Hypertension: diagnosis, control status and its predictors in general population aged between 15 and 75 years: a community-based study in southeastern Iran

Najafipour, Hamid; Nasri, Hamid; Afshari, Mahdi; Moazenzadeh, Mansoor; Shokoohi, Mostafa; Foroud, A; Etemad, Koorosh; Sadeghi, Behnam; Mirzazadeh, Ali

doi:10.1007/s00038-014-0602-6

Cited by 31 publications

(26 citation statements)

References 20 publications

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“…This prevalence was similar to other studies that investigated both sexes, (4,12) but lower than the levels found in studies undertaken in Rio Grande do Sul (75%) (13) and São Paulo (78%). (14) It should be highlighted that the variation in the method used to verify pressure levels influences the achievement of better blood pressure levels and that hypertension control results from a complex system of biological, socioeconomic, cultural and health structure aspects.…”

Section: Discussionsupporting

confidence: 89%

Fatores associados ao descontrole da pressão arterial em homens

et al. 2016

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Conflicts of interest: no conflicts of interest to declare. ResumoObjetivo: Verificar os fatores associados ao descontrole da pressão arterial em homens. Métodos: Estudo exploratório, de corte transversal, realizado em centro de referência para doenças cardiovasculares, em Salvador-BA, lócus para o núcleo de referência do programa de saúde do homem do Ministério da Saúde. Amostra foi selecionada por conveniência totalizando 130 homens atendidos em centro de saúde, submetidos a entrevista, avaliação clínica e antropométrica. Na análise bivariada empregou-se o Qui-quadrado de Pearson ou Exato de Fisher realizando-se posteriormente análise de regressão logística múltipla sendo a OR corrigida pelo modelo de Poisson. Adotou-se significância estatística de 5%. Resultados: Constatou-se alta prevalência de descontrole da pressão arterial (65,4%), de hábitos de vida inadequados e de excesso de peso. Não houve associação estatisticamente significante entre descontrole dos níveis pressóricos e variáveis sociodemográficas, hábitos de vida e medidas antropométricas. Na regressão, o descontrole da pressão arterial associou-se ao uso inadequado da medicação (RP: 1,35, IC 95%: 1,03; 1,76). Conclusão: O uso inadequado da medicação foi reforçado como importante fator associado ao descontrole. Medidas efetivas para mudança deste panorama são emergenciais e desafiam profissionais e autoridades públicas. ResumoObjective: Verify the factors associated with lack of blood pressure control in men. Methods: Exploratory and cross-sectional study undertaken at a referral center for cardiovascular diseases in Salvador-BA, where the referral center of the Ministry of Health's male health program is located. A convenience sample was selected, totaling 130 men attended at a health center, submitted to interview, clinical and anthropometric assessment. In the bivariate analysis, Pearson's Chi-squared or Fisher's Exact test was employed, followed by multiple logistic regression analysis. The OR was corrected by means of Poisson's model. Statistical significance was set at 5%. Results: The high prevalence of lack of blood pressure control (65.4%), inappropriate living habits and overweight was verified. No statistically significant association was found between lack of pressure control and sociodemographic variables, living habits and anthropometric measures. In the regression, the lack of blood pressure control was associated with inappropriate medication use (PR: 1.35, 95% CI: 1.03; 1.76). Conclusion: Inappropriate medication use was emphasized as an important factor associated with lack of control. Effective measures to change this situation are urgent and challenge professionals and public authorities.

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Section: Discussionsupporting

confidence: 89%

Fatores associados ao descontrole da pressão arterial em homens

et al. 2016

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“…Other studies have found similar results to those of our study. [141618] HTN is a highly prevalent disorder in the elderly. Due to structural alterations of arterial wall occurring with aging, arterial stiffness increases and in turn SBP increases in old people.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and determinants of hypertension among Iranian adults, Birjand, Iran

et al. 2017

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Background:Hypertension (HTN) is a major cause of noncommunicable diseases. In this study, we report the prevalence rate of HTN in Birjand population.Methods:This cross-sectional study was conducted on 1286 individuals in Birjand in 2014. Individuals with systolic blood pressure (SBP) ≥140 mmHg and/or diastolic blood pressure (DBP) ≥90 mmHg were considered as hypertensive. Data were analyzed using Chi-square test, independent t-test, and one-way ANOVA. P < 0.05 was considered as statistically significant.Results:Among the 1286 participants, 659 were women (51.2%). Prevalence of HTN was 20.1% (10.3% systolic HTN and 6.9% diastolic HTN). Prevalence self-reported HTN was 12.3%. SBP and DBP means were higher in men (P < 0.001). Mean scores of SBP and DBP increased by aging and body mass index (P < 0.001). Diabetic individuals had higher SBP scores (P < 0.001). Dyslipidemic patients had greater SBP and DBP (P < 0.001).Conclusions:Prevalence of HTN in our study is high. About one-fifth of the participants had HTN. In addition, BP is higher in men, elderly, and diabetic individual. Therefore, it is necessary to control BP regularly in different groups in society.

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“…[24] In different countries this awareness has been reported from 25 to 75%. [25] Awareness in Yazd is lower compared to most studies in Iran (69.2% in Isfahan , [9] 60.5% in Tabriz, [12] and 57% in Kerman [26] . It is slightly higher than Golestan's (46.2%) and a previous study in Yazd (43.7%).…”

Section: Discussionmentioning

confidence: 61%

Awareness, treatment, and control of hypertension and related factors in adult Iranian Population

Mehrara

Mirzaei

Bagheri-Fahraji

et al. 2020

Preprint

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BackgroundHypertension, known as the silent killer, is a major risk factor for cardiovascular disease. This study aims to estimate awared, treated, and controlled hypertensive and relevant predictors in an adult Iranian population. MethodsThis cross-sectional study was conducted on 10000 adults aged 20-69 years in Yazd, Iran. They were selected through multi-stage random cluster sampling in 2015-2016.Blood pressure was measured three-time with standard protocol by trained health workers. Those with a positive history of hypertension and using anti-hypertensive drugs, prescribed by a physician, were considered hypertensive. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic BP of ≥90 mmHg. Uncontrolled hypertension was defined in accordance with recommended treatment targets by the Joint National Committee (JNC7). Logistic regression was used to assess the predictors of hypertension awareness, treatment and control. ResultsThe prevalence of hypertension was 37.3%, and the prevalence of pre-hypertension was 46.4%. 49.7% of People with hypertension were aware of their disease, and 71.5% of them were using antihypertensive drugs prescribed by physicians. Blood pressure was controlled in 38.9% of the treated patients. In the adjusted model, older age, female sex, and history of diabetes mellitus were positively associated with higher awareness. High physical activity, tobacco smoking, and diabetes are the only predictors of treated high blood pressure. Younger age, female sex, and higher education were determinants of controlled hypertension. Having health insurance was significantly correlated with awareness and control of hypertension. ConclusionHypertension is a public health problem in this population, which is not well controlled. Half of the patients were unaware. Intervention for increased screening coverage is needed. It should plan to raise public awareness about hypertension and improve hypertension control under supervision of 3 physicians. Implement a family physician program is recommended in the health system.

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Hypertension: diagnosis, control status and its predictors in general population aged between 15 and 75 years: a community-based study in southeastern Iran

Abstract: Hypertension affected almost one-fifth of the population. Given the poor control in diagnosed hypertensive patients, it is alarming that the current health system in urban areas in Iran is not effective enough to control the epidemic spread of non-communicable diseases.

Cited by 31 publications

References 20 publications

Fatores associados ao descontrole da pressão arterial em homens

Fatores associados ao descontrole da pressão arterial em homens

Prevalence and determinants of hypertension among Iranian adults, Birjand, Iran

Awareness, treatment, and control of hypertension and related factors in adult Iranian Population

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