Association between war-related traumatic events and blood pressure trajectory: a population-based study among the mid-aged and older Palestinian adults living in Gaza
Author | Jebril, Majed |
Author | Mazidi, Mohsen |
Author | Liu, Xin |
Author | Baibing, Mi |
Author | Arafat, Heba |
Author | Shi, Zumin |
Author | Wang, Youfa |
Available date | 2023-10-01T06:04:08Z |
Publication Date | 2023-01-01 |
Publication Name | Frontiers in Public Health |
Identifier | http://dx.doi.org/10.3389/fpubh.2023.1073284 |
Citation | Jebril M, Mazidi M, Liu X, Baibing M, Arafat H, Shi Z and Wang Y (2023) Association between war-related traumatic events and blood pressure trajectory: a population-based study among the mid-aged and older Palestinian adults living in Gaza. Front. Public Health 11:1073284. doi: 10.3389/fpubh.2023.1073284 |
Abstract | Background: Little is known regarding health status in an environment characterized by instability and ongoing war risks. This study investigated hypertension disease burden and associations of war-related traumatic events with blood pressure (BP) trajectory over time amongst mid-aged and older Palestinian adults in Gaza Strip. Methods: From nine primary healthcare centers, medical records between 2013 and 2019 were collected for 1,000 mid-aged and older Palestinian adults living in Gaza. Multinomial logistic regression analysis examined associations between war-related traumatic events and BP trajectories derived using latent class trajectory analysis (LCTA). Results: The prevalence of self-reported injury (of participants or their family members), death of a family member, and violence due to house bombing was 51.4%, 54.1%, and 66.5%, respectively. In total, 22.4% and 21.4% of participants had constant-very-high (CVH) systolic BP (SBP) (>160 mmHg) and diastolic BP (DBP) (>95 mmHg), and normal-stable SBP and DBP was found only 54.9% and 52.6%, respectively. Injury (participants or family members), death of a family member, and violence due to house bombing during wars were associated with CVH SBP with odds ratios [95 CI, OR = 1.79 (1.28–2.48), 1.90 (1.36–2.65), and 1.44 (1.01–2.05)], respectively. The corresponding figures were [95 CI, OR = 1.92 (1.36–2.71), 1.90 (1.35–2.68), and 1.62 (1.13–2.38)] for CVH DBP. Living in debt was positively associated with CVH SBP, [95 CI, OR = 2.49 (1.73–3.60)] and CVH DBP, [95 CI, OR = 2.37 (1.63–3.45)]. Conclusion: The disease burden related to war-related traumatic events is high and positively related to adverse BP trajectory among the mid-aged and older Palestinians living in Gaza. Intervention programs are needed to manage and prevent chronic diseases in this vulnerable population. |
Sponsor | This research was partly funded by the US-based China Medical Board (CMB, Grant Number 16-262); National Natural Science Foundation of China, Grant Numbers 82173504, 82011530197; and the Chinese National Key Research and Development Program (Grant Numbers 2017YFC0907200 and 2017YFC0907201). |
Language | en |
Publisher | Frontiers Media |
Subject | adults blood pressure Palestine traumatic event war events |
Type | Article |
Volume Number | 11 |
ESSN | 2296-2565 |
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Human Nutrition [403 items ]