Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Awareness, Treatment, and Control Rates of Hypertension and Related Factors of Awareness among Middle Aged Adult and Elderly in Chuncheon : Hallym Aging Study(HAS)

춘천지역 중년과 노인의 고혈압 인지율, 치료율, 조절률 및 인지율 관련 요인: 한림노년연구(HAS)

  • Jeong, Jin-Young (Department of Social and Preventive Medicine, College of Medicine, Hallym University) ;
  • Choi, Yong-Jun (Department of Social and Preventive Medicine, College of Medicine, Hallym University) ;
  • Jang, Soong-Nang (Institute of Health and Environment, Seoul National University) ;
  • Hong, Kyung-Soon (Department of Internal Medicine, College of Medicine, Hallym University) ;
  • Choi, Young-Ho (Department of Family Medicine, College of Medicine, Hallym University) ;
  • Choi, Moon-Ki (Department of Internal Medicine, College of Medicine, Hallym University) ;
  • Kim, Dong-Hyun (Department of Social and Preventive Medicine, College of Medicine, Hallym University)
  • 정진영 (한림대학교 의과대학 사회의학교실) ;
  • 최용준 (한림대학교 의과대학 사회의학교실) ;
  • 장숙랑 (서울대학교 보건환경연구소) ;
  • 홍경순 (한림대학교 의과대학 내과학교실) ;
  • 최영호 (한림대학교 의과대학 가정의학교실) ;
  • 최문기 (한림대학교 의과대학 내과학교실) ;
  • 김동현 (한림대학교 의과대학 사회의학교실)
  • Published : 2007.07.31
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Abstract

Objectives : To estimate the awareness, treatment and control rate, as well as to identify the awareness-related factors for hypertension. Methods : The study participants were 482 adults (men 206, women 276), aged 45 or over, diagnosed with hypertension and living in Chuncheon. The awareness rate was defined as the proportion of persons among those with hypertension who had previously been diagnosed by a physician. The treatment rate was defined as the proportion of persons who had used anti-hypertensive medication, among those who were aware of their hypertension. The control rate was defined as the proportion of persons who kept blood pressure normal, among those who had been treated for their hypertension. Multivariable logistic regression analysis was carried out for the awareness-related factors using SAS VER 8.1. Results : The awareness, treatment, and control rate were 55,8% (53.4% for men; 57.6% for women), 89.6% (87,2% for men; 91.2% for women), and 34.4% (28.1 % for men; 38.6% for women), respectively. The awareness-related factors included a family history of hypertension (odds ratio[OR], 5.63; 95% confidence interval[95% CI]=1.53-20.72), smoking([Ex; OR 0.38, 95% CI= 0.15-0.96)], [Current; OR 0.28, 95% CI=0.10-0.80]), and alcohol intake ([Ex; OR 3.22, 95% CI 1.03-10.09],[Current; OR 3.36, 95% CI=1.30-8.71]) for men, and education(OR 2.23, 95% CI=1.10-4.53), body mass index(OR 2.72, 95% CI=1.13-6.53), and self-rated health(OR 2.38, 95% CI=1.07-5.30) for women. Conclusions : The awareness rate of hypertension among the middle aged and elderly in Chuncheon was 55.8%. The related factors of awareness were gender specific. Further studies are needed to elucidate the putative reasons for these gender differences.

Keywords

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