TY - JOUR
T1 - Hypertension et facteurs associés en République islamique d’Iran
T2 - Étude en population
AU - Katibeh, Marzieh
AU - Moghaddam, Ali Sanjari
AU - Yaseri, Mehdi
AU - Neupane, Dinesh
AU - Kallestrup, Per
AU - Ahmadieh, Hamid
N1 - Funding Information:
The authors would like to thank Shahid Sadooghi University of Medical Sciences in Yazd, Islamic Republic of Iran, which provided logistic and clinical support to this project. In addition, we would like to thank Dr Sara Hosseini and Dr Zahra Tofighi for participating in data management, interpretation and integration of clinical data.
Publisher Copyright:
© 2020, World Health Organization. All rights reserved.
PY - 2020
Y1 - 2020
N2 - Background: Hypertension is a major risk factor for cardiovascular diseases and has a high prevalence in the Eastern Mediterranean Region. Aims: To estimate the prevalence and awareness of hypertension and its associated factors in a central province of the Islamic Republic of Iran. Methods: This cross-sectional study was conducted among 2320 adults aged 40-80 years in Yazd, Islamic Republic of Iran, in 2010-2011. Multivariable logistic regression analysis was performed to calculate the odds ratios (ORs) for exploring the association between hypertension and associated risk factors. Of eligible subjects, 2098 participated in clinical examinations (response rate: 90.4%). Results: The sex- and age-standardized prevalence of hypertension was 52.8% [95% confidence interval (CI): 49.6-56.1%]. Of 1170 participants with hypertension, 421 were diagnosed for the first time in this survey; therefore, the unawareness proportion was 36.0% (95% CI: 33.2-38.8%). Among known cases (749 of 1170), 68.5% (95% CI: 65.0-71.8%) had uncontrolled blood pressure. Age (OR 70-80 vs. 40-50 years=7.01, 95% CI: 4.01-12.24), obesity (OR=2.78, 95% CI: 2.06-3.75), diabetes (OR=1.46, 95% CI: 1.12-1.89), hyperlipidaemia (OR=1.60, 95% CI: 1.26-2.03) and living in a rural area (OR=1.57, 95% CI: 1.0-2.45) were significantly associated with hypertension. Conclusions: Although age is an inevitable risk factor for hypertension, the high unawareness proportion, uncontrolled hypertension and modifiable risk factors such as obesity, hyperlipidaemia and diabetes demand effective preventive and curative strategies.
AB - Background: Hypertension is a major risk factor for cardiovascular diseases and has a high prevalence in the Eastern Mediterranean Region. Aims: To estimate the prevalence and awareness of hypertension and its associated factors in a central province of the Islamic Republic of Iran. Methods: This cross-sectional study was conducted among 2320 adults aged 40-80 years in Yazd, Islamic Republic of Iran, in 2010-2011. Multivariable logistic regression analysis was performed to calculate the odds ratios (ORs) for exploring the association between hypertension and associated risk factors. Of eligible subjects, 2098 participated in clinical examinations (response rate: 90.4%). Results: The sex- and age-standardized prevalence of hypertension was 52.8% [95% confidence interval (CI): 49.6-56.1%]. Of 1170 participants with hypertension, 421 were diagnosed for the first time in this survey; therefore, the unawareness proportion was 36.0% (95% CI: 33.2-38.8%). Among known cases (749 of 1170), 68.5% (95% CI: 65.0-71.8%) had uncontrolled blood pressure. Age (OR 70-80 vs. 40-50 years=7.01, 95% CI: 4.01-12.24), obesity (OR=2.78, 95% CI: 2.06-3.75), diabetes (OR=1.46, 95% CI: 1.12-1.89), hyperlipidaemia (OR=1.60, 95% CI: 1.26-2.03) and living in a rural area (OR=1.57, 95% CI: 1.0-2.45) were significantly associated with hypertension. Conclusions: Although age is an inevitable risk factor for hypertension, the high unawareness proportion, uncontrolled hypertension and modifiable risk factors such as obesity, hyperlipidaemia and diabetes demand effective preventive and curative strategies.
KW - Hypertension
KW - Islamic republic of iran
KW - Prevalence
KW - Risk factors
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U2 - 10.26719/emhj.19.042
DO - 10.26719/emhj.19.042
M3 - Article
C2 - 32281640
AN - SCOPUS:85083165726
SN - 1020-3397
VL - 26
SP - 304
EP - 314
JO - Eastern Mediterranean Health Journal
JF - Eastern Mediterranean Health Journal
IS - 3
ER -