Abstract:We performed a May Measurement Month (MMM) screening campaign among adult volunteers aged 18 years old and over in Tunisia. The objective was to raise awareness, and to estimate the prevalence, awareness, treatment, and control of hypertension, one of the main cardiovascular risk factors. Following the MMM protocol, three blood pressure (BP) measurements were taken by physicians and standard interviewing procedures were used to record medical history, socio-demographic, and cardiovascular disease risk factors.… Show more
“…According to recent data, only the prevalence of hypertension in the population has been analyzed, showing an upward trend in recent years. Recent studies have focused only on the prevalence of hypertension in the population, with their results indicating an increasing trend in this condition, from 28.9% in 1995 [4] to 38.1% in 2019 [5]. A more recent study by Jemaa et al [6] pointed out a further increase in hypertension prevalence to 50.5% in 2020.…”
In Tunisia, self-medication is a common practice, and there is a continual rise in the prevalence of cardiovascular disease. Given the lack of data on the self-medication practices (SMPs) among cardiovascular patients in this area, the present study aimed to identify the prevalence and determinants of SMPs among cardiovascular patients in the city of Béja. A community-pharmacy-based survey was conducted among selected cardiovascular patients in Béja, Tunisia, from May 2021 to June 2021. Data were collected using a self-administered questionnaire provided by pharmacists during in-person surveys with patients. Descriptive statistics were used to summarize the data, while Fisher’s exact test was used for categorical variables, with the significance level set at p < 0.05. The frequency of self-medication among the 150 respondents was 96%; 70.14% of participants reported that the primary reason why people engage in self-medication is the existence of an old prescription. The most prevalent conditions leading patients to self-medicate were headaches (100%), fever (83.33%), toothache (65.97%), and dry cough (47.92%). The most frequently self-administered drugs were paracetamol (100%), antibiotics (56.94%), and antitussives (47.92%). The results of our study indicate that SMPs among Tunisian cardiovascular patients have a high prevalence. With this in mind, healthcare practitioners should ask their patients about their self-medication practices and advise cardiovascular patients about the risks and benefits associated with this practice.
“…According to recent data, only the prevalence of hypertension in the population has been analyzed, showing an upward trend in recent years. Recent studies have focused only on the prevalence of hypertension in the population, with their results indicating an increasing trend in this condition, from 28.9% in 1995 [4] to 38.1% in 2019 [5]. A more recent study by Jemaa et al [6] pointed out a further increase in hypertension prevalence to 50.5% in 2020.…”
In Tunisia, self-medication is a common practice, and there is a continual rise in the prevalence of cardiovascular disease. Given the lack of data on the self-medication practices (SMPs) among cardiovascular patients in this area, the present study aimed to identify the prevalence and determinants of SMPs among cardiovascular patients in the city of Béja. A community-pharmacy-based survey was conducted among selected cardiovascular patients in Béja, Tunisia, from May 2021 to June 2021. Data were collected using a self-administered questionnaire provided by pharmacists during in-person surveys with patients. Descriptive statistics were used to summarize the data, while Fisher’s exact test was used for categorical variables, with the significance level set at p < 0.05. The frequency of self-medication among the 150 respondents was 96%; 70.14% of participants reported that the primary reason why people engage in self-medication is the existence of an old prescription. The most prevalent conditions leading patients to self-medicate were headaches (100%), fever (83.33%), toothache (65.97%), and dry cough (47.92%). The most frequently self-administered drugs were paracetamol (100%), antibiotics (56.94%), and antitussives (47.92%). The results of our study indicate that SMPs among Tunisian cardiovascular patients have a high prevalence. With this in mind, healthcare practitioners should ask their patients about their self-medication practices and advise cardiovascular patients about the risks and benefits associated with this practice.
Objective: High blood pressure is the leading risk factor for cardiovascular disease. The hypertension care cascade (HCC) is increasingly being used to evaluate the effectiveness of interventions. This systematic review aims to examine HCC in low-income settings.Methods: The search strategy included articles published between January 2010 and April 2023. We excluded studies with incomplete HCC, on fragile patients or aged <18 years, reviews. We used the MOOSE guideline. Five researchers retrieved data on the survey year, country, population, HCC and diagnostic methods for hypertension. We used JBI Critical Appraisal Tools for quality assessment.Results: Ninety-five articles were analyzed. Average hypertension prevalence was 33% (95% CI: 31%–34%), lower in LICs than in LMICs (25% vs. 34%). The overall mean awareness of hypertension was 48% (95% CI: 45%–51%), its treatment was 35% (95% IC: 32%–38%) and its control 16% (95% CI: 14%–18%). In almost all steps, percentages were lower in LICs and in Sub-Saharan Africa.Conclusion: Trends in HCC vary between countries, with poorer performance in LICs. This review highlights the need for interventions tailored to low-income settings in order to improve hypertension care.
Đặt vấn đề: Tăng huyết áp gây ra nhiều biến chứng nguy hiểm như nhồi máu cơ tim, đột quỵ não, suy tim, suy thận mạn. Người bệnh điều trị đạt huyết áp mục tiêu giúp ngăn ngừa các biến chứng, giảm tỷ lệ tử vong, ngăn ngừa và phục hồi tổn thương cơ quan đích. Mục tiêu nghiên cứu Khảo sát tỷ lệ người bệnh tăng huyết áp được điều trị ổn định huyết áp mục tiêu và một số yếu tố liên quan đến việc ổn định huyết áp mục tiêu ở người bệnh tăng huyết áp điều trị ngoại trú tại bệnh viện Gia An 115năm 2023 – 2024. Đối tượng và phương pháp nghiên cứu: Người bệnh từ trên 18 tuổi, có chẩn đoán tăng huyết áp đang được điều trị tăng huyết áp tại Khoa Khám bệnh Bệnh viện Gia An 115 từ tháng 05 đến tháng 06 năm 2023. Nghiên cứu mô tả cắt ngang với cỡ mẫu nghiên cứu 403 mẫu. Sử dụng phương pháp chọn mẫu thuận tiện. Kết quả: Tỷ lệ người bệnh tăng huyết áp đạt huyết áp mục tiêu là 84.6%. Có mối liên quan có thống kê giữa đạt huyết áp mục tiêu và tình trạng tham gia bảo hiểm (PR = 2.40, KTC 95% 1.35 – 4.27, p = 0.003). Có mối liên quan có thống kê giữa đạt huyết áp mục tiêu và nơi ở (PR=2.6, KTC 95% 1.29 – 5.22, p = 0.007). Kết luận: Tỷ lệ người bệnh tăng huyết áp đạt huyết áp mục tiêu là 84.6%.
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