Prevalence and Awareness of Hypertension in Seven Distinct Geographic Regions of Turkey: The SEMT HT Study

Abstract

Objective: This study aimed to assess the prevalence, the level of awareness, and the factors that increase hypertension in Turkey. Material and Methods: A cross-sectional survey with a multi-stage probability sampling was conducted. A total of 9604 people were screened; of them, 9316 had a complete clinical examination. The ages, genders, personal and family histories of hypertension, diabetes, coronary artery diseases were recorded. Their systolic and diastolic blood pressures (BP), heights, weights, waist, and hip circumferences were measured. Hypertension was defined as taking medication for hypertension or BP ≥140/90 mmHg. Results: According to the JNC-7 criteria, 22.1% of the population had prehypertension, 36.5% had hypertension (15.3% stage 1 and 21.2% stage 2 hypertension), and 41.4% were normal population. Of the population, 30% had an awareness of hypertension. The prevalence of hypertension was higher in Mediterranean, Central Anatolia, and Black Sea Regions and lower in SouthEast Anatolia, Aegean Regions, while it was similar in Marmara and East Anatolia Regions when compared to the general population of Turkey. Though rural life, advancing age, increasing body mass index, and waist to height ratio >0.5 were the factors responsible for an increased prevalence of hypertension, smoking was found to decrease the prevalence. Conclusion: The data of the SEMT hypertension study indicated that more than onethird of the adult population was hypertensive in Turkey. Furthermore, only one-third of the hypertensive adult population showed awareness of their hypertension.

Prevalence and Awareness of Hypertension in Pazar District of Tokat Province: A Community-Based Study

“…In another study conducted in seven regions of Turkey, the prevalence of hypertension was 36.5%. In the same study, the prevalence of hypertension in the Black Sea region, where this study was carried out, was 44.9% (Bayram et al, 2021). Contrary to our research results, the prevalence of hypertension in rural areas was revealed to be higher than those living in urban areas in a recent study conducted in Turkey and research conducted in China (Bayram et al, 2021;Xing et al, 2019).…”

“…In the same study, the prevalence of hypertension in the Black Sea region, where this study was carried out, was 44.9% (Bayram et al, 2021). Contrary to our research results, the prevalence of hypertension in rural areas was revealed to be higher than those living in urban areas in a recent study conducted in Turkey and research conducted in China (Bayram et al, 2021;Xing et al, 2019). This difference can be explained by the fact that the district where the study was conducted is close to the city center and the health education interventions for society's awareness of hypertension within the scope of the learning festival held in the district center for the last five years.…”

“…The high prevalence of hypertension in low-and middle-income countries can be explained by increased risk factors (WHO, 2021). When the prevalence of hypertension was examined according to the regions of Turkey, it was revealed to be higher in the Mediterranean, Central Anatolia and Black Sea Regions and lower in the Southeastern Anatolia and Aegean Regions (Bayram et al, 2021). While only 14% of adults with hypertension have hypertension under control worldwide, this rate is 28.7% in Turkey.…”

“…It is reported that 46% of adults with hypertension are not aware of this condition (Sengul et al, 2016;WHO, 2021). In a study performed in seven regions of Turkey, awareness of hypertension was 30% (Bayram et al, 2021). It is extremely important to understand the characteristics of individuals who are unaware of their disease so that the control over hypertension can be improved, and new strategies can be targeted and adapted to the needs of high-risk groups in each country (Fenech et al, 2020).…”

Faktor Risiko Hipertensi Pada Usia Produktif Di Indonesia Dan Upaya Penanggulangannya

“…Prevalensi awareness hipertensi pada kelompok umur menunjukan perbedaan yang signifikan, umur 15-44 tahun (19,4%), umur 45-64 tahun (45,4%) dan diatas 65 tahun (52,6%) (Li et al, 2019). Penelitian di Turki menunjukan bahwa lebih dari sepertiga orang dewasa mengalami hipertensi (36,5%) dimana hanya sepertiga yang menyadari sedang menderita hipertensi (Bayram et al, 2021). Hasil survei pada daeral rural Tanzania dimana hanya sepertiga (34,3%) dari responden yang menyadari bahwa mereka hipertensi, sedangkan dua pertiga sisanya (65,7%) tidak terdiagnosis (Muhihi et al, 2020).…”