hypertension and obesity in adults living in a high hiv prevalence rural area in south africa高血压和肥胖成人生活在一个高艾滋病毒流行率在南非农村.pdfVIP
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hypertension and obesity in adults living in a high hiv prevalence rural area in south africa高血压和肥胖成人生活在一个高艾滋病毒流行率在南非农村
Hypertension and Obesity in Adults Living in a High HIV Prevalence Rural Area in South Africa 1 1 ¨ 1,2 1,3 Abraham Malaza , Joel Mossong *, Till Barnighausen , Marie-Louise Newell 1 Africa Centre for Health and Population Studies, University of KwaZulu-Natal, Somkhele, KwaZulu-Natal, South Africa, 2 Department of Global Health and Population, Harvard School of Public Health, Harvard University, Boston, Massachusetts, United States of America, 3 Centre for Paediatric Epidemiology and Biostatistics, University College London Institute of Child Health, London, United Kingdom Abstract Hypertension and excess body weight are major risk factors of cardiovascular morbidity and mortality in developing countries. In countries with a high HIV prevalence, it is unknown how increased antiretroviral treatment and care (ART) coverage has affected the prevalence of overweight, obesity, and hypertension. We conducted a health survey in 2010 based on the WHO STEPwise approach in 14,198 adult resident participants of a demographic surveillance area in rural South Africa to investigate factors associated with hypertension and excess weight including HIV infection and ART status. Women had a significantly higher median body mass index (BMI) than men (26.4 vs. 21.2 kg/m2, p,0.001). The prevalence of obesity (BMI$30 kg/m2) in women (31.3%, 95% confidence interval (CI) 30.2–32.4) was 6.5 times higher than in men (4.9%, 95% CI 4.1–5.7), whereas prevalence of hypertension (systolic or diastolic blood pressure$140 or 90 mm Hg, respectively) was 1.4 times higher in women than in men (28.5% vs 20.8%, p,0.001). In multivariable regression analysis, both hypertension and obesi
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