The prevalence, awareness and control rate of hypertension among elderly in northwest of Iran.
The prevalence, awareness and control rate of hypertension among elderly in northwest of Iran.
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DOI：
10.15171/jcvtr.2016.35
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发表时间：
2016
影响因子：
1.1
通讯作者：
Azizi Zeinalhajlou A
中科院分区：
文献类型：
--
作者：
Ghaffari S;Pourafkari L;Tajlil A;Sahebihagh MH;Mohammadpoorasl A;Tabrizi JS;Nader ND;Azizi Zeinalhajlou A
引言：老年患者很少接受适当的高血压治疗。确定老年患者高血压的患病率，确定该年龄组的治疗模式，并评估他们对疾病的认识，可能有助于医疗保健系统制定适当的计划来控制疾病。 研究方法：这项描述性横断面研究包括来自伊朗西北部大城市大不里士60岁或以上人口的样本。从2015年6月1日至2015年8月1日，在参与者的家庭中进行数据收集和血压测量。高血压定义为收缩压和/或舒张压（DBP）≥150/90 mm Hg或接受降压药物治疗。确定高血压的患病率和决定因素、患者对其诊断和治疗的知晓率以及充分控制的血压。 结果：高血压患病率为68.0%。在高血压患者中，81.8%的人知道自己的诊断，78.0%的人正在接受降压药物治疗。在接受治疗的患者中，46.2%得到充分控制。在单因素分析中，女性高血压患病率显著高于男性（74.0%比60.7%，P < 0.001）。女性更有可能知道诊断并接受抗高血压药物治疗;然而，接受治疗的男性和女性血压得到充分控制的患病率相似。Logistic回归分析结果显示，年龄大、家庭成员少、心脏病、低盐低脂饮食、高体重指数（BMI）、未受教育是高血压的独立危险因素。 结论：高血压在大不里士的老年人口中非常普遍。尽管治疗率很高，但控制率相对较低，这表明需要预防和更好地管理老年人的高血压。
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.