Awareness, treatment and control of hypertension among the elderly living in their home in Tunisia

BMC Cardiovascular Disorders

Fathi Betbout¹  Mohamed Hammami⁶  Samy Kammoun⁴  Mohamed A Frih⁵  Nadia Koubaa⁶  Said Hajem²  Sounira Mehri⁶  Sonia Hammami³ 

[1] Cardiology Department, University Hospital "F. Bourguiba" Monastir, Tunisia;National Institute of Public Health Tunis, Tunisia;Internal Medicine Department, University Hospital "F. Bourguiba" Monastir, Tunisia;Pneumology Department, Geriatric unit, University Hospital H Chaker Sfax, Tunisia;Nephrology Department, University Hospital "F. Bourguiba" Monastir, Tunisia;Laboratory of Nutrition and Vascular Health, Faculty of Medicine, University of Monastir, Tunisia

关键词: Home living;    Tunisia;    Awareness;    Prevalence;    Elderly;    Hypertension;   

Others  :  1085602
DOI  :  10.1186/1471-2261-11-65

 received in 2011-04-21, accepted in 2011-11-01,  发布年份 2011

【 摘 要 】

Background

Hypertension is a cardiovascular disorder rapidly emerging as a major public health problem in developing countries. However, the acknowledgement of the prevalence and the significant impact of hypertension in elderly are very important for health policy. The objective of the present investigation was to evaluate the prevalence, awareness and treatment of hypertension among the elderly living in their home in Tunisia at Monastir City. We also examined the impact of socio-demographic characteristics and known risk factors for high blood pressure.

Methods

A community based sample of 598 non-institutionalized elderly (age ≥ 65 years), was selected using probabilistic multistage cluster sampling.

Results

There was a predominance of female (66%) and mean age was 72.3 ± 7.4 years. The prevalence of hypertension was 52% (n = 311), awareness (81%, n = 252), treatment (78.4%, n = 244) and only 30.7% (n = 75) are correctly treated. The prevalence of hypertension was higher for the female population (55.5%) when compared to males (45%). No urban/rural differences were observed and no difference was observed by educational level. Multiple logistic regression analyses identified a higher body mass index, diabetes mellitus and disability as important correlates of the prevalence of hypertension.

Conclusion

These findings provide important information on the prevalence, awareness and control of hypertension in Monastir City and confirm their association with other cardio-vascular risk factors. Effective public health measures and strategies are needed to improve prevention, diagnosis and access to treatment of this elderly population.

【 授权许可】

   
2011 Hammami et al; licensee BioMed Central Ltd.

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