Konya Fazilet Uluışık Sağlık Ocağı bölgesindeki 15-49 yaş grubu ev kadınlarında hipertansiyon prevalansı, farkında olma, tedavi ve kontrol altına alma durumu
Bu araştırma ile Konya Fazilet Uluışık Sağlık Ocağı bölgesinde yaşayan 15-49 yaş grubu ev kadınlarında hipertansiyon prevalansını, risk faktörlerini, hipertansiyonun farkında olma durumunu, antihipertansif tedavi alma durumunu ve tedavi alanlarda hipertansiyon kontrol başarı durumunu belirlemek amaçlanmıştır. Araştırma, kesitsel tiptedir. 15-49 yaş arası toplam 12447 ev kadını araştırmanın evrenini oluşturmuştur. Örnek seçimi nüfusa orantılı küme örnekleme yöntemi ile yapılmıştır. Araştırmaya 576 kişi katılmıştır. 15-49 yaş grubu ev kadınlarında hipertansiyon prevalansı %40.5 bulunmuştur. Hipertansiyon sıklığı 35 ve üzeri yaşta, öğrenim durumu ilkokul ve altında olanlarda, sigara kullanmayanlarda daha yüksek olarak saptanmıştır. Hipertansiyon farkında olanlar %23.1, antihipertansif tedavi alanlar %10.3, hipertansiyonu kontrol altında olanlar %5.5 olarak saptanmıştır. Hipertansiyon farkında olma, 35 yaş üstü grupta, evli-dul-ayrı olanlarda ve öğrenim düzeyi ilkokul ve üstü olanlarda daha fazla saptanmıştır (p
Prevalance, awareness, treatment and control of hypertension in the 15-49 years-old house-wives in Faizlet Uluışık Health District in Konya
The aim of this study was to determine the prevalence, risk factors, awareness, treatment and control of hypertension among 15-49 years-old house-wives in Fazilet Uluışık Health District in Konya. This study was a cross-sectional study. A total of 12447 women aged 15-49 years were included in study who were resident in that health district. 576 participants were selected by cluster sampling method. The prevalence of hypertension was 40.5%. Risk factors for hypertension were being older than 35 years of age, and also being below the primary school education level and no smoking. Among hypertensives, 23.1% were aware of their hypertension, 10.3% were treated, and 5.5% were controlled. The rates of awareness, were higher in over 35 years of age, maried-widowed women and being below the primary school education level. The results showed that the prevalence of hypertension was high in Konya in 15-49 age group. The detection and control of hypertension is unsatisfactory among womens. There is need to implement an effective community based programme.
___
- 1. World Health Organization. The World Health Report 2002: Reducing Risks, Promoting Healthy Life. Geneva, World Health Organization, 2002, p. 7-14.
- 2. Roberts CL, Algert CS, Morris JM, Ford JB, Henderson-Smart DJ. Hypertensive disorders in pregnancy: a population-based study. MJA 2005; 182 (7): 332-335
- 3. Magee LA, Ornstein MP, von Dadelszen P. Fortnightly review: Management of hypertension in pregnancy . BMJ 1999;318:1332-1336
- 4. Allen VM, Joseph KS, Murphy KE, Magee L A, Ohlsson A. The effect of hypertensive disorders in pregnancy on small for gestational age and stillbirth: a population based study. BMC Pregnancy Childbirth. 2004; 4: 17. Published online 2004 August 6. doi: 10.1186/1471-2393-4-17. http://www.biomedcentral.com/1471-2393/4/17
- 5. National High Blood Pressure Education Program Working Group report on high blood pressure in pregnancy. Am J Obstet Gynecol 1990; 163: 1691-1712
- 6. Gokcel A, Ozsahin AK, Sezgin N, Karakose H, Ertorer ME, Akbaba M, Baklaci N, Sengul A, Guvener N. High prevalence of diabetes in Adana, a southern province of Turkey. Diabetes Care. 2003; 26 (11): 3031-4
- 7. Tugay Aytekin N, Pala K, Irgil E, Akis N, Aytekin H. Distribution of blood pressures in Gemlik district, North-west Turkey. Health&Social Care in the Community. 2002; 10 (5): 394.
- 8. Sonmez HM, Basak O, Camci C, Baltaci R, Karazeybek HS, Yazgan F, Ertin I, Celik SC. The epidemiology of elevated blood pressure as an estimate for hypertension in Aydin, Turkey. J Hum Hypertens. 1999 Jun; 13 (6): 399-404.
- 9. Sheps SC, Roccella BJ. Reflections on The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of high Blood Pressure. Curr Hypertens Pep. 1999; 1: 342-5.
- 10. Gaudemaris R, Lang T, Chatellier G, Larabi L, Cancès V L, Maître A, Diène E. Socioeconomic Inequalities in Hypertension Prevalence and Care, The IHPAF Study. Hypertension 2002; 39: 1119-25.
- 11. Lwanga SK, Lemeshow S. Sample size determination in health studies. Geneva: 1991. p. 1-27.
- 12. Guidelines Sub-Committee. 1999 World Health Organization-International Society of Hypertension guidelines for the management of hypertension. J Hypertens 1999: 17: 151-83.
- 13. Soydan İ. TEKHARF Çalışmasında Hipertansiyon Yönünden Elde Edilen Veriler ve Bunların Yorumu. İçinde: Türk Erişkinlerinde Kalp Sağlığı, Risk Profili ve Kalp Hastalığı. Onat A (ed). 2. Baskı. Ohan Matbaacılık Ltd Şti. 2000: 46-55.
- 14. Onal AE, Erbil S, Ozel S, Aciksari K, Tumerdem Y. The prevalence of and risk factors for hypertension in adults living in Istanbul. Blood Press. 2004;13 (1):31-6.
- 15. Inamo J, Lang T, Atallah A, Inamo A, Larabi L, Chatellier G at all. Prevalence and therapeutic control of hypertension in French Caribbean regions. Journal of Hypertension 2005; 23 (7): 1341-6.
- 16. Ordunez P, Munoz J L B, Espinosa-Brito A, Silva LC, Cooper RS. Ethnicity, Education, and Blood Pressure in Cuba Am J Epidemiol 2005; 162: 49-56.
- 17. Vargas CM., Ingram DD, Gillum RF. Incidence of Hypertension and Educational Attainment, The NHANES I Epidemiologic Followup Study. Am J Epidemiol 2000; 152: 272-8.
- 18. Şaşmaz CT, Buğdaycı R, Tezcan H, Kurt A Ö. Mersin İlinde 65 yaş ve üzerinde hipertansiyon farkında olma, tedavi alma ve kontrol durumu: 14 Sağlık Ocağı Bölgesinde 1143 kişiyi kapsayan bir prevalans çalışması. 8. Ulusal Halk Sağlığı Kongresi 23-28 Eylül 2002 Diyarbakır, Kongre Kitabı; 627-9.
- 19. Green MS, Jucha E, Luz Y. Blood pressure in smokers and nonsmokers: epidemiologic findings. Am Heart J 1986; 111: 932-94.
- 20. Primatesta P, Falaschetti E, Gupta S, Marmot MG, Poulter NR. Association Between Smoking and Blood Pressure: Evidence From the Health Survey for England. Hypertension 2001; 37: 187-93.
- 21. Wang Z, Wu Y, Zhao L, Li Y, Yang J, Zhou B. Trends in Prevalence, Awareness, Treatment and Control of Hypertension in the Middle-Aged Population of China, 1992–1998. Hypertens Res 2004; 27 (10): 703-9.
- 22. Muntner P, Gu D, Wu X, Duan X, Wenqi G, Whelton PK, He J. Factors Associated With Hypertension Awareness,Treatment, and Control in a Representative Sample of the Chinese Population. Hypertension 2004; 43: 578-85.