سطوح فشارخون، فاكتورهاي خطرزا و نحوه كنترل فشارخون در بالغين شيراز

Blood pressure levels, risk factors and hypertension control status m adult population of Shiraz

Introduction: Hypertension is an important and uprising public health challenge in developing countries . The aim of litis study was to determine prevalence, awareness, treatment and control of hypertension and assessment of associated risk factors in adult residents of Shiraz. Methods: Thisstudy cross-sectional was conducted in 2000-2001. Multistage cluster sampling method was used to select 3245 male and female aged 19-99 years from adult population. Prevalence of hypertension and prehypertension were determined according to INC7 criteria. Information about history of hypertension, use of antihypertensive drugs, history of hypertension in first degree relatives, current use of cigareue of hubble-oubble were obtained. Chi-square test and analysis of variance was used for dam analysis and P < 0.05 was considered significant. Results: Pre valence of hypertension was 27.5% (28.1% in female and 26.8 in male, P <0.001). 2749 out of 3245 had DO history of hypertens ion or use of antihypertensive medications whose mean .systolic, diast olic and pulse pres sure were 121. 1±14.6 mm Hg, 78.6±9.6 mrn Hg and ]±IO.! mm Hg, respectively. Preval ence of prehypertension was 48.1%. 54.&% of hypertensives had awareness of hyperten sion and 61% were on drug therapy. Of those on drug therapy, only 39% had normal blood pressure . Obesity (OR: 3.1,95% CI : 2.5-4) current smoking (OR: 1.3.95% Cl. , 1.07-1.5) and positive family history of hypertension (OR: 1.37, 95% CL: 1.17-1.6) were positivel y associated with hyperten sion (P