Rezaianzadeh Abbas, Jafari Fatemeh, Ghoddusi Johari Masoumeh, Karami Hamed
Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
J Tehran Heart Cent. 2023 Apr;18(2):102-108. doi: 10.18502/jthc.v18i2.13319.
A comprehensive strategy to reduce the complications of hypertension (HTN) should include prevention approaches, such as increasing awareness, early diagnosis, and adequate treatment. The present study aimed to assess awareness, treatment, and control of HTN and their related factors in Kherameh, Iran.
This cross-sectional study was performed on 10 663 individuals aged between 40 and 70 years using the Kherameh cohort data. HTN was defined as either systolic/diastolic blood pressure ≥140/90 mmHg or taking medications. Logistic regression was used to investigate the relationship between awareness, treatment, and control of HTN and demographic factors, comorbidities, and a family history of diseases.
Out of 10 663 participants, 4719 (44.3%) were men, and the average age of the participants was 51.94±8.27 years. The rates of the prevalence, awareness, treatment, and control of HTN were 27.7% (95% CI, 26.86 to 28.54), 80.3% (95% CI, 79.56 to 81.04), 78% (95% CI, 77.22 to 78.78), and 53.6% (95% CI, 52.66 to 54.54), respectively. Age, gender, body mass index, and cardiovascular disease were associated with all the dependent variables in the regression model. Additionally, occupation, diabetes, chronic diseases, a history of cardiovascular disease in first and second-degree relatives and a history of chronic diseases in second-degree relatives were related to all the dependent variables except for treatment.
A high percentage of the patients were aware of their disease, but a smaller proportion were on medication. Consequently, about half the patients had blood pressure below 140/90 mmHg.
降低高血压（HTN）并发症的综合策略应包括预防措施，如提高认识、早期诊断和充分治疗。本研究旨在评估伊朗凯拉梅赫地区高血压的知晓率、治疗率、控制率及其相关因素。
本横断面研究使用凯拉梅赫队列数据，对10663名年龄在40至70岁之间的个体进行了研究。高血压定义为收缩压/舒张压≥140/90 mmHg或正在服用降压药物。采用逻辑回归分析高血压的知晓率、治疗率、控制率与人口统计学因素、合并症以及家族病史之间的关系。
在10663名参与者中，4719名（44.3%）为男性，参与者的平均年龄为51.94±8.27岁。高血压的患病率、知晓率、治疗率和控制率分别为27.7%（95%CI，26.86至28.54）、80.3%（95%CI，79.56至81.04）、78%（95%CI，77.22至78.78）和53.6%（95%CI，52.66至54.54）。年龄、性别、体重指数和心血管疾病与回归模型中的所有因变量相关。此外，职业、糖尿病、慢性病、一级和二级亲属的心血管疾病史以及二级亲属的慢性病史与除治疗外的所有因变量相关。
大部分患者知晓自己患有高血压，但接受药物治疗的比例较小。因此，约一半患者的血压低于140/90 mmHg。
