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dc.contributor.authorTateyama, Yukikoen
dc.contributor.authorTechasrivichien, Teeraneeen
dc.contributor.authorMusumari, Patou Masikaen
dc.contributor.authorSuguimoto, S. Pilaren
dc.contributor.authorOngosi, Anita Nyabokeen
dc.contributor.authorZulu, Richarden
dc.contributor.authorDube, Christopheren
dc.contributor.authorOno-Kihara, Masakoen
dc.contributor.authorKihara, Masahiroen
dc.contributor.alternative立山, 由紀子ja
dc.contributor.alternative木原, 雅子ja
dc.contributor.alternative木原, 正博ja
dc.date.accessioned2023-06-23T00:19:33Z-
dc.date.available2023-06-23T00:19:33Z-
dc.date.issued2022-04-
dc.identifier.urihttp://hdl.handle.net/2433/283894-
dc.description.abstract[Objectives] To examine the prevalence of hypertension and access to related healthcare services among rural residents of Mumbwa district in Zambia. [Design] Cross-sectional study with probability cluster sampling. [Setting] Rural Zambia. [Participants] We recruited 690 residents from Mumbwa district aged 25–64 years who had been living in the study area for ≥6 months and had adopted the lifestyle of the study area. Pregnant women and women who had given birth in the past 6 months were excluded. The data collection—questionnaire survey and anthropometric and biological measurements—was conducted between May and July 2016. [Results] In the overall sample, 39.7% and 33.5% of the men and women had hypertension (systolic blood pressure (BP)≥140 or diastolic BP ≥90 mm Hg), respectively. Among the participants without a previous diagnosis of hypertension, 30.3% presented with hypertension at the time of measurement. In the multivariable analysis, alcohol intake and urban residence in men, and older age group, higher education and body mass index ≥25 kg/m2 in women were significantly associated with hypertension. Among the 21.8% who never had their BP measured, 83.8% were men; among these men, older age (adjusted OR (AOR), 0.43; 95% CI 0.25 to 0.73) and HIV positive status (AOR, 0.37; 95% CI 0.14 to 0.97) were negatively associated, while current smoker status (AOR, 2.09; 95% CI 1.19 to 3.66) was positively associated with the lack of BP measurements. [Conclusion] We found that hypertension is prevalent in the target rural area. However, many were not aware of their hypertension status and many never had their BP measured, indicating a serious gap in cardiovascular disease prevention services in Zambia. There is an urgent need for health promotion and screening for hypertension, especially in the primary health services of rural Zambia. Issues related to healthcare accessibility in men require particular attention.en
dc.language.isoeng-
dc.publisherBMJen
dc.rights© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.en
dc.rightsThis is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial.en
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/-
dc.titleHypertension, its correlates and differences in access to healthcare services by gender among rural Zambian residents: a cross-sectional studyen
dc.typejournal article-
dc.type.niitypeJournal Article-
dc.identifier.jtitleBMJ Openen
dc.identifier.volume12-
dc.identifier.issue4-
dc.relation.doi10.1136/bmjopen-2021-055668-
dc.textversionpublisher-
dc.identifier.artnume055668-
dc.identifier.pmid35396290-
dcterms.accessRightsopen access-
dc.identifier.eissn2044-6055-
出現コレクション:学術雑誌掲載論文等

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