J Prev Med Public Health.  2007 Jul;40(4):305-312. 10.3961/jpmph.2007.40.4.305.

Awareness, Treatment, and Control Rates of Hypertension and Related Factors of Awareness among Middle Aged Adult and Elderly in Chuncheon: Hallym Aging Study(HAS)

Affiliations
  • 1Department of Social and Preventive Medicine, College of Medcine, Hallym University, Korea. dhkims@hallym.ac.kr
  • 2Hallym Health Services Research Center, Korea.
  • 3Institute of Health and Environment, Seoul National University, Korea.
  • 4Department of Internal Medicine, College of Medicine, Hallym University, Korea.
  • 5Department of Family Medicine, College of Medicine, Hallym University, Korea.

Abstract

OBJECTIVES: To estimate the awareness, treatment and control rate, as well as to identify the awareness-related factors for hypertension. METHODS: The study participants were 482 adults (men 206, women 276), aged 45 or over, diagnosed with hypertension and living in Chuncheon. The awareness rate was defined as the proportion of persons among those with hypertension who had previously been diagnosed by a physician. The treatment rate was defined as the proportion of persons who had used anti-hypertensive medication, among those who were aware of their hypertension. The control rate was defined as the proportion of persons who kept blood pressure normal, among those who had been treated for their hypertension. Multivariable logistic regression analysis was carried out for the awarenessrelated factors using SAS VER 8.1. RESULTS: The awareness, treatment, and control rate were 55.8% (53.4% for men; 57.6% for women), 89.6% (87.2% for men; 91.2% for women), and 34.4% (28.1% for men; 38.6% for women), respectively. The awarenessrelated factors included a family history of hypertension (odds ratio[OR], 5.63; 95% confidence interval[95% CI]=1.53-20.72), smoking([Ex; OR 0.38, 95% CI= 0.15- 0.96)], [Current; OR 0.28, 95% CI=0.10-0.80]), and alcohol intake ([Ex; OR 3.22, 95% CI 1.03-10.09],[Current; OR 3.36, 95% CI=1.30-8.71]) for men, and education(OR 2.23, 95% CI=1.10-4.53), body mass index(OR 2.72, 95% CI=1.13-6.53), and self-rated health(OR 2.38, 95% CI=1.07-5.30) for women. CONCLUSIONS: The awareness rate of hypertension among the middle aged and elderly in Chuncheon was 55.8%. The related factors of awareness were gender specific. Further studies are needed to elucidate the putative reasons for these gender differences.

Keyword

Hypertension; Awareness; Treatment; Control; Related factor; Korea

MeSH Terms

Aged
Antihypertensive Agents/*therapeutic use
Blood Pressure
Body Mass Index
Educational Status
Female
Health Behavior
*Health Knowledge, Attitudes, Practice
Humans
Hypertension/*diagnosis/*drug therapy
Korea/epidemiology
Male
Middle Aged
Sex Factors
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