scholarly journals Hypertension Awareness, Treatment, and Control in Mexico: An Opportunistic Medical Student-led Blood Pressure Screening Campaign – A Cross-sectional Study

Author(s):  
José Adrián Yamamoto-Moreno ◽  
Suzzette Anaís Navarro-Rodríguez ◽  
Samuel Ruiz-Pérez ◽  
Juan Carlos Godínez-Reyes ◽  
Marvin Mendoza-Rojo

Background: Hypertension is still a growing public health problem in Mexico. An estimated 151% increase in the number of individuals with hypertension is expected for 2050 if actions are not taken in the country. The aim of this study is to describe hypertension awareness, treatment, control and its associated factors in participants of an opportunistic medical student-led blood pressure screening campaign in Mexico. Methods: A cross-sectional study, using convenience sampling was performed, including participants aged 18 years and older from 15 Mexican states. Each participant completed a questionnaire about risk factors and had three BP measurements taken. Hypertension was defined as ≥140/90 mmHg. Multiple imputation with linear regression was performed where data was missing. Results: From a population of 2 545 participants, 623 (24.5%) participants had hypertension. Of those with hypertension, 81.9% had a previous diagnosis of hypertension and only 16.1% were not on medication at the time of screening; 61% were controlled, 121% were uncontrolled patients and 18% were not aware they had hypertension. High marginalization was found to have the biggest proportion of uncontrolled cases (33%), while the number of unaware hypertensives in very low marginalization states doubled the national figure. More than half the participants taking antihypertensive agents were on a single medication, achieving control in almost 8 in 10 patients. Conclusion: It is important to continue making and supporting awareness raising campaigns in different settings across the country to generate more evidence and lead to better programs for improving hypertension detection in Mexico.

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Shikha Singh ◽  
Ravi Shankar ◽  
Gyan Prakash Singh

Hypertension is a major public health problem and important area of research due to its high prevalence and being major risk factor for cardiovascular diseases and other complications.Objectives. (1) To assess the prevalence of hypertension and its associated factors and (2) to estimate awareness, treatment, and adequacy of control of hypertension among study subjects.Methods and Materials. A community based cross-sectional study with multistage sampling design was conducted among urban population of Varanasi. A modified WHO STEPS interview schedule on 640 study subjects aged 25–64 years was used.Results. The prevalence of hypertension was 32.9% (male: 40.9%, female: 26.0%). Mean systolic and diastolic BP were 124.25 ± 15.05 mmHg and 83.45 ± 9.49 mmHg, respectively. Higher odds of being hypertensive were found in male subjects, eldest age group, married subjects, subjects of upper socioeconomic status, illiterate subjects, and retired subjects. Tobacco and alcohol consumption, overweight, obesity, and abdominal obesity were also associated with hypertension. Out of the total hypertensive 211 subjects, only 81 (38.4%) were aware about their hypertension status; out of those, 57 (70.4%) were seeking treatment and 20 (35.08%) had their blood pressure adequately controlled.Conclusion. Around one-third of the subjects were hypertensive and half of the study subjects were prehypertensive in this area. The awareness, treatment, and control of high blood pressure were also very low.


Cureus ◽  
2018 ◽  
Author(s):  
Marium Mehmood ◽  
Aleena Mesiah ◽  
Fizza Z Raza ◽  
Zainab Junaid ◽  
Munira Jamali ◽  
...  

Author(s):  
T. K. Raja ◽  
T. Muthukumar ◽  
Anisha Mohan P.

Background: Hypertension is one of the non-communicable diseases, which is an important global public health problem and also the most leading cause for cardiovascular disease in both developed and developing countries. The aim and objectives of the study were to estimate the prevalence of hypertension and to assess the associated risk factors among adults of rural population.Methods: A community based cross sectional study was done on 225 study subjects, using systemic random sampling method at Kancheepuram district, Tamil Nadu. Results: The study included 225 participants of which 53% were male and 47% were female. The overall prevalence of hypertension among the study population was 26.2%. Risk among male was greater than female (OR=1.390). Factors like age, body mass index, diet, family history of hypertension had significant association (p<0.05) with hypertension. Conclusions: Regular screening for hypertension among adults should be done in the general OPD as well as in health camps so that they have a knowledge regarding their own blood pressure status. Among those who already have hypertension, anti -hypertensive drugs, timely blood pressure check-up, screening for cardio vascular diseases and self-care management of hypertension need to be promoted. 


2012 ◽  
Vol 10 (1) ◽  
pp. 16-19 ◽  
Author(s):  
A Vaidya

Background Hypertension is a rising public health problem in Nepal. Most of the upsurge is attributed to the behavioural and lifestyle transitions. However, the hereditary component such as ethnicity, which may also be an important determinant, has not been studied. Objective This study aims to investigate if ethnicity is a key determinant of having a high blood pressure in the Nepalese population. Methods A population-based cross sectional study was conducted in the Duwakot village of Bhaktapur District, Nepal. Systematic random sampling of the adults was done in all the nine wards. A total of 641 adults of both sexes, of age 35 years or more were included in the analysis. Results Most of the life-style related risk factors were comparable in the broad two ethnic groups- Tibeto-Burmans and Indo-Aryans. The prevalence of hypertension was 25.3% in the Tibeto-Burmans compared to the 14.0% in the Indo-Aryans. Crude odds ratio (95% CI) of being hypertensive for the Tibeto-Burmans compared to the Indo-Aryans was 2.07 (1.36-3.15) (p=0.01). After adjusting for the different factors the adjusted odds ratio (95% CI) for the same was found to be 1.78 (1.12-2.81) (p=0.014). Conclusion There is an ethnic variation in the blood pressure distribution in the Nepalese population, which might be acting independent of the different life-style factors. More elaborate studies, including longitudinal and migration studies, and probably genetic analyses, can provide a more definite answer. KATHMANDU UNIVERSITY MEDICAL JOURNAL  VOL.10 | NO. 1 | ISSUE 37 | JAN - MAR 2012 | 20-23DOI: http://dx.doi.org/10.3126/kumj.v10i1.6908


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e035823
Author(s):  
Nebiyu Dereje ◽  
Alemu Earsido ◽  
Layla Temam ◽  
Ashenafi Abebe

ObjectiveHypertension is a global public health problem, with its burden increasing particularly in developing countries. However, it has not yet received due attention in Ethiopia. The aim of this study was to determine the prevalence and associated factors of hypertension among adult population in Hosanna town, southern Ethiopia.DesignCommunity-based cross-sectional study.SettingHosanna town, southern Ethiopia.ParticipantsAdult population aged ≥18 years (n=634) were recruited by a multistage stratified sampling technique.Outcome measuresA face-to-face interview using structured questionnaire was carried out by trained nurses. Anthropometry and blood pressure were measured following standard procedures. Hypertension status was defined as systolic blood pressure ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg in two separate measurements or reported use of prescribed antihypertensive drugs for raised blood pressure. Factors associated with hypertension were identified by multivariable binary logistic regression analysis.ResultsThe overall prevalence of hypertension was found to be 17.2% (19.3% and 14.2% among men and women, respectively). About 40% were unaware that they were hypertensive prior to the study. Older age ≥35 years (adjusted OR=3.9, 95% CI: 1.4 to 10.8), alcohol use (adjusted OR=3.4, 95% CI: 1.4 to 8.3), consumption of saturated oil (adjusted OR=6.5, 95% CI: 1.5 to 17.5) and unspecified different types of oil (adjusted OR=8.2, 95% CI: 1.9 to 25.1) and overweight/obesity (adjusted OR=2.9, 95% CI: 1.9 to 4.6) were found to be independently associated with hypertension.ConclusionsThe prevalence of both diagnosed and undiagnosed hypertension is alarmingly high in the town. These findings underscore the need to design health information provision systems on the risk factors of hypertension and promote good health practices. Blood pressure screening programmes at community levels to identify and treat undiagnosed hypertension should be considered.


e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Priscilia G. J. Tambuwun ◽  
Pieter L. Suling ◽  
Christy N. Mintjelungan

Abstract: Hypertension is a condition with an increased blood pressure above normal. Treatment of hypertension is proved to be very effective and widely available but some side effects inter alia in the oral cavity cannot be avoided. This study aimed to obtain the oral complaints of hypertensive outpatients at the Internal Department of Robert Wolter Mongisidi Hospital Manado. This was a descriptive cross sectional study. The results showed that of the 30 respondents there were more females (60%) than males (40%). The most frequent age group was 56-60 years (20% males and 26,6% females), and the most frequent antihypertensive agent was amlodipine (80%). The oral complaints were as follows: xerostomia (80%), swollen gums (16,67%), and stomatitis aphtous recurrent (3,33%).Keywords: hypertension, antihypertensive agents, oral complaints.Abstrak: Hipertensi adalah suatu keadaan dimana terjadi peningkatan tekanan darah di atas normal. Pengobatan hipertensi terbukti sangat efektif dan tersedia luas, namun beberapa efek samping akibat penggunaan obat hipertensi antara lain pada rongga mulut tidak dapat dihindari. Penelitian ini bertujuan untuk mengetahui gambaran keluhan di rongga mulut pengguna obat antihipertensi rawat jalan di Poliklinik Penyakit Dalam Rumah Sakit Tingkat III Robert Wolter Mongisidi Manado. Penelitian ini bersifat deskriptif dengan dessain potong lintang. Responden penelitian berjumlah 30 orang. Hasil penelitian memperlihatkan jenis kelamin perempuan (60%) lebih banyak dari laki-laki (40%); usia responden terbanyak 56-60 tahun (46,67%); dan obat antihipertensi yang tersering digunakan ialah amlodipine (80%). Keluhan rongga mulut yang dialami responden ialah xerostomia (80%), gingiva bengkak (16,7%), dan sariawan (3,3%).Kata kunci: hipertensi, obat antihipertensi, keluhan rongga mulut


Author(s):  
Shalini Rawat ◽  
Ashwini Yadav ◽  
Kamaxi Bhate

Background: Hypertension is a major public health problem and also major risk factor for cardiovascular diseases. The prevalence and severity of hypertension increases with age, and it becomes difficult to control blood pressure with increasing age particularly in women. Thus present study aims to explores the risk factors contributing for hypertension among women.Methods: A cross-sectional study was carried out in the field practice area of Rural Health Training Centre of Community Medicine Department for one month duration September to October 2017. All the women reporting to general OPD for routine visit to RHTC were included. Informed consent was obtained. The participants who were already known hypertensives and were already on medication were excluded. Total 200 subjects were included in the study. Percentages, chi-square test and P-value were calculated using Epi Info software.Results: Out of total 200 women maximum were in the age group of 40-60 years (64%) followed by (22.5%)in  60-70 years. 40% of women were found to be  normotensive, 16%  were in stage one 12% were in stage two and 32% were showing elevated blood pressure. Hypertension was found to be significantly associated with modifiable risk factors like BMI, physical activity, waist circumference. 66.66% of women who were obese were found to be hypertensive. 91.91% of women who had family history of hypertension were themselves hypertensive and 97 (48.5%) women who had diabetes out of them 82.47% were both diabetic as well as hypertensive.Conclusions: Screening, detection and treatment of NCDs, are key components of the response to non-communicable diseases.


Author(s):  
Dharaneesh Prasad S. ◽  
Rajeev K. H.

Background: Hypertension is one of the major risk factors for CVDs and its complications which account for 9.4 million deaths worldwide every year. Hypertension itself responsible for about 45% and 51% deaths due to heart disease and stroke respectively. It is a major public health problem in India both in urban and rural areas and is increasing at an alarming rate in rural population now days. Because of lack of access to health care facilities at rural areas, the early screening and treatment of hypertension is not done regularly, so we conducted this study. The objective of the study was to determine the prevalence and associated factors of hypertension in a rural community of South Karnataka.Methods: A community based cross sectional study was conducted at rural field practice area of a private medical college in Bengaluru. Sample size was 380 and convenient sampling method used. Data was collected by visiting homes and blood pressure measured with mercury sphygmomanometer. Descriptive statistics were used to analyse the data.Results: Among 380 participants, 58.4% and 41.6% were males and females respectively. The overall prevalence of hypertension among them was 22.6%, newly diagnosed cases were 7.1% and the proportion of hypertension was more among the age group of 50-59 years (40.7%).Conclusions: Our study shows that hypertension has creeped into the rural areas also and creating a huge health problem for the community. Newly diagnosed cases are also high which shows that most of the people are not aware of their blood pressure and importance of regular monitoring of blood pressure. Since screening helps in early detection, so strengthening of health facilities and creation of awareness at rural levels will reduce the morbidity and mortality due to hypertension and its complications.


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