Department of Internal Medicine, College of Medicine, Hawler Medical University, Erbil, Kurdistan, Iraq.
Department of Community Medicine, Hawler Medical University, Erbil, Kurdistan, Iraq.
East Mediterr Health J. 2020 Mar 24;26(3):268-275. doi: 10.26719/emhj.19.029.
Hypertension is an important public health problem and one of the leading risk factors for morbidity and mortality from cardiovascular diseases.
To determine the prevalence of hypertension in a population of older adults in Erbil, Kurdistan, Iraq and identify the risk factors associated with hypertension.
A community-based cross-sectional survey based on household visits was carried out from April to June 2017. The study involved 1480 adults selected through a multistage sampling method. We used a specially designed questionnaire to collect sociodemographic and clinical data from the participants through direct interview and measurement of blood pressure.
Of the 1480 study participants, 809 (54.7%) had hypertension. Of these 809 hypertensive patients, 375 (46.4%) were known cases of hypertension and 434 (53.6%) were diagnosed during the survey. The multivariate analysis identified age [odds ratio (OR) = 1.1, 95% confidence interval (CI) = 1.08-1.11], male sex (OR = 2.72, 95% CI = 1.91-3.87), unemployment (OR = 1.85, 95% CI = 1.33-2.56), and obesity (OR = 2.20, 95% CI = 1.51-3.21) as significant factors associated with hypertension.
The prevalence of hypertension in Erbil City is high, with a high prevalence of undiagnosed hypertension. Treatment compliance was high but access to drugs was primarily from private pharmacies. This high prevalence of hypertension in Erbil City necessitates effective preventive and control measures, including comprehensive health education and screening programmes.
高血压是一个重要的公共卫生问题，也是导致心血管疾病发病率和死亡率的主要危险因素之一。
在伊拉克库尔德斯坦埃尔比勒的老年人群体中确定高血压的患病率，并确定与高血压相关的危险因素。
我们于 2017 年 4 月至 6 月进行了一项基于家庭访问的社区横断面调查。该研究涉及通过多阶段抽样方法选择的 1480 名成年人。我们使用专门设计的问卷通过直接访谈和血压测量从参与者那里收集社会人口统计学和临床数据。
在 1480 名研究参与者中，有 809 人（54.7%）患有高血压。在这 809 名高血压患者中，375 人（46.4%）为已知高血压患者，434 人（53.6%）在调查期间被诊断为高血压。多变量分析确定年龄[比值比（OR）=1.1，95%置信区间（CI）=1.08-1.11]、男性（OR=2.72，95%CI=1.91-3.87）、失业（OR=1.85，95%CI=1.33-2.56）和肥胖（OR=2.20，95%CI=1.51-3.21）与高血压显著相关。
埃尔比勒市的高血压患病率很高，且未确诊的高血压患病率很高。治疗依从性高，但药物主要来自私人药店。埃尔比勒市高血压的高患病率需要采取有效的预防和控制措施，包括全面的健康教育和筛查计划。
