A high level of awareness but a poor control of hypertension among elderly Greeks. The Nemea primary care study

Skliros, E.; Papaioannou, Ioanna; Sotiropoulos, Alexios; Giannakaki, G; Milingou, M; Lionis, Christos

doi:10.1038/sj.jhh.1001380

Cited by 11 publications

(22 citation statements)

References 13 publications

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“…1,14,15,17,[19][20][21][22][23][24][25][26][27] Among hypertensives, those who responded in the negative to 'Have you ever been diagnosed with high blood pressure by a medical professional?' were considered to be unaware and those who responded in the negative to 'Are you presently taking any medicine prescribed by a physician for high blood pressure?'…”

Section: Definitionsmentioning

confidence: 99%

“…A variety of socio-demographic and health variables, evaluated as potential correlates with hypertension and/or awareness, treatment and control of hypertension in previous studies, 6,[14][15][16][17][18][19][20][21][22][23][24][25][26][27]32 were evaluated as correlates in the present analysis.…”

Section: Correlatesmentioning

confidence: 99%

“…4,6 Recognizing the elderly as an at-risk population, studies in various countries have documented the prevalence and correlates of hypertension and of awareness, treatment and control of hypertension among the elderly. [14][15][16][17][18][19][20][21][22][23][24][25][26][27] These studies suggest considerable heterogeneity for the prevalence of these conditions across elderly subgroups, defined by socio-demographic or health characteristics. Furthermore, neither the prevalence nor the identified correlates are uniform across countries.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence, awareness, treatment and control of hypertension in the elderly population of Singapore

et al. 2010

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A comprehensive picture of the management of hypertension in the increasing elderly population in Singapore is lacking. In this study, we assess the prevalence and correlates of hypertension and of awareness, treatment and control of hypertension among 4494 elderly Singaporeans (X60 years) participating in a recent representative survey. The weighted prevalences of hypertension (systolic blood pressure X140 mm Hg or diastolic blood pressure X90 mm Hg or current use of antihypertension medication) and of awareness, treatment and control of hypertension were assessed. We assessed the extent of association of these outcomes with socio-demographic (age, gender, ethnicity, education, housing type, living arrangement and social participation) and health (body mass, diabetes and cognitive status) variables using multivariable logistic regression. Nearly three-fourths (73.9%) of participants were found to have hypertension. Of this number, 30.8% were unaware that they had hypertension, 32.0% were not being treated for the disease and 75.9% had suboptimal control of their blood pressure. Among those aware of their hypertension, only 1.9% were untreated. However, nearly two-thirds (64.5%) of treated hypertensives had suboptimal control. Age, gender, ethnicity, education, housing type, body mass and diabetes were significantly correlated with lack of awareness, treatment and control of hypertension. Although the specific 'at-risk' subgroups varied by the outcome, men and Malays had consistently higher odds for all three unfavorable outcomes. There is a need to improve awareness, treatment and especially control of hypertension among elderly Singaporeans. Primary and secondary prevention efforts targeting the elderly and their primary health-care providers are called for, as are regular data collection efforts based on representative samples.

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Section: Definitionsmentioning

confidence: 99%

Section: Correlatesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence, awareness, treatment and control of hypertension in the elderly population of Singapore

et al. 2010

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“…In the Didima study 5 (general population), the percentage of first-diagnosed hypertension was 39.2%. In another study, which was carried out in an elderly rural population, 6 the proportion of first-diagnosed hypertensives was significantly low (11%), reflecting an increased awareness among Greek primary care physicians regarding the risk of hypertension in the elderly.…”

mentioning

confidence: 95%

“…[4][5][6] Also, information about the level of control of hypertension in primary care is limited. The VANK study in General Practice is a multicentre, crosssectional survey, which was carried out in order to determine the prevalence of hypertension and the levels of awareness, treatment and control of hypertension in Primary Care.…”

mentioning

confidence: 99%