Hypertension among adult population of Herat city of Afghanistan: A cross-sectional study
DOI:
https://doi.org/10.56101/rimj.v3i2.72Keywords:
hypertension, risk factors, Herat, AfghanistanAbstract
Background: Hypertension as a major health problem around the world which is responsible for 7.5 million or 12.8% of all deaths yearly around the world. To date, there is a scarcity of data concerning prevalence and risk factors of hypertension in Herat province of Afghanistan. Therefore, the present study estimated the prevalence of hypertension and its predictors among Afghan adults living in Herat city.
Methods: A cross-sectional study was administered in August 2022 among adults (N=504) in the Herat province of Afghanistan. The study examined hypertension, its risk factors among people living in Herat province of Afghanistan.
Results: Of the 504 participants, 27.4% of them had hypertension. age group, gender, body mass index (BMI), marital status, occupation, smoking, presence of another disease, and use of social media, were among the main variables associated with hypertension among participants of the study. Multiple regression analysis indicated that age (AOR=1.036, p<0.001), BMI (AOR=1.077, p=0.003), gender (AOR=2.910, p<0.001), presence of disease (AOR=0.541, p=0.026), use of social media (AOR=0.504, p=0.007), and Borani (AOR=1.316, p=0.028) were significantly associated with presence of hypertension.
Conclusion: The prevalence of hypertension is found high among adults living in Herat province of Afghanistan. One of the variables found to have a major impact on the prevalence of hypertension was eating Borani food. There is a need for health practitioners to assess self-care activities and blood pressure control, and educate patients the importance of hypertension monitoring and teaching practical techniques to boost their confidence and motivation to achieve a better self-care to have a healthier life.
References
Indicator metadata registry details [Internet]. World Health Organization. World Health Organization; [cited 2023Mar17]. Available from: https://www.who.int/data/gho/indicator-metadata-registry/imr-details/3155
Hypertension [Internet]. World Health Organization. World Health Organization; [cited 2023Mar17]. Available from: https://www.who.int/news-room/fact-sheets/detail/hypertension
High blood pressure may affect 1.56 billion people by 2025 [Internet]. The Hindu. 2021 [cited 2023Mar17]. Available from: https://www.thehindu.com/sci-tech/High-blood-pressure-may-affect-1.56-billion-people-by-2025/article16188141.ece
Tackling G, Borhade MB. Hypertensive heart disease. InStatPearls [Internet] 2021 Jul 1. StatPearls publishing.
Wu CY, Hu HY, Chou YJ, Huang N, Chou YC, Li CP. High blood pressure and all-cause and cardiovascular disease mortalities in community-dwelling older adults. Medicine. 2015 Nov;94(47).
Saeed KM, Rasooly MH, Brown NJ. Prevalence and predictors of adult hypertension in Kabul, Afghanistan. BMC Public Health. 2014 Dec;14(1):1-7.
Gupta-Malhotra M, Banker A, Shete S, Hashmi SS, Tyson JE, Barratt MS, Hecht JT, Milewicz DM, Boerwinkle E. Essential hypertension vs. secondary hypertension among children. American journal of hypertension. 2015 Jan 1;28(1):73-80.
Akpunonu BE, Mulrow PJ, Hoffman EA. Secondary hypertension: evaluation and treatment. Disease-a-month. 1996 Oct 1;42(10):609-722.
Know your risk for high blood pressure [Internet]. Centers for Disease Control and Prevention. Centers for Disease Control and Prevention; 2023 [cited 2023Mar17]. Available from: https://www.cdc.gov/bloodpressure/risk_factors.htm
UCSF Health. Risk factors for high blood pressure (hypertension) [Internet]. ucsfhealth.org. UCSF Health; 2022 [cited 2023Mar17]. Available from: https://www.ucsfhealth.org/education/risk-factors-for-high-blood-pressure-hypertension
Chapter 24: Pathophysiology of hypertension [Internet]. AccessMedicine. [cited 2023Mar17]. Available from: https://accessmedicine.mhmedical.com/content.aspx?bookid=2046§ionid=176572779
O'Brien E, Beevers G, Lip GY. ABC of hypertension: blood pressure measurement: Part III—Automated sphygmomanometry: ambulatory blood pressure measurement. BMJ: British Medical Journal. 2001 May 5;322(7294):1110.
Cardiovascular diseases (cvds) [Internet]. World Health Organization. World Health Organization; [cited 2023Mar17]. Available from: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
UpToDate. [cited 2023Mar17]. Available from: https://www.uptodate.com/contents/cardiovascular-risks-of-hypertension
Schmieder RE. End organ damage in hypertension. Deutsches Ärzteblatt International. 2010 Dec;107(49):866.
Wu KC. Assessing risk for ventricular tachyarrhythmias and sudden cardiac death: is there a role for cardiac MRI?. Circulation: Cardiovascular Imaging. 2012 Jan;5(1):2-5.
Defining adult overweight & obesity [Internet]. Centers for Disease Control and Prevention. Centers for Disease Control and Prevention; 2022 [cited 2023Mar17]. Available from: https://www.cdc.gov/obesity/basics/adult-defining.html
Saeed KM. Burden of hypertension in the capital of Afghanistan: a cross-sectional study in Kabul City, 2015. International Journal of Hypertension. 2017 Jan 3;2017.
Oliveros E, Patel H, Kyung S, Fugar S, Goldberg A, Madan N, Williams KA. Hypertension in older adults: Assessment, management, and challenges. Clinical cardiology. 2020 Feb;43(2):99-107.
Shariq OA, McKenzie TJ. Obesity-related hypertension: a review of pathophysiology, management, and the role of metabolic surgery. Gland surgery. 2020 Feb;9(1):80.
Smoking, high blood pressure and your health [Internet]. www.heart.org. 2022 [cited 2023Mar17]. Available from: https://www.heart.org/en/health-topics/high-blood-pressure/changes-you-can-make-to-manage-high-blood-pressure/smoking-high-blood-pressure-and-your-health
Causes -High blood pressure (hypertension) [Internet]. NHS choices. NHS; [cited 2023Mar17]. Available from: https://www.nhs.uk/conditions/high-blood-pressure-hypertension/causes/
Nishimura M, Suzuki M, Takahashi R, Yamaguchi S, Tsubaki K, Fujita T, Nishihira J, Nakamura K. Daily ingestion of eggplant powder improves blood pressure and psychological state in stressed individuals: A randomized placebo-controlled study. Nutrients. 2019 Nov;11(11):2797.
AlHadlaq RK, Swarelzahab MM, AlSaad SZ, AlHadlaq AK, Almasari SM, Alsuwayt SS, Alomari NA. Factors affecting self-management of hypertensive patients attending family medicine clinics in Riyadh, Saudi Arabia. Journal of family medicine and primary care. 2019 Dec;8(12):4003.
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Copyright (c) 2023 Laleh Sahadat, Rafea Khatibi, Marjan Shayiq, Shiwa Omidwar, Mehrab Neyazi, Sadaf Wali, Ghulam Dawood Hashemi
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