Hypertension in low and middle-income countries:Challenges,gaps and limited resources specific strategies

• 作者: Abdulhalim Jamal Kinsara Khaled Salem
• 来源期刊: 世界高血压杂志
• 学科: 医学
• 关键词: HYPERTENSION Screening LOW and middleincome COUNTRIES SOCIOECONOMIC characteristics STRATEGIC framework
• 年，卷（期）: 2017,（1）
• 页码范围: 19-23
• 页数: 5页
• 分类号: R

摘要

In this article we aim to discuss the burden of hypertension in middle-income countries,the challenges and opportunities,identify some implementation gaps in some of the published initiatives and propose a few pillars that could benefit an upstream population health and health promotion.One billion people suffer from hypertension worldwide;however,the prevalence of hypertension in low and middle-income countries is higher than that in the industrialized countries.Hypertension affects 45%of African adults aged 25 and above,compared to the 36%North American prevalence rate;moreover,the death rate from hypertension in LMICs is higher the than that of the European countries(141 vs 93 per 10000,respectively).The association between increased systolic blood pressure and income reversed between the early 80s and the first decade of the 20th century;the higher the per capita income the lower the risk of hypertension.Hence,unless an effective interventions,such as improving diagnosis and treatment,lowering salt intake,enhancing access and availability of fresh fruit and vegetable,and increasing leisure time physical activities are implemented,then low income countries epidemic is inevitable.In this article we aim to discuss the global burden of hypertension in low and middle-income countries,the gaps and challenges,identify the high-risk groups and propose a prevention and cost effective treatment strategic framework.