Prevalence, awareness, treatment, control and socio demographic determinants of hypertension in Malaysian adults

BMC Public Health

Research Article

Khalid Yusoff¹  Krishnapillai S. Ambigga²  Maizatullifah Miskan²  Aqil Mohammad Daher²  Kien Keat Ng²  Mohamed Noor Khan Nor-Ashikin³  Nafiza Mat-Nasir⁴  Hasidah Abdul-Hamid⁴  Farnaza Ariffin⁴  Md Yasin Mazapuspavina⁴  Hapizah Nawawi⁵  Anis Safura Ramli⁶  Suraya Abdul-Razak⁷ 

[1] Centre for Translational Research and Epidemiology (CenTRE), Faculty of Medicine, Universiti Teknologi MARA, 47000, Sungai Buloh, Selangor, Malaysia;UCSI University, UCSI Height, Cheras, 56000, Kuala Lumpur, Malaysia;Faculty of Medicine & Defence Health, National Defence University of Malaysia, 57000, Kuala Lumpur, Malaysia;Faculty of Medicine, Universiti Teknologi MARA, Selayang Campus, Jalan Prima Selayang 7, 68100, Batu Caves, Selangor, Malaysia;Centre for Translational Research and Epidemiology (CenTRE), Faculty of Medicine, Universiti Teknologi MARA, 47000, Sungai Buloh, Selangor, Malaysia;Faculty of Medicine, Universiti Teknologi MARA, Selayang Campus, Jalan Prima Selayang 7, 68100, Batu Caves, Selangor, Malaysia;Centre for Translational Research and Epidemiology (CenTRE), Faculty of Medicine, Universiti Teknologi MARA, 47000, Sungai Buloh, Selangor, Malaysia;Primary Care Medicine Discipline, Universiti Teknologi MARA, 68100, Selayang, Selangor, Malaysia;Faculty of Medicine, Universiti Teknologi MARA, Selayang Campus, Jalan Prima Selayang 7, 68100, Batu Caves, Selangor, Malaysia;Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA, Selayang Campus, Jalan Prima Selayang 7, 68100, Batu Caves, Selangor, Malaysia;Faculty of Medicine, Universiti Teknologi MARA, Selayang Campus, Jalan Prima Selayang 7, 68100, Batu Caves, Selangor, Malaysia;Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA, Selayang Campus, Jalan Prima Selayang 7, 68100, Batu Caves, Selangor, Malaysia;Centre for Translational Research and Epidemiology (CenTRE), Faculty of Medicine, Universiti Teknologi MARA, 47000, Sungai Buloh, Selangor, Malaysia;Primary Care Medicine Discipline, Universiti Teknologi MARA, 68100, Selayang, Selangor, Malaysia;Faculty of Medicine, Universiti Teknologi MARA, Selayang Campus, Jalan Prima Selayang 7, 68100, Batu Caves, Selangor, Malaysia;Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA, Selayang Campus, Jalan Prima Selayang 7, 68100, Batu Caves, Selangor, Malaysia;Primary Care Medicine Discipline, Universiti Teknologi MARA, 68100, Selayang, Selangor, Malaysia;

关键词: Prevalence;    Awareness;    Treatment;    Control;    Hypertension;    Malaysia;   

DOI  :  10.1186/s12889-016-3008-y

 received in 2015-08-11, accepted in 2016-04-08,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundHypertension is the leading cardiovascular risk factor globally as well as in Malaysia. This study aimed to estimate the prevalence, awareness, treatment, control and the socio demographic determinants of hypertension among Malaysian adults.MethodThe analytic sample consisted of 11,288 adults aged ≥ 30 years recruited at baseline in 2007–2011 from the REDISCOVER Study which is an ongoing, prospective cohort study involving 18 urban and 22 rural communities in Malaysia. Socio-demographics, anti-hypertensive treatment details and an average of at least two blood pressure measurements were obtained.ResultsThe age-adjusted prevalence was 42.0 % (CI: 40.9–43.2) and was higher in men [43.5 % (CI: 41.2–45.0)] than women [41.0 % (CI: 39.8–42.3)]. Participants from rural areas (APR: 1.12, CI: 1.04–1.20); aged at least 40–49 years (APR: 1.86, CI: 1.62–2.14); who were overweight (APR: 1.24, CI: 1.15–1.34) and obese (APR: 1.54, CI: 1.43–1.6) were more likely to have hypertension. The Indigenous ethnic group was less likely to be aware (APR: 0.81, CI: 0.69–0.92) and to be on treatment (APR: 0.66, CI: 0.55–0.79). Those in rural areas were less likely to have their hypertension controlled (APR: 0.61, CI: 0.49–0.75). On the other hand, control was more likely in females (APR: 1.25, CI: 1.01–1.54) and Indigenous group (APR: 1.64, CI: 1.19–2.25).ConclusionHypertension is common in the Malaysian adults. The control of hypertension has increased over the years but is still quite low. Public health measures, as well as individual interventions in primary care are crucial to reduce their risk of developing complications.

【 授权许可】

CC BY   
© Abdul-Razak et al. 2016