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Rural and urban differences in blood pressure and pregnancy-induced hypertension among pregnant women in Ghana

机译:加纳孕妇血压和妊娠高血压的城乡差异

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Background Globally, about 350.000 women die every year from pregnancy related causes and more than half of these deaths occur in sub-Saharan Africa (SSA). Approximately 12% of the maternal deaths are associated with hypertensive disorders in pregnancy such as pregnancy induced hypertension (PIH). However, very little is known about PIH and associated determinants in many SSA countries such as Ghana. We therefore sought to assess rural and urban differences in blood pressure (BP) and PIH among pregnant women in Ghana. Methods We conducted a cross-sectional study among 967 rural (677) and urban (290) pregnant women with a gestational age of more than 20 weeks. PIH was defined as a systolic blood pressure of ≥140 mmHg and/or diastolic blood pressure of ≥90 mmHg. Results Women in urban Ghana had a higher mean systolic and diastolic BP than women in rural Ghana (105/66 mmHg versus 102/61 mmHg, p?
机译:背景技术在全球范围内,每年约有35万名妇女死于与怀孕有关的原因,其中一半以上的死亡发生在撒哈拉以南非洲(SSA)。孕产妇死亡中约有12%与妊娠高血压疾病有关,例如妊娠高血压病(PIH)。但是,在加纳等许多SSA国家,人们对PIH及其相关决定因素了解甚少。因此,我们试图评估加纳孕妇在城乡之间的血压(BP)和PIH差异。方法我们对967名农村(677)和城市(290)胎龄超过20周的孕妇进行了横断面研究。 PIH定义为收缩压≥140 mmHg和/或舒张压≥90 mmHg。结果加纳城市妇女的平均收缩压和舒张压高于农村加纳妇女(105/66 mmHg vs 102/61 mmHg,收缩压和舒张压均p 0.001)。在城市加纳,PIH的患病率也较高(3.1%),而在农村加纳(0.4%)也较高(p?=?0.014)。即使调整了线性回归模型中的研究特征,城市和农村地区平均舒张压的差异仍然存在。在加纳农村和城市地区,BMI,心率和高血压家族史均与BP相关。结论我们的发现表明,加纳市区的平均BP水平和PIH高于农村加纳地区。 BMI与高血压独立相关。如果不加限制,加纳超重和肥胖症的患病率不断上升,将加剧加纳的PIH水平。

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