Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Awareness, Treatment and Control of Hypertension and Related Factors in the Jurisdictional Areas of Primary Health Care Posts in a Rural Community of Korea

보건진료소 관할 농촌 지역사회 성인의 고혈압 관리 실태와 관련 요인

  • Lee, Hyung-Min (Department of Preventive Medicine, Hanyang University College of Medicine) ;
  • Kim, Yu-Mi (Department of Preventive Medicine, Dong-A University College of Medicine) ;
  • Lee, Cheol-Heon (Neodin Medical Institute) ;
  • Shin, Jin-Ho (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Kim, Mi-Kyung (Department of Preventive Medicine, Hanyang University College of Medicine) ;
  • Choi, Bo-Youl (Department of Preventive Medicine, Hanyang University College of Medicine)
  • 이형민 (한양대학교 의과대학 예방의학교실) ;
  • 김유미 (동아대학교 의과대학 예방의학교실) ;
  • 이철헌 (네오딘의학연구소) ;
  • 신진호 (한양대학교 의과대학 내과학교실) ;
  • 김미경 (한양대학교 의과대학 예방의학교실) ;
  • 최보율 (한양대학교 의과대학 예방의학교실)
  • Received : 2010.10.11
  • Accepted : 2011.02.14
  • Published : 2011.03.30
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Abstract

Objectives: This study aimed to identify and assess the factors related to the awareness, treatment, and control of hypertension based on jurisdictional areas of primary health care posts in a rural community of Korea. Methods: This study was performed on 4598 adults aged over 30 years in a rural community and we measured their blood pressure (BP) from October. 2007 to August. 2009. Hypertension is defined as a condition characterized by a systolic BP ${\geq}$ 140 mmHg, a diastolic BP ${\geq}$ 90 mmHg or reported treatment with antihypertensive medications. We analyzed the factors related with the prevalence, awareness, treatment and control of hypertension using chi-square test and multivariate logistic regression analysis. Results: The age-adjusted prevalence of hypertension was 34.7%. The age-adjusted rates of hypertension awareness, treatment and control were 50.6%, 93.9% and 64.1%, respectively. Awareness of hypertension was related with increasing age. Higher awareness was found among men who were felt more stress, were obese and had hypercholesterolemia, and among women who were regulary taking medicine for hypertension, were obese and had diabetes mellitus. In women, the hypertension treatment was related a Medical aid and education for hypertension management. Controlled hypertension was more common among men who were educated about the management of hypertension and among women who had hypercholesterolemia. Conclusions: The awareness of hypertension was low and the control of hypertension was high compared with the nationwide data (KNHANES 2005). The results suggest that understanding the characteristics of hypertension in a community is important to perform a community based hypertension control program.

Keywords

References

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