Sekolah Tinggi Ilmu Kesehatan Dharma Husada, Bandung, Indonesia.
Ministry of Research, Technology and Higher Education, Higher Education Service Institutions (LL-DIKTI) Region IV, Bandung, Indonesia.
J Prev Med Public Health. 2022 Jan;55(1):60-67. doi: 10.3961/jpmph.21.500. Epub 2022 Jan 6.
This study investigated the determinants of undiagnosed hypertension among Indonesian adults.
This study involved an analysis of secondary data from the 2014 Indonesia Family Life Survey (IFLS) on 5914 Indonesian adults (≥40 years). The determinant variables examined in this cross-sectional study were education level, monthly per capita expenditures (PCE), whether the participant experienced headaches in the morning, and other general health variables. The outcome variable was undiagnosed hypertension, which was defined as participants with hypertension who had not received a hypertension diagnosis from a health professional and had never been prescribed medication for treating hypertension. The data were analyzed using logistic regression.
A total of 3322 participants (56.2%) were found to have undiagnosed hypertension. The odds ratios (ORs) and 95% confidence intervals (CIs) of undiagnosed hypertension were significantly higher among those who completed primary school or lower (OR, 1.60; 95% CI, 1.29 to 1.98), had low monthly PCE (OR, 1.28; 95% CI, 1.13 to 1.43), did not report experiencing headaches in the morning (OR, 1.97; 95% CI, 1.76 to 2.21), and reported a general health status of healthy (OR, 2.05; 95% CI, 1.82 to 2.30) than those who had a higher education level, had high monthly PCE, experienced headaches in the morning, and were unhealthy.
Education level, monthly PCE, the experience of headaches in the morning, and general health status were associated with undiagnosed hypertension. The monitoring system for detecting undiagnosed hypertension cases must be strengthened. Health promotion is also necessary to reduce the prevalence of undiagnosed hypertension.
本研究旨在探讨印度尼西亚成年人未确诊高血压的决定因素。
本研究分析了 2014 年印度尼西亚家庭生活调查（IFLS）的二次数据，该调查涉及 5914 名印度尼西亚成年人（≥40 岁）。本横断面研究中检查的决定因素变量包括教育水平、月人均支出（PCE）、参与者是否在早上头痛以及其他一般健康变量。结局变量为未确诊的高血压，定义为患有高血压但未接受过卫生专业人员诊断且从未接受过治疗高血压药物的参与者。使用逻辑回归对数据进行分析。
共有 3322 名参与者（56.2%）被发现患有未确诊的高血压。与完成小学或以下学历的人相比（比值比 [OR]，1.60；95%置信区间 [CI]，1.29 至 1.98）、月 PCE 较低（OR，1.28；95%CI，1.13 至 1.43）、报告早上没有头痛（OR，1.97；95%CI，1.76 至 2.21）以及报告健康状况一般（OR，2.05；95%CI，1.82 至 2.30）的参与者，未确诊高血压的 OR 更高。
教育水平、月 PCE、早上头痛经历和一般健康状况与未确诊高血压有关。必须加强监测系统以发现未确诊的高血压病例。还需要进行健康促进以降低未确诊高血压的患病率。
