Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Social Development & Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Sci Rep. 2019 Aug 27;9(1):12409. doi: 10.1038/s41598-019-48232-y.
Hypertension is a public health issue in Iran. The study aimed to estimate the prevalence, awareness, treatment, and control of hypertension, and to explore their determinants among 10,040 Kurdish adults from Ravansar Non-Communicable Disease (RaNCD) cohort study in Iran. Univariate, and multivariate analyses were used for statistical analysis. Prevalence of hypertension was 15.7%. Among hypertensive patients, awareness, treatment, and control of hypertension were 80.7%, 73.2%, and 53.3%, respectively. In multivariate analysis, significant associations were found between awareness and female sex, older age, being married rather than being single, literacy, living in rural areas, having family history, and comorbidities, with a higher probability for those who had both diabetes and dyslipidemia. Being married, living in rural areas, being ex-smokers, having less physical activity and individuals who had diabetes and dyslipidemia had higher odds of receiving treatment. Being female had a statistically significant association with the control of hypertension. The Kurdish population had higher awareness, with a greater proportion of treated, and controlled patients compared to populations included in previous studies for the last 20 years in Iran. With the continuing health promotion programs in Iran, it is expected to observe a lower prevalence of hypertension, higher awareness and greater number of treated individuals with controlled hypertension.
高血压是伊朗的一个公共卫生问题。本研究旨在估计伊朗拉万萨尔非传染性疾病（RaNCD）队列研究中 10040 名库尔德成年人中高血压的患病率、知晓率、治疗率和控制率，并探讨其决定因素。采用单因素和多因素分析进行统计分析。高血压患病率为 15.7%。在高血压患者中，高血压的知晓率、治疗率和控制率分别为 80.7%、73.2%和 53.3%。在多因素分析中，发现知晓率与女性、年龄较大、已婚而非单身、文化程度、居住在农村地区、有家族史和合并症之间存在显著关联，那些同时患有糖尿病和血脂异常的人更有可能出现这种情况。已婚、居住在农村地区、曾经吸烟、体力活动较少以及患有糖尿病和血脂异常的人接受治疗的可能性更高。女性与高血压的控制有统计学显著关联。与过去 20 年伊朗之前的研究中纳入的人群相比，库尔德人群的知晓率更高，治疗和控制的患者比例也更高。随着伊朗继续开展健康促进计划，预计高血压的患病率将会降低，知晓率将会提高，接受治疗且血压得到控制的患者人数也将会增加。
