Saeed Abdalla A, Al-Hamdan Nasser A, Bahnassy Ahmed A, Abdalla Abdelshakour M, Abbas Mostafa A F, Abuzaid Lamiaa Z
Department of Community Medicine, Faculty of Medicine, King Saud Bin Abdulaziz University for Health Sciences, King Fahad Medical City, P.O. Box 59046, Riyadh 11525, Saudi Arabia.
Int J Hypertens. 2011;2011:174135. doi: 10.4061/2011/174135. Epub 2011 Sep 6.
This cross-sectional study aimed at estimating prevalence, awareness, treatment, control, and predictors of hypertension among Saudi adult population. Multistage stratified sampling was used to select 4758 adult participants. Three blood pressure measurements using an automatic sphygmomanometer, sociodemographics, and antihypertensive modalities were obtained. The overall prevalence of hypertension was 25.5%. Only 44.7% of hypertensives were aware, 71.8% of them received pharmacotherapy, and only 37.0% were controlled. Awareness was significantly associated with gender, age, geographical location, occupation, and comorbidity. Applying drug treatment was significantly more among older patients, but control was significantly higher among younger patients and patients with higher level of physical activity. Significant predictors of hypertension included male gender, urbanization, low education, low physical activity, obesity, diabetes, and hypercholesterolemia. In conclusion prevalence is high, but awareness, treatment, and control levels are low indicating a need to develop a national program for prevention, early detection, and control of hypertension.
这项横断面研究旨在评估沙特成年人群中高血压的患病率、知晓率、治疗率、控制率及预测因素。采用多阶段分层抽样选取了4758名成年参与者。使用自动血压计测量了三次血压,并收集了社会人口统计学信息及抗高血压治疗方式。高血压的总体患病率为25.5%。只有44.7%的高血压患者知晓自己的病情,其中71.8%接受了药物治疗,仅有37.0%的患者血压得到控制。知晓率与性别、年龄、地理位置、职业及合并症显著相关。老年患者接受药物治疗的比例显著更高,但年轻患者及身体活动水平较高的患者血压控制率显著更高。高血压的显著预测因素包括男性、城市化、低教育水平、低身体活动水平、肥胖、糖尿病及高胆固醇血症。总之,高血压患病率高,但知晓率、治疗率及控制率低,这表明需要制定一项全国性的高血压预防、早期检测及控制计划。