دانلود رایگان مقاله انگلیسی شیوع، آگاهی، درمان و کنترل فشارخون بالا و عوامل خطرساز آن - هینداوی 2018

Introduction.Te objective of this study is to describe the prevalence, awareness, treatment, and control of hypertension and its associated risk factors in (Central) Vietnam. Methods. In this cross-sectional study, a multistage sampling was used to select 969 participants from the general population aged from 40 to 69 years.Te cardiovascular risk factors were collected throughout the interviews with a standardized questionnaire. Multivariate logistic regression analysis was conducted to test the relationship between the prevalence, awareness, treatment, and control of hypertension and the prevalence of risk factors. Results. Te prevalence of hypertension was 44.8%. It was higher in men than in women (51.3% versus 39.7%, � < 0.001). In total 67.3% (74.5% in women, 60.1% in men; � = 0.001) of the participants were aware of their hypertension, 33.2% (37.5% in women, 28.9% in men; � = 0.01) of the participants were treated, and 12.2% (16.7% in women, 7.8% in men; � < 0.001) of the hypertensive participants’ hypertension was controlled. Age, gender, place of residence, body mass index, and diabetes were found to be independent risk factors for hypertension. Conclusion. Te prevalence of hypertension in Vietnam is high, and the proportion of treated and controlled patients is rather low.

Conclusion

To summarize, the fndings of this study indicated that hypertension remained an important public health problem in Central Vietnam. In spite of the increasing prevalence of hypertension over the past 10 years in (Central) Vietnam, the treatment and efective control of hypertension had remained unacceptably low. Nearly half of the adult Vietnamese population aged from 40 to 69 years was hypertensive, but only one-third of the hypertensive patients received due treatment, and not more than one in eighth of all hypertensive patients had been adequately controlled. Age, gender, place of residence, body mass index, and diabetes were found to be independent risk factors for hypertension. Tese fndings suggested that early detection, raising awareness, and providing better treatment of hypertension could be very important to maintain and improve the quality of hypertension management, especially in rural areas to reduce the burden of hypertension. Moreover, the lifestyle modifcations including the prevention of overweight and obesity, smoking, and alcohol consumption could help prevent hypertension.