Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research

Toprak, Dilek; Doğan, Nurhan; Demir, Serap

Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research

Nurhan DOĞAN, (Afyon Kocatepe Üniversitesi, Tıp Fakültesi, Biyoistatistik ve Tıp Bilişimi Anabilim Dalı, Afyon, Türkiye)

Dilek TOPRAK, (Afyon Kocatepe Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Afyon, Türkiye)

Serap DEMİR (Şişli Etfal Eğitim ve Araştırma Hastanesi, Aile Hekimliği Kliniği, İstanbul, Türkiye)

Anadolu Kardiyoloji Dergisi

4 1

Yıl: 2012 Cilt: 12 Sayı: 1 Sayfa Aralığı: 47 - 52 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research

Öz:

Amaç: Hipertansiyon gittikçe artan prevalansı ile Dünya'da önemli bir halk sağlığı sorunudur. Bu çalışmanın amacı Afyonkarahisar ilinde hipertansiyon prevalansı ve buna bağlı risk faktörlerini irdelemektir. Yöntemler: Şehrin 75 farklı bölgesinden, nüfus dağılımı göz önüne alınarak toplam 2035 birey, randomize olarak hem kent hem de kırsal bölgeden seçilerek bu epidemiyolojik kesitsel çalışmaya dahil edildi. Bireylerden anket uygulamasının ardından kan örneği alındı ve fizik muayene yapıldı. Sosyodemografik özellikler, diyabetes mellitus (DM), hipertansiyon, ailede hipertansiyon öyküsü olması, koroner kalp hastalığı (KKH), sigara, doğum sayısı gibi hipertansiyon için muhtemel risk faktörleri değerlendirildi. İstatistiksel analiz Student t-testi, Ki-kare testi ve lojistik regresyon analizi ile yapıldı. Bulgular: Hipertansiyonun genel prevalansı %24.2 idi (kadınlarda %31.3, erkeklerde %14.1, p<0.001). Yaş ilerledikçe prevalansı artış gösterdi (%2.2’den %50.4’e, p<0.001). Yaş, cinsiyet, DM, ailede hipertansiyon öyküsü, vücut kitle indeksi (VKİ), KKH ve gelir düzeyi önemli risk faktörleriydi. Diyabetik hastalar 2.35 kez (%95GA 1.70-3.25: p<0.0001), kadınlar 2.74 kez (%95GA 2.08-3.62: p<0.0001), pozitif aile öyküsü olanlar 2.23 kez (%95GA 1.62-3.07: p<0.0001), yüksek VKİ olanlar 2.15 kez (%95GA 1.66-2.78: p<0.0001), KKH olanlar 2.32 kez (%95GA 1.48-3.64: p<0.0001) ve düşük gelir düzeyi olanlar yüksek olanlara göre 1.47 kez (%95GA 1.08-2.02: p=0.016) daha fazla HT riskine sahipti. Sonuç: Hipertansiyon bölgemizde önemli bir sağlık sorunudur. Risk faktörleri dikkate alınarak, yaşam tarzı değişiklikleri ve insanların eğitilmesi ile hipertansiyon prevalansının azaltılacağını düşünüyoruz. (Anadolu Kardiyol Derg 2012; 12: 47-52)

Anahtar Kelime: Afyon Kesitsel çalışmalar Risk faktörleri Lojistik modeller Yaygınlık Hipertansiyon

Konular: Kalp ve Kalp Damar Sistemi

Afyonkarahisar ilinde erişkinlerde hipertansiyon sıklığı ve etkileyen faktörler: Kesitsel bir çalışma

Öz:

Objective: Hypertension is a major public health problem worldwide with increasing prevalence. The purpose of this study was to examine the prevalence of hypertension and related risk factors among adult population in Afyonkarahisar region. Methods: In this cross-sectional research, regarding the population distribution totally 2035 subjects, randomly selected from 75 different parts of our city, both the urban and the rural areas, were included in this epidemiologic research. After the administration of a questionnaire to the subjects, blood samples were taken and physical examinations were performed. Socio-demographic features, diabetes mellitus (DM), hypertension, family history of hypertension, coronary heart disease (CHD), smoking, and number of births were evaluated as possible risk factors for hypertension. Statistical analysis was performed using Student’s t-test, Chi-square test and binary logistic regression analysis. Results: The overall prevalence of hypertension was 24.2% (31.3% in women, 14.1% in men, p<0.001). Its prevalence increased with age (from 2.2% to 50.4%, p<0.001). Age, gender, DM, family history of hypertension, body mass index (BMI), CHD and income levels were significant risk factors. Diabetic patients had 2.35 times (95%CI 1.70-3.25: p<0.0001) more risk, people who had positive family history 2.23 times (95%CI 1.62- 3.07: p<0.0001) more risk and those with high BMI 2.15 times (95%CI 1.66-2.78: p<0.0001) more risk to develop HT than who did not have these factors. In addition, women have 2.74 times (95%CI 2.08-3.62: p<0.0001), more risk than men for HT. We determined CHD and low income as other risk factors for HT (OR=2.32, 95%CI 1.48-3.64: p<0.0001) and OR=1.47, 95%CI 1.08-2.02: p=0.016 respectively). Conclusion: Hypertension is an important health problem in our region. We think that it is possible to reduce the hypertension prevalence with lifestyle changes and educating people, regarding the risk factors. (Anadolu Kardiyol Derg 2012; 12: 47-52)

Anahtar Kelime: Logistic Models Prevalence Hypertension Afyon Cross-Sectional Studies Risk Factors

Konular: Kalp ve Kalp Damar Sistemi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Doğan N, Toprak D, Demir S (2012). Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research. , 47 - 52.
Chicago	Doğan Nurhan,Toprak Dilek,Demir Serap Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research. (2012): 47 - 52.
MLA	Doğan Nurhan,Toprak Dilek,Demir Serap Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research. , 2012, ss.47 - 52.
AMA	Doğan N,Toprak D,Demir S Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research. . 2012; 47 - 52.
Vancouver	Doğan N,Toprak D,Demir S Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research. . 2012; 47 - 52.
IEEE	Doğan N,Toprak D,Demir S "Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research." , ss.47 - 52, 2012.
ISNAD	Doğan, Nurhan vd. "Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research". (2012), 47-52.

APA	Doğan N, Toprak D, Demir S (2012). Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research. Anadolu Kardiyoloji Dergisi, 12(1), 47 - 52.
Chicago	Doğan Nurhan,Toprak Dilek,Demir Serap Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research. Anadolu Kardiyoloji Dergisi 12, no.1 (2012): 47 - 52.
MLA	Doğan Nurhan,Toprak Dilek,Demir Serap Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research. Anadolu Kardiyoloji Dergisi, vol.12, no.1, 2012, ss.47 - 52.
AMA	Doğan N,Toprak D,Demir S Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research. Anadolu Kardiyoloji Dergisi. 2012; 12(1): 47 - 52.
Vancouver	Doğan N,Toprak D,Demir S Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research. Anadolu Kardiyoloji Dergisi. 2012; 12(1): 47 - 52.
IEEE	Doğan N,Toprak D,Demir S "Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research." Anadolu Kardiyoloji Dergisi, 12, ss.47 - 52, 2012.
ISNAD	Doğan, Nurhan vd. "Hypertension prevalence and risk factors among adult population in Afyonkarahisar region: A cross-sectional research". Anadolu Kardiyoloji Dergisi 12/1 (2012), 47-52.