scholarly journals Blood pressure and associated factors in a North African adolescent population. a national cross-sectional study in Tunisia

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Hajer Aounallah-Skhiri ◽  
Jalila El Ati ◽  
Pierre Traissac ◽  
Habiba Ben Romdhane ◽  
Sabrina Eymard-Duvernay ◽  
...  
2021 ◽  
Author(s):  
Firaol Regea

Abstract Background: Hypertension affects more than one quarter of adults worldwide and one in three peoples in developing countries. Although Hypertension is known to be a silent medical condition, there is limited information on the prevalence of unscreened hypertension and associated factors among rural dwellers in Ethiopia in general and Dano district in particular. Objective: To assess the prevalence of Unscreened hypertension and associated factors among adults living in the rural area of Dano district, West Shewa, Oromia, Ethiopia 2020.Methods and materials - A community-based cross-sectional study was employed. A multi-stage sampling technique was used to select 605 Adults from the rural community of Dano District from May 23 -July 5, 2020. Data were collected by trained BSc nurses and Public health officers. Standardized WHO STEPS survey tool was used to collect socio-demographic and behavioral characteristics of the participants. Standardized digital blood pressure device was used to measure Blood pressure. The mean score of three blood measurements was used to classify hypertension after intra-class correlation was tested. GmateTM blood glucose measuring device was used to measure blood sugar. Multivariable logistic regression analysis was done to identify factors independently associated with unscreened hypertension. Adjusted Odds Ratio with 95% CI was estimated to measure the strength of association. The level of statistical significance was declared at p-value < 0.05. The results presented by tables and figures. Result: The prevalence of Unscreened Hypertension was 14.6%, (95% CI: 11.95%, 17.4%). Being in age of 19-33 years[(AOR: 2.5,95%CI:( 1,6)], having family history of hypertension [AOR=3.1,95%CI:(1.23,7.77)],having other chronic disease [AOR=0.28,95%CI:(0.11, 0.72)], Participants’ health-seeking behaviour to hypertension[AOR=3.3,95%CI:(1.6,6.5)] and participants knowledge about hypertension[AOR=2.3,95%CI:(1.2,4.5)]were independently associated with unscreened Hypertension.Conclusion - The evidence from this study shows unscreened hypertension is prevalent among adults in the study area. Therefore, opportunistic screening of adults regardless of their age and health status is important.


2020 ◽  
Author(s):  
Ju Young Kim ◽  
Ju Young Kim ◽  
Dae In Kim ◽  
Hwa Yeon Park ◽  
Yuliya Pak ◽  
...  

Abstract Background: Although health status in Vietnam has been much improved, people living in rural areas have faced several challenges, including a rapid increase of the aging population, inadequate capacity of health system, and problems of inequities in access to the healthcare system. The purpose of this study was to examine the current utilization of healthcare services, exploring unmet healthcare needs and their associated factors among adults living in rural Vietnam.Methods: This cross sectional study was conducted with 233 participants in a rural area of Binh Phuoc province and a suburban area of Da Lat city in Vietnam from October–December 2017. The methods included face-to-face interviews using a structured questionnaire as well as anthropometric and blood pressure measurements. We considered participants to have unmet health needs if they had any kind of health problem during the past 12 months for which they were unable to see a healthcare provider in the same period. Multivariate logistic regression analysis was performed to determine the factors associated with unmet healthcare needs.Results: Of the participants, 18% (n=43) had unmet healthcare needs. The common causes of unmet healthcare were transportation (30%), a lack of available doctors or medicines (47%), and communication issues with healthcare providers (16%). The multivariate logistic regression showed that having stage 2 high blood pressure and reporting no place to go for medical problems were associated with unmet healthcare needs.Conclusions: Healthcare services are still needed in disadvantaged group living in rural or suburban area of Vietnam. Efforts should focus on availability of medicines, improvement of transportation system as well as communication skills of healthcare providers to improve access to healthcare services.


2018 ◽  
Vol 53 (6) ◽  
pp. 389-392
Author(s):  
Kashif Ali ◽  
Syed Omair Adil ◽  
Najeebullah Soomro ◽  
Ayisha Bibi ◽  
Sadaf Kalam

The drug compliance and its associated factors were investigated among hypertensive patients attending the outpatient department of National Institute of Cardiovascular Disease (NICVD), Karachi, from September 2014 to March 2015. Data were collected retrospectively from 300 hypertensive patients taken treatment for >1 year. Half of the patients (51%) were >55 years of age with the predominance of males (52.70%). Most respondents (47%) had had ischemic heart disease (IHD), 30% had diabetes, 47% had both IHD and diabetes, while only a small number of subjects (18%) reporting no comorbidity. Most respondents (82%) reported that they took medicine regularly. Drug compliance was found significantly higher in males (55.70%) as compared with females (44.30%) ( P = .025). Similarly, drug compliance was found significantly higher in patients who monitored their blood pressure (BP) regularly (59.30%) as compared with the patients who did not monitor their BP regularly (40.70%) ( P = .001). Most respondents (46.30%) with hypertension (HTN) duration ≤5 years had significantly higher drug compliance as compared with the patients with HTN duration of 6 to 10 years and ≥11 years, that is, 33.30% and 20.30%, respectively ( P = .018). In conclusion, the rate of drug adherence is not up to the mark in hypertensive patients, with high compliance reported in only half of the respondents.


Author(s):  
Jéssica Lucio da Silva ◽  
Rodrigo Franco de Oliveira ◽  
Larissa Dragonetti Bertin ◽  
Priscila Daniele de Oliveira ◽  
Flavia Beltrão Pires ◽  
...  

Background: Physical inactivity (PI) is one of the most important risk factors that contribute to the development of chronic diseases, including cardiovascular diseases. Objective: To analyze the prevalence and associated factors with PI in adults from a Basic Health Unit in the city of Uraí, state of Paraná. Methods: An observational, descriptive, cross-sectional study was performed at Basic Health Unit of Uraí, and 100 subjects of both genders were evaluated, the average age of 47.55 ± 17.13 years. The data collection was carried through an interview where information of sociodemographic characteristics, consumption of alcoholic beverages, tobacco use, level of physical activity (PA) (IPAQ-8, short version), information of anthropometric measures, waist circumference, and rest blood pressure were collected. The Chi-square and Odds Ratio test was used, considering 95% of confidence interval, using the statistical package SPSS, version 20.0, with a significance level of p <0.05. Results: The prevalence of PI on the sample studied was 66% in both genders. The factors significantly associated with the PI were: advanced age ≥ 40 years (p <0.01), overweight with BMI ≥ 25 (p <0.013), abdominal circumference above 102 cm in men and 88 cm (p <0.042) (P <0.001) and high blood pressure ≥130 / 85 mmHg (p <0.025). Conclusion: The prevalence of associated factors with PI it is high, which suggests the need of public policies and awareness of the importance of oriented-prevention physical activity practice.


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