Objective:This study aimed to determine the prevalence and predictors of undiagnosed
and uncontrolled hypertension (HTN) in a local community in Lebanon.Design and methods:In this cross-sectional study, we interviewed 911 adults in the local
community of Byblos, Lebanon, and 691 were enrolled in the study. Blood
pressure (BP), height, and weight were measured. The diagnosis of HTN was
based on the 2013 European Society of Hypertension (ESH)/ European Society
of Cardiology (ESC) guidelines (systolic BP ⩾140 mm Hg and/or diastolic BP
⩾90 mm Hg). The data collected were analyzed using “Statistical Package for
the Social Sciences” software (SPSS).Results:A total of 260 participants were found to be hypertensive, either previously
diagnosed or undiagnosed, yielding an overall prevalence of HTN of 37.62%.
Of these participants, 149 (57.31%) were previously diagnosed and had
controlled BP, and 111 (42.69%) had undiagnosed or uncontrolled HTN. Of
these 111 participants, 44 had undiagnosed HTN and 67 were previously
documented as hypertensive but had uncontrolled BP. Younger age and the
absence of associated cardiovascular comorbidities were found to be
associated with undiagnosed HTN, whereas high body mass index, smoking, and
nonadherence to therapy were found to be associated with uncontrolled
HTN.Conclusion and implications:This study revealed a relatively high prevalence of HTN in the studied
population, along with a high prevalence of undiagnosed and uncontrolled
HTN. These findings emphasize the need for wider and more efficient
screening strategies to better diagnose and control HTN in the general
population.