Changes in hypertension prevalence, awareness, treatment, and control rates in Turkey from 2003 to 2012

Abstract

Objectives:The study aimed to assess the current epidemiology of hypertension, including its prevalence, the awareness of the condition and its treatment and control, in Turkey to evaluate changes in these factors over the last 10 years by comparing the results with the prevalence, awareness, treatment, and control of hypertension in Turkey (PatenT) study data (2003), as well as to assess parameters affecting awareness and the control of hypertension.Methods:The PatenT 2 study was conducted on a representative sample of the Turkish adult population (n = 5437) in 2012. Specifically trained staff performed the data collection. Hypertension was defined as mean SBP or DBP at least 140/90 mmHg, previously diagnosed disease or the use of antihypertensive medication. Awareness and treatment were assessed by self-reporting, and control was defined as SBP/DBP less than 140/90 mmHg.Results:Although the prevalence of hypertension in the PatenT and PatenT 2 surveys was stable at approximately 30%, hypertension awareness, treatment, and control rates have improved in Turkey. Overall, 54.7% of hypertensive patients were aware of their diagnosis in 2012 compared with 40.7% in 2003. The hypertension treatment rate increased from 31.1% in 2003 to 47.4% in 2012, and the control rate in hypertensives increased from 8.1% in 2003 to 28.7% in 2012. The rate of hypertension control in treated patients improved between 2003 (20.7%) and 2012 (53.9%). Awareness of hypertension was positively associated with older age, being a woman, residing in an urban area, a history of parental hypertension, being a nonsmoker, admittance by a physician, presence of diabetes mellitus, and being obese or overweight; it was inversely associated with a higher amount of daily bread consumption. Factors associated with better control of hypertension were younger age, female sex, residing in an urban area, and higher education level in Turkey.Conclusion:Although some progress has been made in recognizing hypertension from 2003 to 2012, there is still a large population of untreated or inadequately treated hypertensives in Turkey. Strengthening of population-based efforts to improve the prevention, early detection, and treatment of hypertension is needed.

Clinical Correlates of Ambulatory Blood Pressure Phenotypes at a Tertiary Care Hospital in Turkey

“…In 2003, the data collected from the prevalence, awareness, treatment and control of hypertension in Turkey (PatenT) study showed that the prevalence of hypertension among Turkish adult population was 31.8% [3]. Subsequently, there was no significant change the prevalence of hypertension at PatenT 2 study conducted in 2012, but the rates of awareness, treatment, and control of hypertension partially improved in our country [4]. Accurate measurement of the blood pressure (BP) is very important in the diagnosis and effective management of hypertension.…”

Short-term hypertension management in community is associated with long-term risk of stroke and total death in China

“…[4] Currently, hypertension is most prevalent in the United states (29.0%), [5] Brazil (21%), [6] Turkey(30.3%), [7] and Arab countries (29.5%). [8] But only about half of the patients were under control in the United States [5] and Turkey.…”

“…[8] But only about half of the patients were under control in the United States [5] and Turkey. [7] Hypertension is also a common disease in China (26.7%), [9] affecting over 200 million patients alone, [10] but the control rate was only 11.2%. [9] It is the most important risk factor for premature death and stroke in China.…”

The evolution of smoking and hypertension association in last 20 years in the city of Aydın

“…[9] Çalışmamızın sonuçları da, ülke HT prevalansı 1995 yılında %29,6 iken çalış-mamızda %30,9 olarak saptanmıştır.Çalışmamızın sonuçları ülkemiz genelinde yapılan diğer hipertansiyon epidemiyolojisi çalışmaları ile benzerdir. [2,6] Daha önceki benzer epidemiyolojik çalışma-lar incelendiğinde; birçok çalışmada sigara içen-lerde kan basıncı düzeylerinin, içmeyenlere göre düşük olduğu rapor edilmiştir. [12,17] Benzer şekil-de AYDINHİP çalışması ve mevcut çalışmamızın her ikisinde de sigara içmeyenlerde hipertansiyon prevalansı içenlere oranla daha yüksek bulunmuş-tur.…”

“…Aydın ili ve çevresinde yapılan AYDINHİP [5] çalışması verilerinde HT prevalansı %29,6 bulunurken, Türk Hipertansiyon Prevalans (PatenT2) çalışması 2012 yılı için ülkemiz genelinde hipertansiyon sıklığını %30,3 olarak belirlemiştir. [6] Sigara kardiyovasküler mortalite ve morbiditenin bir diğer değiştirilebilir ve önlenebilir risk faktörüdür. Sigara orta yaşlı yetişkinlerde KVH'lara bağlı ö-lümlerin %25'ini oluşturmaktadır.…”