. Zohreh Ghorbani; . Seyed Morteza Shamshirgaran; . Samad Ghaffari; . Parvin Sarbakhsh; . Farzad Najafipour; . Nayyereh Aminisani
Volume 8, Issue 4 , April 2018, , Pages 1-8
Abstract
BACKGROUND AND OBJECTIVE: There is remarkable alteration in hypertension prevalenceand awareness, and their correlates among various geographic locations and ethnic groups. Theaim of ...
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BACKGROUND AND OBJECTIVE: There is remarkable alteration in hypertension prevalenceand awareness, and their correlates among various geographic locations and ethnic groups. Theaim of this study was to report hypertension prevalence, awareness, and its correlates as well ashypertension treatment, and control among Azari people aged 35 years and older.MATERIALS AND METHODS: The pilot phase of the Azar Cohort Study; a state level of a nationwidePERSIAN cohort study was conducted in Khameneh city between October 2014 and January 2015.All people 35 years of age and above were invited to take part in this study. A comprehensive range ofdifferent biomarkers, lifestyle, socioeconomic factors, and health‑related factors was collected. Bloodpressure was measured by a trained nurse/midwife. Descriptive statistical methods were used to presentgeneral characteristics of the study population as frequency tables. Separate multiple logistic regressionmodels were built to assess the predictors of hypertension prevalence.RESULTS: A total of 1038 people were included in this study. The overall prevalence of hypertensionwas 22.9%. Awareness of hypertension was 60.5% and in those with known hypertension, 84% wereusing the antihypertensive medications, of those 68.5% had controlled hypertension. After adjustment;age (odds ratios [OR] adj = 1.12 95% confidence interval [CI]: 1.09–1.15), gender (ORadj = 1.65 95% CI:1.08–2.51), obesity ORadj = 2.51 (1.40–4.88), waist‑to‑hip ratio (WHR) (ORadj = 1.70 (1.05–2.75), andcomorbidities (ORadj = 2.51 (1.72–3.66) were independent predictors of hypertension.CONCLUSION: Age, sex, body mass index, WHR, and comorbidities were known as predictorsof hypertension in this study, health promotion strategies including lifestyle modification to reduceoverweight/obesity and secondary prevention programs for early detection of hypertension in high‑riskgroups according to age, gender, and disease profile are recommended.
