Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지

Awareness, Treatment, Control, and Related Factors of Hypertension in Gwacheon

과천시민의 고혈압 인지, 치료, 조절과의 관련요인

  • Choi, Youn-Hee (Department of Preventive Dentistry, College of Dentistry, Kyungpook National University) ;
  • Nam, Chung-Mo (Department of Preventive Medicine & Public Health, Yonsei University College of Medicine) ;
  • Joo, Mi-Hyun (Institute for Health Promotion, Yonsei University Graduate School of Health Science and Management) ;
  • Moon, Ki-Tae (The Army Headquarter) ;
  • Shim, Jee-Seon (Department of Preventive Medicine & Public Health, Yonsei University College of Medicine) ;
  • Kim, Hyeon-Chang (The Armed Medical Command) ;
  • Suh, Il (Department of Preventive Medicine & Public Health, Yonsei University College of Medicine)
  • 최연희 (경북대학교 치과대학 예방치과학교실) ;
  • 남정모 (연세대학교 의과대학 예방의학교실) ;
  • 주미현 (보건대학원 국민건강증진연구소) ;
  • 문기태 (육군본부) ;
  • 심지선 (연세대학교 의과대학 예방의학교실) ;
  • 김현창 (국군의무사령부) ;
  • 서일 (연세대학교 의과대학 예방의학교실)
  • Published : 2003.09.01
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : To identify the factors related to awareness, treatment, and control of hypertension in a Gwacheen population. Methods : This study surveyed 1,176 Gwacheon residents older than 40 years, and measured blood pressure using a standardized guideline in 1999. The study subjects were 473 adults (175 males, 295 females) with hypertension defined as a systolic blood pressure $\geq$140 mmHg, diastolic blood pressure $\geq$90 mmHg or reported treatment with antihypertensive medication. Information on awareness, treatment, and control of hypertension, and sociodemographic and health-related factors .was collected through person-to-person interviews with a structured questionnaire. Results : Overall, 252 (53.3%) of hypertensive subjects were aware of their condition, of whom as many as 193 (76.6%) were being treated, and 81 (42.0%) had their blood pressure controlled at the recommended level (<140/90 mmHg). However, of the 473 subjects found to have hypertension, only 40.8% were being treated, and 17.1% were under control. There were no significant differences in the proportions of awareness, treatment, and control of hypertension. In multiple logistic regression models, awareness of hypertension was positively associated with age and family history of hypertension in females. Control of hypertension was also positively associated with haying a partner and marital status in females.. Conclusion : These findings demonstrate that much greater efforts on improving awareness, treatment, and control of hypertension are needed, even in urban community settings, considering related factors such as a9e, family history, and marital status. However, these factors should be further investigated for their causal relationship.

Keywords

References

  1. Kim IS. Comparative study of mortality pattern between Korea and Japan, an overview. Korean J Epidemiol 1970; 1(1): 47-54 (Korean)
  2. Kim JS. Current status and transition of death causes in Korean population. J Korean Med Assoc 1993; 36(3): 271-284 (Korean)
  3. Lee MH, Choi KW, Oh MD. Recent Changes in Disease Pattern in Korea. J Korean Med Assoc 1989; 32(3): 283-289 (Korean)
  4. Sohn JW, Lee JU, Yoon SN, Lee S, Kim KS, Kim JH, Lim HK, Lee BH, Lee CK. Changes in Incidence and Trends of Cardiovascular Disease in Korean Adults. Korean J Med 1995; 49(6); 802-812 (Koran)
  5. Lee WK, Lee JH, Hong JH. The changing patterns of the heart disease.J Korean Med Assoc 1985;28(2): 142-144(Korean)
  6. Cho KS. A Change in Numberof Inpatients with each Circulatory Diseases in Kyung Hee University Hospital for 10 Years. K.M.H. 1993;9(1):37-42(Korean)
  7. 한국보건사회연구원. 2010년 국민건강증진 목표 설정과 전략개발-분야별 작업결과. 2000
  8. 남정자, 최정수, 김정희, 문항식. 1998 국민건강영양조사 심층연제분석. 보건복지부, 한국보건사회연구원. 2000
  9. Korean Association of Public Health Doctor, Oh BH, Kim CY, Lee KS, Khang YH, Lee YJ, Kang WC. The prevalence of hypertension in the rural area of Korea. Korean J Med 1999; 56(3); 299-316 (Koran)
  10. Ha YC, Chun HJ, Hwang HK, Kim BS, Kim JP. The prevalence, awareness, treatment, and control of hypertension and related factors in rural Korea. Korean J Prev Med 2000;33(4): 513-520(Korean)
  11. Han SH, Kim YH, Lee SS. Case-control study on some risk factors and status of disease control of hypertension in rural community. Korean J Epidemiol 1986; 8(1):23-36 (Korean)
  12. Lim S, Chun BY, Yeh MH. Prevalence rate of hypertension and cared pattern in rural aged over sixty years old. Korean J Rural Med 1994;19(2): 129-140 (Korean)
  13. Lim S, Chun BY, Yeh MH. Prevalence rate of hypertension and cared pattern in rural aged over sixty years old. Korean J Rural Med 1994;19(2): 129-140 (Korean)
  14. Seo OH, Seong NJ, Park KH. Behavior patterns and its outcomes of hypertension management in a rural hypertensive patients. J Korean Acad Fam Med 1995; 16(4): 207-216(Korean)
  15. Jeon JM, Bae JH, Kim DH, Park KS, Lee SH, Choi SY, Kim JY. The epidemiologic study on prevalence of hypertension by classification of JNC-5 in adult Korean male workers resident in Pohang.Korean J Med 1997; 52(2):209-223 (Korean)
  16. Lee SW, Kam S, Chun BY, Yeh MH, KangYS, Kim KY, Lee YS, Park KS, Son JH, Oh HS, Ahn MY, Lim PD. Therapeutic compliance and its related factors of patients with hypertension in rural area. Korean J Prev Med 2000; 33(2): 215-225 (Korean)
  17. Kim CY, Lee KS, KhangYH, Lim J, Choi YJ, Lee HK, Lee KH, Kim YJ. Health Behaviors Relatedto Hypertension in Rural Population of Korea. Korean J Prev Med 2000;33(1);56-68(Korean)
  18. Lee SG, Bae SS. The relationship between treatment intention and compliance in newly detected hypertensive patients. Korean J Prev Med 2001; 34(4); 417-426 (Korean)
  19. Huh YH, Kim KM, Song UK, Choi JH, Lee JW, Lee SY, Kim YJ. Factors related to awareness of hypertension. J Korean Acad Fam Med 1999; 20(12): 1761-1769 (Korean)
  20. Kim YM, Choi HR, Park DY, Lim JB, Won CW, Kin BS, Park YW. The comparison of the quality of life between the well-controlled hypertension group and the uncontrolled hypertension group. J Korean Acad Fam Med 2001; 22(4): 565-574 (Korean)
  21. Hwang JH, Kang PS, Yun SH, Kim SB, Lee KS. Health behaviors in hypertensive patients. J Korean Soc Health Education & Promotion 2000; 17(1): 115-130 (Korean)
  22. Burt VL. Whelton P, Roccella EJ, Brown C, Cutler JA, Higgins M, Horan MJ, Labartlie D. Prevalence of hypertension in the US adult population. Hypertension 1995; 25(3): 305-313 https://doi.org/10.1161/01.HYP.25.3.305
  23. Marques-Vidal P, Tuomilehto J. Hypertension awareness, treatment and controlin the community: Is 'the rule of halves' still valid? J Hum Hypertens 1997;11:213-220
  24. Banegas JR, Artalejo FR, Crusz JJ. Castillon, Calero JR. Bloodpressure in Spain distribution, awareness, control, and benefits of a reduction in average pressure. Hypertension 1998; 32:998-1002 https://doi.org/10.1161/01.HYP.32.6.998
  25. Colhoun HM, Dong W, Poulter NR. Blood pressure screening, management and control in England: Results from the health survey for England 1994. J Hypertens 1998;16:747-752 https://doi.org/10.1097/00004872-199816060-00005
  26. Arroyo P, Fernandez V, Loria A, Morales PK, Rivadeneyra SO, OlaizG, Conyer RT. Hypertension in urban Mexico: The 1992-93 national survey of chronic diseases. J Hum Hypertens 1999;13:671-675 https://doi.org/10.1038/sj.jhh.1000909
  27. Wolf HK, Andreou P, Bata IR, Comeau DG, Gregor RD, Kephart G, MacLean DR, Sketris J. Trends in the prevalence and treatment of hypertension in Halifax County from 1985 to 1995. CMAJ 1999; 161(6): 699-704
  28. Jadou HY, Bateiha AM, Ajlounti KM. Prevalence, awareness and management of hypertension in a recently urbanized community, Eastern Jordan. J Hum Hypertens 2000; 14:497-501 https://doi.org/10.1038/sj.jhh.1001063
  29. Du X. Prevalence, treatment, control, and awareness of high blood pressure and the risk of stroke in Northwest England. Prev Med 2000; 30: 288-294 https://doi.org/10.1006/pmed.2000.0646
  30. Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. The Sixth Report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure, Arch Intern Med 1997;157:2413-2446
  31. 대한예방의학회. 건강통계자료 수집 및 측정의 표준화 연구 1993.
  32. Jo IH, Ahn YJ, Lee JB, Shin KR, Lee HK, Shin C. Prevalence, awareness, treatment, control and risk factors of hypertension in Korea: The Ansan study. J Hypertens 2001; 19: 1523-1532. https://doi.org/10.1097/00004872-200109000-00002
  33. Stockwell DH, Madhavan S, Cohen H, Gibson G, Alderman MH. The determinants of Hypertension awareness, treatment, and controlin an insuredpopulation. Am J Public Health. 1994;84: 1768-1774 https://doi.org/10.2105/AJPH.84.11.1768
  34. Rywik SL, Davis CE, Pajak A, Broda G, Folsom AR, Kawalec E, Williams OD. Poland and U.S. collaborative study on cardiovascular epidemiology hypertension in the community: Prevalence, awareness, treatment, and control of hypertension in the Pol-MONICA Project and the U.S. Atherosclerosis Risk in Community Study. Ann Epidemiol 1998; 8: 3-13
  35. Bae SS, Kim J, Min KB, Kwon SH, Han DS. Patient compliance and associated factors in the community-based hypertension control program. Korean J Prev Med 1999; 32(2): 215-227 (Korean)
  36. Sheps SG. Overview of JNC VI : New directions in the management of hypertension and cardiovascular risk. Am J Hypertens 1999; 12:56S-72S https://doi.org/10.1016/S0895-7061(98)00281-7
  37. Marques VP, Arveiler D, Amouyel P, Bingham A, Ferrieres J. Sex differences in awareness and control of hypertension in France. J Hypertens 1997;15: 1205-10 https://doi.org/10.1097/00004872-199715110-00003
  38. Lloyd-Jones DM, Evans JC, Larson MG, O' Donnell CJ, Roccella EJ, Levy D. Differential control of systolic and diastolic blood pressure: Factors associated with lack of blood pressure control in the community. Hypertension 2000;36:594-599 https://doi.org/10.1161/01.HYP.36.4.594
  39. Lee JK. The Ways of Intervention Used by Hypertensive Patients Detected Through Periodic Health Examination. J Korean Acad Fam Med 1989; 10(12): 1-9(Korean)
  40. Rhee SY, Lee JR, Bae DH, Kwack KW, Lee HR. A Study of Changes of health Behavior after Screening for Hypertension. J Korean Acad Fam Med 1989; 10(12): 1016(Korean)
  41. Kim JS. Current Perspective of Cardiovascular disease and Hypertension-related disease in Korea. Korean J Public Health 1992; 29(1): 1-6
  42. Pavlik VN, Hyman DJ, Vallbona C, Toronjo C, Louis K. Hypertension awareness and control in an inner-city African American sample. J Hum Hypertens 1997; 11:277-283 https://doi.org/10.1038/sj.jhh.1000445
  43. Wagner EH, James SA, Beresford SA, Strogatz DS, GrlmsonRC, Kleinbaum DG, Williams CA, Cutchin LM, Ibrahim MA. The edgecombe county high blood pressure control program: 1. Correlates of uncontrolled hypertension at baselines. Am J Public Health 1984; 74:237-242
  44. Smith WCS, Lee AJ, Ctombie IK, TunstallPedoe H. Control of blood pressure in Scotland: the rule of halves. Brit Med J 1990;300:981-983 https://doi.org/10.1136/bmj.300.6730.981
  45. Nieto FJ, Alonso J, Chambless LE, Zhong M, Ceraso M, Romm FJ, Cooper L, Folsom AR, Szklo M. Population awareness and control of hypertension and hypercholesterolemia. Arch Intern Med 1995; 155: 677-684 https://doi.org/10.1001/archinte.155.7.677
  46. Silaste ML, Junes R, Rantala AD, Kauma H, Lilja M, Savolainen MJ, Reunanen A, Kesaniemi. Dietary and other non-pharmacological treatments in patients with drug-treated hypertension and control subjects. J Intem Med 2000; 247: 318-324 https://doi.org/10.1046/j.1365-2796.2000.00617.x
  47. Kaufman JS, Tracy JA, Durazo-arvizu RA, Cooper RS. Lifestyle, education, and prevalence of hypertension in populations of African origin: Results from the international collaborative study on hypertension in blacks. Ann Epidemiol 1997; 7: 22-27 https://doi.org/10.1016/S1047-2797(96)00107-X
  48. Guidelines Subcommittee. 1999 World Health 'Organization-International Society of Hypertension Guidelines for the Management of Hypertension. J Hypertens 1999; 17: 151-183
  49. Fuchs PD, Gus M, Moreira WD, Moreira LB, Moraes RS, Rosito GA, Sorucco A, Atanazio P, Machado R. Blood pressure effects of antihypertensive drug and changes in lifestyle in a Brazilian hypertensive cohort. J Hypertens 1997; 15: 783-792 https://doi.org/10.1097/00004872-199715070-00011