Predictors of Undiagnosed and Uncontrolled Hypertension in the Local Community of Byblos, Lebanon

Kanj, H.; Khalil, Ali; Kossaify, Mikhael; Kossaify, Antoine

doi:10.1177/1178632918791576

Cited by 19 publications

(26 citation statements)

References 26 publications

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“…The questionnaire is adapted from previous similar studies and the WHO STEPS wise approach guidelines on NCD risk factor surveillance questionnaire. It contains information about socio demographic characteristics, behavioral characteristics, history of chronic illnesses, hypertension related knowledge questions and weight, height and blood pressure measurements [ 6 , 13 , 20 – 30 ]…”

Section: Methodsmentioning

confidence: 99%

“…Different studies conducted in different areas revealed that younger and older age, lower socioeconomic status, drinking alcohol, being underweight, absence of associated cardiovascular co-morbidities, no familial history of hypertension and primary educated individuals are more likely to have undiagnosed hypertension [12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

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Undiagnosed hypertension and associated factors among bank workers in Bahir Dar City, Northwest, Ethiopia, 2020. A cross-sectional study

Dejenie

Reba

2021

PLoS ONE

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Background Undiagnosed hypertension is defined as individuals who were hypertensive but did not report having been told by a health professional that they have hypertension. It is an important risk factor for development of chronic kidney disease, cardiovascular disease and all-cause mortality. Despite those problems and benefits of finding individuals with undiagnosed hypertension to prevent its outcomes, no enough investigations have been done regarding the prevalence and associated factors of undiagnosed hypertension. Therefore, the objective of this study was to assess the prevalence of undiagnosed hypertension and its associated factors among bank workers in Ethiopia. Methods An institutional based cross-sectional study was held at Bahir Dar city bank workers. The simple random sampling technique was used to select the study participants. Self-administered structured questionnaire and physical measurement were used to collect data. The data were entered into EPI data 3.1 versions and exported to SPSS version 23.0 statistical software for further analysis. In order to decide the association between independent and dependent variables; multivariate logistic regression analysis was implemented. A P-value of < 0.05 was used as the criterion for statistical significance and OR with 95% confidence interval was used to indicate the strength of association. Result In this study from a total of 524 participants 513 were completed the questionnaire correctly, which gives a response rate of 97.9%. The overall prevalence of undiagnosed hypertension among bank workers was 24.8% with (95% CI 21.1–28.5). Multivariate logistic regression revealed that age 35–44 [AOR = 2.56, 95% CI: (1.60–4.09)], being male [AOR = 3.61, 95% CI: (1.84–7.05)], having moderate knowledge [AOR = 3.81, 95% CI: (2.29–6.34)], having poor knowledge [AOR = 6.19, 95% CI: (3.07-)12.48], and being physically inactivity [AOR = 2.91, 95% CI: (1.26–6.76)] were variables significantly associated with undiagnosed hypertension. Conclusion The prevalence of undiagnosed hypertension among bank workers in Bahir Dar city was found to be high. An age group of 35–44 years, being male, having moderate and poor knowledge and being physically inactivity was the variables that were significantly associated with undiagnosed hypertension. Therefore, creating awareness, frequent screening and implementation of an appropriate intervention for this vulnerable group is important.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Undiagnosed hypertension and associated factors among bank workers in Bahir Dar City, Northwest, Ethiopia, 2020. A cross-sectional study

Dejenie

Reba

2021

PLoS ONE

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“…15 In Byblos, Lebanon, 42.7% of study participants had undiagnosed or uncontrolled HTN. 16 The prevalence of undiagnosed HTN in a rural community in Sudan was 38.2% (36.7% among males and 39.3% among females). 17 In Dabat, northern Ethiopia, only 16.4% of patients with HTN were on antihypertensive treatment, while 83.4% had not been diagnosed and/or treated for HTN.…”

Section: Introductionmentioning

confidence: 94%

“…16 The prevalence of undiagnosed HTN in a rural community in Sudan was 38.2% (36.7% among males and 39.3% among females). 17 In Dabat, northern Ethiopia, only 16.4% of patients with HTN were on antihypertensive treatment, while 83.4% had not been diagnosed and/or treated for HTN. 18 The prevalence of undiagnosed HTN was 13.3% in Gulele Sub-city, Addis Ababa, Ethiopia.…”

Section: Introductionmentioning

confidence: 94%

<p>Undiagnosed Hypertension and Associated Factors Among Adults in Hawela Tula Sub-City, Hawassa, Southern Ethiopia: A Community-Based Cross-Sectional Study</p>

Wachamo

Geleta

Woldesemayat

2020

RMHP

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Background: Hypertension (HTN) is a major public health problem and often it is unnoticed. Undiagnosed HTN may lead to a high burden of cardiovascular diseases and complications such as stroke and heart attack. In this study, we aimed to assess the prevalence and associated factors of undiagnosed HTN. Methods: From February to June 2019, a community-based cross-sectional study was conducted on 383 randomly selected adults in Hawela Tulla Sub-city, Hawassa, southern Ethiopia. Data were collected by pretested questionnaires, and physical measurements of weight, height and blood pressure were collected through standardized procedures adapted from WHO STEPS survey tools. Data entry and analysis were carried out using SPSS version 23 statistical software. Descriptive analysis and logistic regression models were used to describe the results. Logistic regression analysis results were declared statistically significant if the P-value was below 0.05 and the 95% CI did not cross the null value. Results: The prevalence of undiagnosed HTN among the respondents was 12.3%. Only 152 (39.7%) of the study population knew the symptoms of HTN. Males (adjusted odds ratio [AOR] =2.

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“…Marshallese with T2DM had a high prevalence of diagnosed hypertension or undiagnosed high blood pressure (62.9%), more than three times the prevalence of hypertension (19.2%) recorded in the only prior study reporting hypertension (�140/90) among Marshallese with T2DM [17]. Among those with blood pressure readings indicative of hypertension, prevalence of undiagnosed high blood pressure was found to be 38.5% among Marshallese with T2DM, which is higher than the undiagnosed hypertension (�140/90) documented in other populations [9,[29][30][31][32].…”

Section: Discussionmentioning

confidence: 70%

Examining elevated blood pressure and the effects of diabetes self-management education on blood pressure among a sample of Marshallese with type 2 diabetes in Arkansas

et al. 2021

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Introduction Hypertension is a leading risk factor for heart attack and stroke. Undiagnosed hypertension increases the risk of heart attack and stroke. The risk of hypertension is increased for those with type 2 diabetes mellitus (T2DM). Diabetes self-management education (DSME) has been shown to be effective at improving clinical outcomes, including reducing blood pressure, but few studies have evaluated the effects of DSME for Native Hawaiians and Pacific Islanders. Methods This study examined the baseline prevalence of diagnosed hypertension and undiagnosed high blood pressure and differences in health care access between those with diagnosed hypertension versus undiagnosed high blood pressure. The sample consisted of 221 Marshallese adults with T2DM participating in a DSME randomized controlled trial in northwest Arkansas. The study also examined the effects of DSME interventions on participants’ blood pressure, comparing an Adapted-Family DSME with a Standard DSME. Results Nearly two-thirds of participants had blood pressure readings indicative of hypertension, and of those, over one-third were previously undiagnosed. The frequency of doctor visits was significantly lower for those with undiagnosed high blood pressure. There were no differences in health insurance coverage or forgone medical care between those with undiagnosed high blood pressure versus diagnosed hypertension. Across all participants, a significant reduction in systolic blood pressure occurred between baseline and post intervention, and a significant reduction in diastolic blood pressure occurred between baseline and post-intervention, 6 months, and 12 months post-intervention. No differences were observed by study arm. Conclusion This study is the first to document the prevalence of diagnosed hypertension and undiagnosed high blood pressure, as well as the effects of DSME on blood pressure among a sample of Marshallese adults with T2DM.

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Predictors of Undiagnosed and Uncontrolled Hypertension in the Local Community of Byblos, Lebanon

Cited by 19 publications

References 26 publications

Undiagnosed hypertension and associated factors among bank workers in Bahir Dar City, Northwest, Ethiopia, 2020. A cross-sectional study

Undiagnosed hypertension and associated factors among bank workers in Bahir Dar City, Northwest, Ethiopia, 2020. A cross-sectional study

<p>Undiagnosed Hypertension and Associated Factors Among Adults in Hawela Tula Sub-City, Hawassa, Southern Ethiopia: A Community-Based Cross-Sectional Study</p>

Examining elevated blood pressure and the effects of diabetes self-management education on blood pressure among a sample of Marshallese with type 2 diabetes in Arkansas

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