The prevalence, awareness and control rate of hypertension among elderly in northwest of Iran
Introduction: Adequate treatment of hypertension is infrequent in older patients. Determining the prevalence of hypertension in older patients, identifying the pattern of the treatment in this age group and evaluating their awareness of the disease may help healthcare systems to devise appropriate p...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Tabriz University of Medical Sciences
2016-12-01
|
Series: | Journal of Cardiovascular and Thoracic Research |
Subjects: | |
Online Access: | http://jcvtr.tbzmed.ac.ir/PDF/JCVTR-8-176.pdf |
id |
doaj-dff22cfc3f9b45a2810101d44469f99d |
---|---|
record_format |
Article |
spelling |
doaj-dff22cfc3f9b45a2810101d44469f99d2020-11-24T20:46:39ZengTabriz University of Medical SciencesJournal of Cardiovascular and Thoracic Research2008-51172008-68302016-12-018417618210.15171/jcvtr.2016.35JCVTR_1508_20160629205536The prevalence, awareness and control rate of hypertension among elderly in northwest of IranSamad Ghaffari0Leili Pourafkari1Arezou Tajlil2Mohammad Hasan Sahebihagh3Asghar Mohammadpoorasl4Jafar Sadegh Tabrizi5Nader D Nader6Akbar Azizi Zeinalhajlou7Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranHealth Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, IranHealth Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, IranHealth Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, IranUniversity at Buffalo, Buffalo, New York, 14214, USAHealth Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, IranIntroduction: Adequate treatment of hypertension is infrequent in older patients. Determining the prevalence of hypertension in older patients, identifying the pattern of the treatment in this age group and evaluating their awareness of the disease may help healthcare systems to devise appropriate programs for controlling the disease. Methods: This descriptive cross sectional study included a sample from population of Tabriz, a large city in North-West of Iran, who were 60 years or older. Data collection and blood pressure measurements were conducted in the households of the participants from 1st June 2015 through 1st August 2015. Hypertension was defined as systolic and/or diastolic blood pressure (DBP) ≥150/90 mm Hg or receiving anti-hypertensive medications. Prevalence and determinants of hypertension, awareness of patients about their diagnosis and prevalence of treatment and adequately controlled blood pressure were determined. Results: The prevalence of hypertension was 68.0%. Among hypertensive patients 81.8% were aware of their diagnosis, 78.0% were receiving antihypertensive medications. Among treated patients, 46.2% were adequately controlled. In univariate analysis, prevalence of hypertension was significantly higher in women (74.0% vs. 60.7%, P < 0.001). Women were more likely to be aware of diagnosis and to receive antihypertensive medications; however, the prevalence of adequately controlled blood pressure was similar in treated men and women. Among included variables in logistic regression analysis, older age, lower number of family members in household, cardiac diseases, being on low salt low fat diet, higher Body mass index (BMI) and not being educated were independently associated with having hypertension. Conclusion: Hypertension is highly prevalent among older population of Tabriz. Despite high rate of treatment, the rates of control are relatively low, indicating a demand for prevention and better management of hypertension in older individuals.http://jcvtr.tbzmed.ac.ir/PDF/JCVTR-8-176.pdfHypertension in ElderlyEpidemiologyGender Differences |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Samad Ghaffari Leili Pourafkari Arezou Tajlil Mohammad Hasan Sahebihagh Asghar Mohammadpoorasl Jafar Sadegh Tabrizi Nader D Nader Akbar Azizi Zeinalhajlou |
spellingShingle |
Samad Ghaffari Leili Pourafkari Arezou Tajlil Mohammad Hasan Sahebihagh Asghar Mohammadpoorasl Jafar Sadegh Tabrizi Nader D Nader Akbar Azizi Zeinalhajlou The prevalence, awareness and control rate of hypertension among elderly in northwest of Iran Journal of Cardiovascular and Thoracic Research Hypertension in Elderly Epidemiology Gender Differences |
author_facet |
Samad Ghaffari Leili Pourafkari Arezou Tajlil Mohammad Hasan Sahebihagh Asghar Mohammadpoorasl Jafar Sadegh Tabrizi Nader D Nader Akbar Azizi Zeinalhajlou |
author_sort |
Samad Ghaffari |
title |
The prevalence, awareness and control rate of hypertension among elderly in northwest of Iran |
title_short |
The prevalence, awareness and control rate of hypertension among elderly in northwest of Iran |
title_full |
The prevalence, awareness and control rate of hypertension among elderly in northwest of Iran |
title_fullStr |
The prevalence, awareness and control rate of hypertension among elderly in northwest of Iran |
title_full_unstemmed |
The prevalence, awareness and control rate of hypertension among elderly in northwest of Iran |
title_sort |
prevalence, awareness and control rate of hypertension among elderly in northwest of iran |
publisher |
Tabriz University of Medical Sciences |
series |
Journal of Cardiovascular and Thoracic Research |
issn |
2008-5117 2008-6830 |
publishDate |
2016-12-01 |
description |
Introduction: Adequate treatment of hypertension is infrequent in older patients. Determining the prevalence of hypertension in older patients, identifying the pattern of the treatment in this age group and evaluating their awareness of the disease may help healthcare systems to devise appropriate programs for controlling the disease.
Methods: This descriptive cross sectional study included a sample from population of Tabriz, a large city in North-West of Iran, who were 60 years or older. Data collection and blood pressure measurements were conducted in the households of the participants from 1st June 2015 through 1st August 2015. Hypertension was defined as systolic and/or diastolic blood pressure (DBP) ≥150/90 mm Hg or receiving anti-hypertensive medications. Prevalence and determinants of hypertension, awareness of patients about their diagnosis and prevalence of treatment and adequately controlled blood pressure were determined.
Results: The prevalence of hypertension was 68.0%. Among hypertensive patients 81.8% were aware of their diagnosis, 78.0% were receiving antihypertensive medications. Among treated patients, 46.2% were adequately controlled. In univariate analysis, prevalence of hypertension was significantly higher in women (74.0% vs. 60.7%, P < 0.001). Women were more likely to be aware of diagnosis and to receive antihypertensive medications; however, the prevalence of adequately controlled blood pressure was similar in treated men and women. Among included variables in logistic regression analysis, older age, lower number of family members in household, cardiac diseases, being on low salt low fat diet, higher Body mass index (BMI) and not being educated were independently associated with having hypertension.
Conclusion: Hypertension is highly prevalent among older population of Tabriz. Despite high rate of treatment, the rates of control are relatively low, indicating a demand for prevention and better management of hypertension in older individuals. |
topic |
Hypertension in Elderly Epidemiology Gender Differences |
url |
http://jcvtr.tbzmed.ac.ir/PDF/JCVTR-8-176.pdf |
work_keys_str_mv |
AT samadghaffari theprevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran AT leilipourafkari theprevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran AT arezoutajlil theprevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran AT mohammadhasansahebihagh theprevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran AT asgharmohammadpoorasl theprevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran AT jafarsadeghtabrizi theprevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran AT naderdnader theprevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran AT akbarazizizeinalhajlou theprevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran AT samadghaffari prevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran AT leilipourafkari prevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran AT arezoutajlil prevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran AT mohammadhasansahebihagh prevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran AT asgharmohammadpoorasl prevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran AT jafarsadeghtabrizi prevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran AT naderdnader prevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran AT akbarazizizeinalhajlou prevalenceawarenessandcontrolrateofhypertensionamongelderlyinnorthwestofiran |
_version_ |
1716811916447318016 |