Prevalence of hypertension and its associated factors among adults living in Pokhara metropolitan city

Bishnu Gurung, Nirupa Thapa, U. Paudel
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Abstract

Introduction: Hypertension is one of the silent killer diseases affecting multiple organs. Hypertension prevalence is increasing in developing countries. So, the present study was conducted to find out the prevalence and associated factors of hypertension among adults living in Pokhara metropolitan city. Methods: This was a community-based cross-sectional study conducted in Pokhara metropolitan city. Study participants were aged 18 to 70 years, residing permanently in the study sites. Wards, households, and respondents were selected randomly. Data was entered in Epi Data and analysed using SPSS 16 version. Descriptive statistics and inferential statistics at 5% level of significance were used. Results: Of the 293 participants, 60.8% were females, mean (standard deviation) of age was 41.7(14.6) years, 29.3% had no formal education, 35.1% were brahmins, and 41.2% were homemakers. Prevalence of hypertension was 35.5%. Age, gender, education, marital status, smoking, alcohol consumption, salt adding habit, presence of diabetes status, use of cholesterol drugs and body mass index were significantly associated with hypertension. In multivariate analysis, age, gender, alcohol consumption, salt adding habit and body mass index were identified as significant factors for hypertension. Conclusions: The study concluded that the prevalence of hypertension in Pokhara metropolitan city was alarming. There were greater number of pre-hypertension cases which are in turn at great risk of developing hypertension if not intervene timely. Therefore, community awareness program on hypertension and its preventive measures is must in preventing the dreadful complications.
博卡拉市成人高血压患病率及其相关因素
高血压是影响多脏器的隐性杀手疾病之一。发展中国家的高血压患病率正在上升。因此,本研究旨在了解博卡拉市成人高血压患病率及相关因素。方法:以社区为基础的横断面研究在博卡拉市进行。研究参与者年龄在18至70岁之间,长期居住在研究地点。随机抽取病房、住户和调查对象。数据录入Epi Data,使用SPSS 16版进行分析。采用5%显著性水平的描述性统计和推断性统计。结果:293名参与者中,女性占60.8%,平均(标准差)年龄为41.7(14.6)岁,未受过正规教育者占29.3%,婆罗门占35.1%,家庭主妇占41.2%。高血压患病率为35.5%。年龄、性别、受教育程度、婚姻状况、吸烟、饮酒、加盐习惯、是否患有糖尿病、使用降胆固醇药物和体重指数与高血压有显著相关性。在多变量分析中,年龄、性别、饮酒、加盐习惯和体重指数被确定为高血压的显著因素。结论:研究结果表明,博卡拉市高血压患病率令人担忧。高血压前期患者较多,如果不及时干预,发展为高血压的风险较大。因此,要预防严重并发症的发生,必须加强社区对高血压的认识和预防措施。
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