고혈압 인지율의 평가와 연령별 특성
Hypertension awareness and the related factors by age
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objectives: This study examines the awareness of hypertension and its age-specific characteristics among Korean adults. Methods: Data were derived from the fourth Korean National Health Examination and Nutrition Survey (KNHANES IV, 2007-2009) of 14,637 subjects aged 30 and older. Self-reported prevalence of hypertension (HTN) was compared with measured arterial systolic/diastolic blood pressure, employing Kappa index, sensitivity, and specificity. Multiple logistic regression analysis was used to determine factors in hypertension awareness by age groups. Results: Kappa agreement between self-reported and measured data in hypertension was high (0.70, 95% CI 0.68-0.71). Awareness by sensitivity was relatively high (65.3%) and specificity was very high (98.8%) for all ages. After age stratification, the results revealed the very lowest level of hypertension awareness among the youngest age group: 29.1% of adults aged 30-49 years, 57.5% of adults aged 45-59 years, and 76.9% of those aged ≥ 60 years. Predictors for awareness differed by age group. Among adults aged 30-49 years, men exhibited lower awareness to HTN than women. Among middle-aged adults, workers showed lower awareness than non-workers. Among those aged ≥ 60 years, men and the less educated showed lower awareness to HTN than their counterparts. Conclusions: Age-specific prevention strategies are needed for hypertension management.
Abstract
Objectives: This study examines the awareness of hypertension and its age-specific characteristics among Korean adults. Methods: Data were derived from the fourth Korean National Health Examination and Nutrition Survey (KNHANES IV, 2007-2009) of 14,637 subjects aged 30 and older. Self-reported prevalence of hypertension (HTN) was compared with measured arterial systolic/diastolic blood pressure, employing Kappa index, sensitivity, and specificity. Multiple logistic regression analysis was used to determine factors in hypertension awareness by age groups. Results: Kappa agreement between self-reported and measured data in hypertension was high (0.70, 95% CI 0.68-0.71). Awareness by sensitivity was relatively high (65.3%) and specificity was very high (98.8%) for all ages. After age stratification, the results revealed the very lowest level of hypertension awareness among the youngest age group: 29.1% of adults aged 30-49 years, 57.5% of adults aged 45-59 years, and 76.9% of those aged ≥ 60 years. Predictors for awareness differed by age group. Among adults aged 30-49 years, men exhibited lower awareness to HTN than women. Among middle-aged adults, workers showed lower awareness than non-workers. Among those aged ≥ 60 years, men and the less educated showed lower awareness to HTN than their counterparts. Conclusions: Age-specific prevention strategies are needed for hypertension management.
참고문헌 (26)
- Alsuwaida, A., "Gender disparities in the awareness and control of hypertension", Clinical Experimental Hypertension, 33(5), pp.354~357 (2011)
- Boudreau, D. M., "Validation study of patient interview data and pharmacy records for antihypertensive, Statin, and antidepressant medication use among older women", American Journal of Epidemiology, 159(3), pp.308~317 (2003)
- 장동민, "고혈압 관리에 영향을 미치는 요인 분석:제4기 국민건강영양조사자료를 중심으로", 디지털융복합연구, 11(11), pp.509~519 (2013), 한국디지털정책학회
- Dey, A. K., "Validity of Self-Report of Cardiovascular Risk Factors in a Population at High Risk for Stroke", Journal of Stroke and Cerebrovascular Diseases, 24(12), pp.2860~2865 (2015)
- Fagard, R, H., "Incidence of cardiovascular events in white-coat, masked and sustained hypertension versus true normotension : a meta-analysis", Journal of Hypertension, 25(11), pp.2193~2198 (2007)
- Gorber, S. C., "The accuracy of self-reported hypertension : a systematic review and meta-analysis", Current Hypertension Reviews, 4(1), pp.36~62 (2008)
- Gwynn, R. C., "Contributions of a Local Health Examination Survey to the Surveillance of Chronic and Infectious Diseases in New York City", American Journal of Public Health, 99(1), pp.152~159 (2009)
- Hajjar, I., "Trends in prevalence, awareness, treatment and control of hypertension in the United States, 1988-2000", JAMA, 290(2), pp.199~205 (2003)
- Huerta, J. M., "Accuracy of self-reported diabetes, hypertension, and hyperlipidemia in the adult Spanish population. DINO study findings", Revista Española de Cardiología(English Edition), 62(2), pp.143~152 (2009)
- Jee, S. H., "Appel, JL. Smoking and atherosclerotic ardiovascular disease in men with low levels of serum cholesterol : the Korea Medical Corporation Study", JAMA, 282(2), pp.2149~2155 (1999)
- 정진영, "춘천지역 중년과 노인의 고혈압 인지율, 치료율, 조절률 및 인지율 관련 요인: 한림노년연구(HAS)", 예방의학회지, 40(4), pp.305~312 (2007), 대한예방의학회
- The Fourth Korea National health statistics National Health and Nutrition Examination Survey(KNHANS IV), "Korea Centers for Disease Control and Prevention(KCDC)", Korea Centers for Disease Control and Prevention, ~ (2011)
- 이형민, "보건진료소 관할 농촌 지역사회 성인의 고혈압 관리 실태와 관련 요인", 예방의학회지, 44(2), pp.74~83 (2011), 대한예방의학회
- Marmot, M. G., "Socioeconomic status and disease. WHO Regional Publication", European Series, 37, pp.113~146 (1991)
- 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)
- "National Hypertension Center" (2015)[URL]
- Newell, S. A., "The accuracy of self-reported health behaviours and risk factors relating to cancer and cardiovascular disease in the general population : a critical review", American Journal of Preventive Medicine, 17(3), pp.211~229 (1999)
- 오명은, "30-40대 성인의 고혈압 관리율과 혈압 검진과의 관계", Korean Journal of Health Promotion, 13(2), pp.61~68 (2013), 대한임상건강증진학회
- Okonofua, E. C., "Ethnic Differences in older Americans : Awareness, knowdelge, and beliefs about hypertension", Epidemiology, 18(7), pp.972~979 (2005)
- Olives, C., "Prevalence, awareness, treatment, and control of hypertension in United States counties, 2001-2009", PLoS One, 8(4), pp.e60308~ (2013)
- Ong, K. L., "Prevalence, awareness, treatment, and control of hypertension among United States adults 1999-2004", Hypertension, 49(1), pp.69~75 (2007)
- Ostchega, Y., "Trends in hypertension prevalence, awareness, treatment, and control in older US adults : data from the National Health and Nutrition Examination Survey 1988 to 2004", Journal of American Geriatrics Society, 55(7), pp.1056~1065 (2007)
- Thawornchaisit, P., "Validity of self-reported hypertension : findings from the Thai cohort study compared to physician telephone interview", Globbal Journal of Health Science, 6(2), pp.1~11 (2013)
- The Korean Society of Hypertension, "Guideline for Hypertension", The Korean Society of Hypertension, ~ (2013)
- Tian, S., "Factors associated with prevalence, awareness, treatment and control of hypertension in urban adults from 33 communities in China : the CHPSNE Study", Hypertension Research, 34(10), pp.1087~1092 (2011)
- Woo, K. J., "Prevalence of Hypertension among Adults over 30 years old in Korea, 2009-2013", Public Health Weekly Report, 8(21), pp.477~480 (2015)