应。年龄调整后的HTN患病率，未诊断为HTN，未经治疗的病例为25.1%，57.2%,和12.3%。与女性相比，男性不太可能患有HTN，但更有可能患有未诊断的HTN。与贫穷的SES组相比，富裕的SES组中的人具有较高的HTN奇数（调整后的优势比[aoR]1.25；95％置信区间[CI]1.08-3.45）。与贫困SES组的个人相比，富SES组的HTN未诊断(aoR0.57;95%CI0.44-0.74)和未治疗(aoR0.56;95%CI0.31-0.98)的几率较低.性别调节了SES和HTN患病率之间的关联，这表明，来自富裕SES的男性比来自贫穷SES的男性更容易患HTN。根据这项研究,政府和其他相关利益相关者应更加集中精力制定适当的政策措施，以降低HTN的风险，特别是对于富有的社会经济群体的男性。他们还应该专注于在社会经济弱势群体中筛查和诊断HTN，不管性别。
