Prevalence, awareness, treatment and control of arterial hypertension in Astana, Kazakhstan. A cross-sectional study
Abstract Objective Very little is known about prevalence of common cardiovascular risk factors in Central Asia. The aim of the study was to assess the prevalence, awareness, treatment and control of arterial hypertension, and factors associated with these indices in a population sample of Astana, th...
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| Veröffentlicht in: | Public health (London) 2015-07, Vol.129 (7), p.948-953 |
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| creator | Supiyev, A Kossumov, A Utepova, L Nurgozhin, T Zhumadilov, Z Bobak, M |
| description | Abstract Objective Very little is known about prevalence of common cardiovascular risk factors in Central Asia. The aim of the study was to assess the prevalence, awareness, treatment and control of arterial hypertension, and factors associated with these indices in a population sample of Astana, the new capital city of Kazakhstan. Design Cross-sectional study of subjects registered in eight outpatient policlinics in Astana. Methods A total of 497 adults (response rate 56%) aged 50–75 years randomly selected from registers of the policlinics were examined. Hypertension was defined as a mean systolic and/or diastolic blood pressure of ≥140/90 mm Hg and/or antihypertensive medication use during the last two weeks. Awareness and treatment were based on self-report. Hypertension control was defined as blood pressure |
| doi_str_mv | 10.1016/j.puhe.2015.02.020 |
| format | Article |
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A cross-sectional study</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Supiyev, A ; Kossumov, A ; Utepova, L ; Nurgozhin, T ; Zhumadilov, Z ; Bobak, M</creator><creatorcontrib>Supiyev, A ; Kossumov, A ; Utepova, L ; Nurgozhin, T ; Zhumadilov, Z ; Bobak, M</creatorcontrib><description>Abstract Objective Very little is known about prevalence of common cardiovascular risk factors in Central Asia. The aim of the study was to assess the prevalence, awareness, treatment and control of arterial hypertension, and factors associated with these indices in a population sample of Astana, the new capital city of Kazakhstan. Design Cross-sectional study of subjects registered in eight outpatient policlinics in Astana. Methods A total of 497 adults (response rate 56%) aged 50–75 years randomly selected from registers of the policlinics were examined. Hypertension was defined as a mean systolic and/or diastolic blood pressure of ≥140/90 mm Hg and/or antihypertensive medication use during the last two weeks. Awareness and treatment were based on self-report. Hypertension control was defined as blood pressure <140/90 mm Hg among hypertensive subjects. Results The overall prevalence of hypertension was 70%. Among hypertensive subjects, 91% were aware of their condition, 77% took antihypertensive medications, and 34% had blood pressure controlled (<140/90 mm Hg). The prevalence of hypertension and its awareness, treatment and control was more common in women, among persons aged 60 years or more and (except control) among those with high body mass index. None of several available socio-economic or lifestyle measures was associated with any of hypertension indices. Conclusions The levels of awareness, treatment and control of hypertension were higher than in most Eastern European and Central Asian populations with available data, most likely reflecting high education and large proportion of civil servants in the new capital city. However, even in this privileged population the rates of successful control of hypertension were modest.</description><identifier>ISSN: 0033-3506</identifier><identifier>EISSN: 1476-5616</identifier><identifier>DOI: 10.1016/j.puhe.2015.02.020</identifier><identifier>PMID: 25818013</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Aged ; Antihypertensive Agents - therapeutic use ; Arterial hypertension ; Awareness ; Blood Pressure - drug effects ; Cardiovascular Diseases - therapy ; Central Asian countries ; Cross-Sectional Studies ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Hypertension - diagnosis ; Hypertension - drug therapy ; Hypertension - ethnology ; Hypertension - prevention & control ; Infectious Disease ; Internal Medicine ; Kazakhstan - epidemiology ; Life Style ; Male ; Middle Aged ; Prevalence ; Risk Factors ; Self Report ; Socio-economic factors ; Socioeconomic Factors</subject><ispartof>Public health (London), 2015-07, Vol.129 (7), p.948-953</ispartof><rights>The Authors</rights><rights>2015 The Authors</rights><rights>Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c488t-5d4b00cc41a54db8e87251e88d660b4a1c5a777c3e6661d050c99aae32c921ff3</citedby><cites>FETCH-LOGICAL-c488t-5d4b00cc41a54db8e87251e88d660b4a1c5a777c3e6661d050c99aae32c921ff3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.puhe.2015.02.020$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25818013$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Supiyev, A</creatorcontrib><creatorcontrib>Kossumov, A</creatorcontrib><creatorcontrib>Utepova, L</creatorcontrib><creatorcontrib>Nurgozhin, T</creatorcontrib><creatorcontrib>Zhumadilov, Z</creatorcontrib><creatorcontrib>Bobak, M</creatorcontrib><title>Prevalence, awareness, treatment and control of arterial hypertension in Astana, Kazakhstan. A cross-sectional study</title><title>Public health (London)</title><addtitle>Public Health</addtitle><description>Abstract Objective Very little is known about prevalence of common cardiovascular risk factors in Central Asia. The aim of the study was to assess the prevalence, awareness, treatment and control of arterial hypertension, and factors associated with these indices in a population sample of Astana, the new capital city of Kazakhstan. Design Cross-sectional study of subjects registered in eight outpatient policlinics in Astana. Methods A total of 497 adults (response rate 56%) aged 50–75 years randomly selected from registers of the policlinics were examined. Hypertension was defined as a mean systolic and/or diastolic blood pressure of ≥140/90 mm Hg and/or antihypertensive medication use during the last two weeks. Awareness and treatment were based on self-report. Hypertension control was defined as blood pressure <140/90 mm Hg among hypertensive subjects. Results The overall prevalence of hypertension was 70%. Among hypertensive subjects, 91% were aware of their condition, 77% took antihypertensive medications, and 34% had blood pressure controlled (<140/90 mm Hg). The prevalence of hypertension and its awareness, treatment and control was more common in women, among persons aged 60 years or more and (except control) among those with high body mass index. None of several available socio-economic or lifestyle measures was associated with any of hypertension indices. Conclusions The levels of awareness, treatment and control of hypertension were higher than in most Eastern European and Central Asian populations with available data, most likely reflecting high education and large proportion of civil servants in the new capital city. However, even in this privileged population the rates of successful control of hypertension were modest.</description><subject>Aged</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Arterial hypertension</subject><subject>Awareness</subject><subject>Blood Pressure - drug effects</subject><subject>Cardiovascular Diseases - therapy</subject><subject>Central Asian countries</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Hypertension - diagnosis</subject><subject>Hypertension - drug therapy</subject><subject>Hypertension - ethnology</subject><subject>Hypertension - prevention & control</subject><subject>Infectious Disease</subject><subject>Internal Medicine</subject><subject>Kazakhstan - epidemiology</subject><subject>Life Style</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Self Report</subject><subject>Socio-economic factors</subject><subject>Socioeconomic Factors</subject><issn>0033-3506</issn><issn>1476-5616</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUtGK1DAUDaK44-oP-CB59GFab9ImbUGEYVF3cUFBfQ530lsms510TNqR8Wv2W_bLTJ3VBx8ULiQXzjlwzzmMPReQCxD61TbfTxvKJQiVg0wDD9hClJXOlBb6IVsAFEVWKNBn7EmMWwCQVaEeszOpalGDKBbs8CnQAXvylpYcv2MgTzEu-RgIxx35kaNvuR38GIaeD93dLYaRgsOeb457Sn8f3eC583wVR_S45B_wB95s5iXnq7tbG4YYs0h2TLhEi-PUHp-yRx32kZ7dv-fs67u3Xy4us-uP768uVteZLet6zFRbrgGsLQWqsl3XVFdSCarrVmtYlyiswqqqbEFaa9GCAts0iFRI20jRdcU5e3nS3Yfh20RxNDsXLfU9ehqmaJILSRJK0fwfWglZVXUjywSVJ-iv2wJ1Zh_cDsPRCDBzNGZr5mjMHI0BmQYS6cW9_rTeUfuH8juLBHh9AlAy5OAomGjdHEzrQnLPtIP7t_6bv-i2d95Z7G_oSHE7TCHZn-4wMRHM57kcczeESr3QTVn8BGBstvU</recordid><startdate>20150701</startdate><enddate>20150701</enddate><creator>Supiyev, A</creator><creator>Kossumov, A</creator><creator>Utepova, L</creator><creator>Nurgozhin, T</creator><creator>Zhumadilov, Z</creator><creator>Bobak, M</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>20150701</creationdate><title>Prevalence, awareness, treatment and control of arterial hypertension in Astana, Kazakhstan. A cross-sectional study</title><author>Supiyev, A ; Kossumov, A ; Utepova, L ; Nurgozhin, T ; Zhumadilov, Z ; Bobak, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c488t-5d4b00cc41a54db8e87251e88d660b4a1c5a777c3e6661d050c99aae32c921ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Antihypertensive Agents - therapeutic use</topic><topic>Arterial hypertension</topic><topic>Awareness</topic><topic>Blood Pressure - drug effects</topic><topic>Cardiovascular Diseases - therapy</topic><topic>Central Asian countries</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Hypertension - diagnosis</topic><topic>Hypertension - drug therapy</topic><topic>Hypertension - ethnology</topic><topic>Hypertension - prevention & control</topic><topic>Infectious Disease</topic><topic>Internal Medicine</topic><topic>Kazakhstan - epidemiology</topic><topic>Life Style</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Self Report</topic><topic>Socio-economic factors</topic><topic>Socioeconomic Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Supiyev, A</creatorcontrib><creatorcontrib>Kossumov, A</creatorcontrib><creatorcontrib>Utepova, L</creatorcontrib><creatorcontrib>Nurgozhin, T</creatorcontrib><creatorcontrib>Zhumadilov, Z</creatorcontrib><creatorcontrib>Bobak, M</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Public health (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Supiyev, A</au><au>Kossumov, A</au><au>Utepova, L</au><au>Nurgozhin, T</au><au>Zhumadilov, Z</au><au>Bobak, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence, awareness, treatment and control of arterial hypertension in Astana, Kazakhstan. A cross-sectional study</atitle><jtitle>Public health (London)</jtitle><addtitle>Public Health</addtitle><date>2015-07-01</date><risdate>2015</risdate><volume>129</volume><issue>7</issue><spage>948</spage><epage>953</epage><pages>948-953</pages><issn>0033-3506</issn><eissn>1476-5616</eissn><abstract>Abstract Objective Very little is known about prevalence of common cardiovascular risk factors in Central Asia. The aim of the study was to assess the prevalence, awareness, treatment and control of arterial hypertension, and factors associated with these indices in a population sample of Astana, the new capital city of Kazakhstan. Design Cross-sectional study of subjects registered in eight outpatient policlinics in Astana. Methods A total of 497 adults (response rate 56%) aged 50–75 years randomly selected from registers of the policlinics were examined. Hypertension was defined as a mean systolic and/or diastolic blood pressure of ≥140/90 mm Hg and/or antihypertensive medication use during the last two weeks. Awareness and treatment were based on self-report. Hypertension control was defined as blood pressure <140/90 mm Hg among hypertensive subjects. Results The overall prevalence of hypertension was 70%. Among hypertensive subjects, 91% were aware of their condition, 77% took antihypertensive medications, and 34% had blood pressure controlled (<140/90 mm Hg). The prevalence of hypertension and its awareness, treatment and control was more common in women, among persons aged 60 years or more and (except control) among those with high body mass index. None of several available socio-economic or lifestyle measures was associated with any of hypertension indices. Conclusions The levels of awareness, treatment and control of hypertension were higher than in most Eastern European and Central Asian populations with available data, most likely reflecting high education and large proportion of civil servants in the new capital city. However, even in this privileged population the rates of successful control of hypertension were modest.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>25818013</pmid><doi>10.1016/j.puhe.2015.02.020</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Antihypertensive Agents - therapeutic use Arterial hypertension Awareness Blood Pressure - drug effects Cardiovascular Diseases - therapy Central Asian countries Cross-Sectional Studies Female Health Knowledge, Attitudes, Practice Humans Hypertension - diagnosis Hypertension - drug therapy Hypertension - ethnology Hypertension - prevention & control Infectious Disease Internal Medicine Kazakhstan - epidemiology Life Style Male Middle Aged Prevalence Risk Factors Self Report Socio-economic factors Socioeconomic Factors |
| title | Prevalence, awareness, treatment and control of arterial hypertension in Astana, Kazakhstan. A cross-sectional study |
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