Validation de la phase de prédésinfection automatisée avant stérilisation dans un nouveau concept isolateur

CHATENAY M.-PARIS 11-BU Pharma. (920192101) / SudocSudocFranceF

Hypertension, a Neglected Disease in Rural and Urban Areas in Moramanga, Madagascar

International audienceBackgroundHypertension is one of the main risk factors of cardiovascular diseases. In Madagascar,studies on hypertension in urban and rural communities are scarce.ObjectivesThe aim of this study was to determine the prevalence of hypertension and identify associated risk factors in adults living in a health and demographic system in Moramanga, Madagascar. MethodsThe study included people aged 15 years old and above living in a health and demographic system in Moramanga. A household census was performed in 2012 to enumerate the population in 3 communities in Moramanga. In addition to the questionnaire used in the initial census, a standardized questionnaire and blood pressure were taken twice after 5 and 10 minutes of rest. In urban areas, heights and weights were also measured to calculate the body mass index. ResultsThere were 3621 and 4010 participants respectively in rural and urban areas. Prevalence of hypertension in rural population was 27.0%(IC95%[25.6–28.5]) and 29.7% (IC95% [28.3– 31.1]) in urban population. Among hypertensive subjects, 1.7% (17/979) and 5.3% (64/ 1191) were on antihypertensive treatment for at least 1 month before the survey in rural and urban population, respectively. In rural areas, increasing age (65 years and older vs 18–25 years OR = 11.81, IC95% [7.79–18.07]), giving more than 3 positive responses to the usual risks factors of hypertension (OR = 1.67, IC95% [1.14–2.42]) and singles in comparison with married people (OR = 1.61, IC95% [1.20–2.17]) were associated to hypertension in a logistic regression model. In urban areas, increasing age (65 years and older vs 18–25 years OR = 37.54, IC95% [24.81–57.92]), more than 3 positive responses to the usual risks of hypertension (OR = 3.47, IC95% [2.58–4.67]) and obesity (OR = 2.45, IC95% [1.56– 3.87]) were found as risk factors. ConclusionHypertension is highly prevalent in rural areas although it is significantly less treated. As a result, a major epidemic of cardiovascular diseases is at risk in Madagascar’s progressively aging societ

Distribution on known risk factors and classification of risk in urban and rural areas.

<p>Distribution on known risk factors and classification of risk in urban and rural areas.</p

Risk factors associated with hypertension in urban area.

<p>*1 missing value,</p><p>**59 missing values,</p><p>***2 missing values.</p><p>Risk factors associated with hypertension in urban area.</p

Demographic characteristics of study participants in urban and rural area.

<p>*59 missing values in urban area.</p><p>Demographic characteristics of study participants in urban and rural area.</p