보건진료소 관할 농촌 지역사회 성인의 고혈압 관리 실태와 관련 요인
Awareness, Treatment and Control of Hypertension and Related Factors in the Jurisdictional Areas of Primary Health Care Posts in a Rural Community of Korea
2
조회
0
다운로드
14
인용
0
참고문헌
키워드
초록
Objectives: This study aimed to identify and assess the factors related to the awareness, treatment, and control of hypertension based on jurisdictional areas of primary health care posts in a rural community of Korea. Methods: This study was performed on 4598 adults aged over 30 years in a rural community and we measured their blood pressure (BP) from October. 2007 to August. 2009. Hypertension is defined as a condition characterized by a systolic BP ≥140mmHg, a diastolic BP ≥90 mmHg or reported treatment with antihypertensive medications. We analyzed the factors related with the prevalence, awareness, treatment and control of hypertension using chi-square test and multivariate logistic regression analysis. Results: The age-adjusted prevalence of hypertension was 34.7%. The age-adjusted rates of hypertension awareness, treatment and control were 50.6%, 93.9% and 64.1%, respectively. Awareness of hypertension was related with increasing age. Higher awareness was found among men who were felt more stress, were obese and had hypercholesterolemia, and among women who were regulary taking medicine for hypertension, were obese and had diabetes mellitus. In women, the hypertension treatment was related a Medical aid and education for hypertension management. Controlled hypertension was more common among men who were educated about the management of hypertension and among women who had hypercholesterolemia. Conclusions: The awareness of hypertension was low and the control of hypertension was high compared with the nationwide data (KNHANES 2005). The results suggest that understanding the characteristics of hypertension in a community is important to perform a community based hypertension control program.
Abstract
Objectives: This study aimed to identify and assess the factors related to the awareness, treatment, and control of hypertension based on jurisdictional areas of primary health care posts in a rural community of Korea. Methods: This study was performed on 4598 adults aged over 30 years in a rural community and we measured their blood pressure (BP) from October. 2007 to August. 2009. Hypertension is defined as a condition characterized by a systolic BP ≥140mmHg, a diastolic BP ≥90 mmHg or reported treatment with antihypertensive medications. We analyzed the factors related with the prevalence, awareness, treatment and control of hypertension using chi-square test and multivariate logistic regression analysis. Results: The age-adjusted prevalence of hypertension was 34.7%. The age-adjusted rates of hypertension awareness, treatment and control were 50.6%, 93.9% and 64.1%, respectively. Awareness of hypertension was related with increasing age. Higher awareness was found among men who were felt more stress, were obese and had hypercholesterolemia, and among women who were regulary taking medicine for hypertension, were obese and had diabetes mellitus. In women, the hypertension treatment was related a Medical aid and education for hypertension management. Controlled hypertension was more common among men who were educated about the management of hypertension and among women who had hypercholesterolemia. Conclusions: The awareness of hypertension was low and the control of hypertension was high compared with the nationwide data (KNHANES 2005). The results suggest that understanding the characteristics of hypertension in a community is important to perform a community based hypertension control program.
참고문헌 (34)
- Muntner P, "Factors associated with hypertension awareness, treatment, and control in a representative sample of the chinese population", Hypertension, 43(3), pp.578~585 (2004)
- Ong KL, "Prevalence, awareness, treatment, and control of hypertension among United States adults 1999-2004", Hypertension, 49(1), pp.69~75 (2007)
- "Deaths and death rates by cause"[URL]
- Global health risks: mortality and burden of disease attributable to selected major risks, "Department of Health Statistics and Informatics in the Information EaRCot WHO", World Health Organization, ~ (2009)
- The Fourth Korea National Health and Nutrition Examination Survey (KNHANES Ⅳ), 2008, "Korea Centers for Disease Control and Prevention", Ministry for Health, Welfare and Family Affairs, 50~51 (2009)
- Kim CY, "Health behaviors related to hypertension in rural population of Korea", Korean J Prev Med, 33(1), pp.56~68 (2000)
- Wolf-Maier K, "Hypertension treatment and control in five European countries, Canada, and the United States", Hypertension, 43(1), pp.10~17 (2004)
- 최연희, "과천시민의 고혈압 인지,치료,조절과의 관련요인", 예방의학회지, 36(3), pp.8~270 (2003), 대한예방의학회
- Stockwell DH, "The determinants of hypertension awareness, treatment, and control in an insured population", Am J Public Health, 84(11), pp.1768~1774 (1994)
- Graves JW, "Management of difficult-to-control hypertension", Mayo Clin Proc, 75(3), pp.278~284 (2000)
- Healthy people 2010, "U.S. Department of Health and Human Services", U.S. Department of Health and Human Services, ~ (2010)
- "National Hypertension Center"[URL]
- Development of strategy and action plans for major chronic diseases prevention and control, "Korea Centers for Disease Control and Prevention", Ministry of Health and Welfare, ~ (2004)
- Hong CH, "Awareness, treatment, control of hypertension in urban Korean hypertensive patients", J Korean Soc Hypertens, 9(1), pp.27~36 (2003)
- Ha YC, "The prevalence, awareness, treatment, and control of hypertension, and related factors in rural Korea", Korean J Prev Med, 33(4), pp.513~520 (2000)
- Jo I, "Prevalence, awareness, treatment, control and risk factors of hypertension in Korea: the Ansan study", J Hypertens, 19(9), pp.1523~1532 (2001)
- The Third Korea National Health and Nutrition Examination Survey (KNHANES Ⅲ), 2005, "Korea Centers for Disease Control and Prevention", Ministry of Health and Welfare, 181~182 (2006)
- Lee SW, "Therapeutic compliance and its related factors of patients with hypertension in rural area", Korean J Prev Med, 33(2), pp.215~225 (2000)
- Lee DH, "Factors associated with hypertensive patients in a community", Korean J Prev Med, 36(3), pp.289~297 (2003)
- Bae S, "Patient compliance and associated factors in the community-based hypertension control program", Korean J Prev Med, 32(2), pp.215~227 (1999)
- Williams B, "British Hypertension Society guidelines for hypertension management 2004 (BHS-IV): summary", BMJ, 328(7440), pp.634~640 (2004)
- "Population by eup, myeon (resident registration)"[URL]
- WHO MONICA Project, "MONICA manual" (1990), World Health Organization
- Blood pressure monitoring guidelines, "Korean Society of Hypertension", Korean Society of Hypertension, ~ (2007)
- The Seventh Report of the Joint National Committe on prevention, detection, evaluation, and treatment of high blood pressure, "US Department of Health and Human Services", National Institute of Health, ~ (2004)
- Ng HKT, "Confidence interval estimation procedures for standardised incidence rate", Comput Stat Data Anal, 52(7), pp.3501~3516 (2008)
- Banegas JR, "Blood pressure in Spain: distribution, awareness, control, and benefits of a reduction in average pressure", Hypertension, 32(6), pp.998~1002 (1998)
- Hajjar I, "Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988-2000", JAMA, 290(2), pp.199~206 (2003)
- He J, "Factors associated with hypertension control in the general population of the United States", Arch Intern Med, 162(9), pp.1051~1058 (2002)
- Welton PK, "Prevalence, awareness, treatment and control of hypertension in North America, North Africa and Asia", J Hum Hypertens, 18(8), pp.545~551 (2004)
- Welton PK, "Strategies for improvement of awareness, treatment and control of hypertension: results of a panel discussion", J Hum Hypertens, 18(3), pp.563~565 (2004)
- Berlowitz DR, "Inadequate management of blood pressure in a hypertensive population", N Engl J Med, 339(27), pp.1957~1963 (1998)
- Tobe SW, "Effect of nurse-directed hypertension treatment among First Nations people with existing hypertension and diabetes mellitus: the Diabetes Risk Evaluation and Microalbuminuria (DREAM 3) randomized controlled trial", CMAJ, 174(9), pp.1267~1271 (2006)
- Glynn LG, "Interventions used to improve control of blood pressure in patients with hypertension", Cochrane Database Syst Rev, (3), pp.CD005182~ (2010)
