scholarly journals Factors associated with hypertension awareness, treatment and control in rural Chinese

2007 ◽  
Vol 22 (5) ◽  
pp. 366-369 ◽  
Author(s):  
G Dong ◽  
Z Sun ◽  
L Zheng ◽  
J Li ◽  
X Zhang ◽  
...  
Keyword(s):  
Factors Associated ◽  
Hypertension Awareness ◽  
And Control

Risk factors associated with hypertension awareness, treatment, and control in a multi-ethnic Asian population

2009 ◽  
Vol 27 (1) ◽  
pp. 190-197 ◽  
Author(s):  
Yi Wu ◽  
E Shyong Tai ◽  
Derrick Heng ◽  
Chee Eng Tan ◽  
Lip Ping Low ◽  
...  
Keyword(s):  
Risk Factors ◽  
Asian Population ◽  
Factors Associated ◽  
Hypertension Awareness ◽  
And Control

scholarly journals Factors Associated With Hypertension Awareness, Treatment, and Control Among Adults in Kerala, India

2021 ◽  
Vol 9 ◽  
Author(s):  
Yingting Cao ◽  
Thirunavukkarasu Sathish ◽  
Tilahun Haregu ◽  
Yu Wen ◽  
Gabrielli Thais de Mello ◽  
...  
Keyword(s):  
Psychosocial Factors ◽  
Longitudinal Analysis ◽  
Outpatient Service ◽  
Significant Risk ◽  
Hypertension Management ◽  
Longitudinal Analyses ◽  
Cross Sectional ◽  
Factors Associated ◽  
Hypertension Awareness ◽  
And Control

Background: Hypertension, the most significant risk factor for cardiovascular disease, is an increasing contributor to global health burden, particularly in low- and middle-income countries (LMICs) such as India. While the rates of hypertension awareness, treatment, and control in India have been reported in several studies, the factors associated with these rates are less well-understood. Existing studies are predominantly cross-sectional, and the factors examined are limited. Understanding the predictors associated with these rates, using more rigorous study designs, is crucial for the development of strategies to improve hypertension management.Aims: To examine a range of factors associated with hypertension awareness, treatment, and control using both cross-sectional and longitudinal analyses.Methods: Data was derived from a population-based sample of 1,710 participants from Kerala, aged 30–60 years. We examined a comprehensive range of factors, including demographic, behavioral factors, anthropometric, clinical measures, psychosocial factors and healthcare utilization. Multilevel mixed effects logistic regression was used for both cross-sectional and longitudinal analyses (repeated measures for all variables across 2 years) to determine the factors associated with awareness, treatment, and control of hypertension.Results: A total of 467 (27.3%) participants had hypertension at baseline. Among those, the rates of awareness, treatment, and control of hypertension were 54.4, 25.5, and 36.4%, respectively. Being male (OR 0.27, 95% CI 0.14–0.53) and consumption of alcohol (OR 0.49, 95% CI 0.31–0.80) were significant predictors of poorly controlled hypertension (longitudinal analysis). Depression (OR 2.04, 95% CI 1.15–3.61) and fair-to-poor self-perceived health status (OR 1.87, 95% CI 1.15–3.04) were associated with increased hypertension awareness, whereas anxiety (OR 1.97, 95% CI 1.04–3.71) was associated with increased hypertension treatment (cross-sectional analysis). Seeking outpatient service in the past 4 weeks was associated with higher awareness (OR 1.09, 95% CI 1.27–2.87), treatment (OR 1.73, 95% CI 1.20–2.50) and control (OR 1.96, 95% CI 1.37–2.80) (longitudinal analysis).Conclusion: Our findings suggest the importance of considering psychosocial factors and better engagement with health services in hypertension management, as well as giving more attention to body fat control and largely male-related behaviors such as alcohol consumption, taking into account of some Indian specific attributes.

scholarly journals Factors associated with awareness, treatment and control of hypertension among 3579 hypertensive adults in China: data from the China Health and Nutrition Survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Junxiang Wei ◽  
Yang Mi ◽  
Yan Li ◽  
Bo Xin ◽  
Youfa Wang
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Hypertension Treatment ◽  
Chinese Adults ◽  
Nutrition Survey ◽  
Antihypertensive Medications ◽  
Factors Associated ◽  
Health And Nutrition ◽  
Hypertension Awareness ◽  
And Control

Abstract Background The prevalence of hypertension is high and rising in China, but most people with hypertension do not have their blood pressure under control. This study investigated hypertension awareness, treatment, and control and their associated factors among Chinese adults. Methods Data collected from the 2011 China Health and Nutrition Survey (CHNS) from 12,991 Chinese adults were used. Hypertension was defined as systolic blood pressure ≥ 140 mmHg, diastolic blood pressure ≥ 90 mmHg, self-reported prior diagnosed hypertension, or taking antihypertensive medications. Hypertension awareness, treatment, and control were defined as a self-reported diagnosis of hypertension, current use of antihypertensive medication, and blood pressure < 140/90 mmHg, respectively. Multivariate logistic regression was performed to examine factors associated with hypertension awareness, treatment, and control. Results Overall, 3579 (27.6%) of the CHNS adult participants had hypertension, of whom 55.7% were aware of their diagnosis, 46.5% were treated with antihypertensive medications, but only 20.3% had their blood pressure under control. Higher hypertension treatment was associated with older age (OR = 2.57; 95%CI, 1.65–4.02), urban residency (1.50; 1.14–1.97), living in the Eastern region (1.52; 1.14–2.01), and being overweight/obese (1.99; 1.39–2.84). Hypertension awareness was associated with similar factors as hypertension treatment but was also associated with being female (1.37, 1.12–1.66). Poor hypertension control was associated with being overweight/obese (0.56; 0.42–0.76) and minority ethnicity (0.52; 0.31–0.86). Conclusion Hypertension is a major public health challenge in China. The prevalence of hypertension awareness, treatment, and control are still low despite existing public health policies and programs to reduce the burden of hypertension. More intensive hypertension screening and treatment programs are warranted in China.

scholarly journals Factors Associated With Hypertension Awareness, Treatment, and Control in a Representative Sample of the Chinese Population

Hypertension ◽  
2004 ◽  
Vol 43 (3) ◽  
pp. 578-585 ◽  
Author(s):  
Paul Muntner ◽  
Dongfeng Gu ◽  
Xiqui Wu ◽  
Xiufang Duan ◽  
Gan Wenqi ◽  
...  
Keyword(s):  
Representative Sample ◽  
Chinese Population ◽  
Factors Associated ◽  
Hypertension Awareness ◽  
And Control

scholarly journals Socioecological Factors Associated with Hypertension Awareness and Control Among Older Adults in Brazil and Colombia: Correlational analysis from the International Mobility in Aging Study

2020 ◽  
Author(s):  
Catherine Pirkle ◽  
Mary W. Guo ◽  
Ricardo O Guerra ◽  
Fernando Gomes ◽  
Emmanuelle Belanger ◽  
...  
Keyword(s):  
Public Health ◽  
Older Adults ◽  
International Mobility ◽  
Hypertension Control ◽  
Socioecological Model ◽  
Community Factors ◽  
Factors Associated ◽  
Hypertension Awareness ◽  
Aging Study ◽  
And Control

Abstract Background Hypertension awareness and control are understudied among older adults in middle-income countries, particularly contextualized according to interpersonal, institutional, and community factors. Research on hypertension in Latin America is acknowledged as insufficient. Methods We analyzed International Mobility in Aging Study data of 803 community-dwelling adults 65–74 years from study sites in the two most populous countries in South America: Brazil and Colombia. The study framework was the socioecological model, positing individual health outcomes are influenced by various behavioral, interpersonal, institutional, and community factors. Logistic regression models identified factors associated with hypertension awareness and control. Results At over 70% of participants, hypertension was prevalent in both samples, and awareness was high (> 80%). In contrast, blood pressure control among diagnosed respondents was low: 30% in Brazil and 51% in Colombia. Factors across the socioecological model were associated with awareness and control. Those with diabetes (OR 4.19, 95%CI 1.64–10.71) and with insufficient incomes (OR: 1.85, 95%CI 1.03–3.31) were more likely to be aware of their hypertension. In Colombia, those reporting no community activity engagement were less likely to be aware of their condition compared to those reporting community activities. In Brazil, it was the opposite. Women (OR 1.66, 95%CI 1.12–2.46) and those reporting strolling shops and stores (OR 1.80, 95% CI 1.09-3.00) were significantly more likely to have their hypertension under control. In Brazil, those 70–75 were significantly less likely to have their hypertension under control compared to their younger counterparts. In Colombia, there was no significant difference in the likelihood of hypertension control by age group. Conclusions There were notable differences in some factors across countries, highlighting the importance of theory-based studies within unique Latin American contexts on hypertension and other critical public health problems. Potential solutions for countries in the LAC region to improve hypertension outcomes for older adults include continuing to build access to health care to increase awareness and emphasizing social activities, including strolling in shops, that may support hypertension control as well as other desirable public health outcomes (e.g., exercise, social networks).

scholarly journals Factors associated with awareness, treatment and control of hypertension among 3,579 hypertensive adults in China: data from the China Health and Nutrition Survey

2020 ◽  
Author(s):  
junxiang Wei ◽  
Yang Mi ◽  
Yan Li ◽  
Bo Xin ◽  
Youfa Wang
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Hypertension Treatment ◽  
Chinese Adults ◽  
Nutrition Survey ◽  
Antihypertensive Medications ◽  
Factors Associated ◽  
Health And Nutrition ◽  
Hypertension Awareness ◽  
And Control

Abstract Background: The prevalence of hypertension is high and rising in China, but most people with hypertension do not have their blood pressure under control. This study investigated hypertension awareness, treatment, and control and their associated factors among Chinese adults. Methods: Data collected from the 2011 China Health and Nutrition Survey (CHNS) from 12,991 Chinese adults were used. Hypertension was defined as systolic blood pressure ≥ 140 mm Hg, diastolic blood pressure ≥ 90 mm Hg, self-reported prior diagnosed hypertension, or taking antihypertensive medications. Hypertension awareness, treatment, and control were defined as a self-reported diagnosis of hypertension, current use of antihypertensive medication, and blood pressure < 140/90 mm Hg, respectively. Multivariate logistic regression was performed to examine factors associated with hypertension awareness, treatment, and control. Results: Overall, 3,579 (27.6%) of the CHNS adult participants had hypertension, of whom 55.7% were aware of their diagnosis, 46.5% were treated with antihypertensive medications, but only 20.3% had their blood pressure under control. Higher hypertension treatment was associated with older age (OR=2.57; 95%CI, 1.65-4.02), urban residency (1.50; 1.14-1.97), living in the Eastern region (1.52; 1.14-2.01), and being overweight/obese (1.99; 1.39-2.84). Hypertension awareness was associated with similar factors as hypertension treatment but was also associated with being female (1.37, 1.12-1.66). Poor hypertension control was associated with being overweight/obese (0.56; 0.42-0.76) and minority ethnicity (0.52; 0.31-0.86). Conclusion: Hypertension is a major public health challenge in China. The prevalence of hypertension awareness, treatment, and control are still low despite existing public health policies and programs to reduce the burden of hypertension. More intensive hypertension screening and treatment programs are warranted in China.

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