Gender and Age Features of the Prevalence of Hypertension in the Population of a Medium-Urbanized City of Central Russia

Abstract

The purpose of the study: to establish gender and age characteristics of the prevalence and risk of developing hypertension (AH) among outpatients living in the city of Tambov, according to electronic medical records (EMR).The information from the EMC of 47,113 people aged 20-99 living in Tambov was used. The prevalence rate (per 100 people) and the relative risk of developing (RR) hypertension in different sex and age groups were calculated.The prevalence of hypertension among people aged 20-99 was 45.7 cases, in women it is higher than in men by 23% (50.1 vs 38.4 cases). With age, there is an increase in the prevalence of hypertension from 1.7% in 20-24 to 86.8% in 70-74 years old people. In the transition from a smaller age group to a larger one, the increase in the prevalence of hypertension among the female cohort averaged 22.5%, among the male cohort - an average of 17.2%. The RR for the development of hypertension among the female cohort aged 20-99 years is 1.2 times higher compared to the male cohort of the same age. At the age of 25-34, the OR for the development of hypertension prevails among the male cohort, at 45-89 years old - among the female cohort.The high level and established differences in the prevalence and risk of developing hypertension determine the need to develop recommendations for hypertension screening among the population, stratification into risk groups, prevention and treatment, focused on different age and gender groups.

Trends and influence factors in the prevalence, awareness, treatment, and control of hypertension among US adults from 1999 to 2018

“…The prevalence, awareness, treatment, and control of hypertension were found to differ across racial groups [ 12 ]. It is well known that age has a positive correlation with hypertension, while the influence of gender on it is not uniform [ 13 , 14 ]. Socioeconomic status also plays an important role in hypertension prevalence and its control [ 15 ].…”