Prevalence and Determination of Hypertension among Diabetes Mellitus Patients Attending Primary Health Care Centres

Abstract

The primary objective of this investigation was to identify the root causes of hypertension in individuals with diabetes, as it represents a significant modifiable risk factor for various cardiovascular diseases and poses a major global public health challenge. Aim:To identify the prevalence and determination of hypertension among diabetes mellitus patients in Mosul City. Methods: This study is a data analysis that was obtained from primary health care centers based on a cross-sectional study. The study period was from the 1st of January to the 1st of July 2022. The study examined the prevalence of hypertension among diabetes mellitus patients attending primary health care centers: 303 patients with diabetes mellitus and 300 patients's hypertensions with diabetes mellitus. Patients' ages ranged from 40 to over 70 years, divided as follows: 40-49, 50-59, 60-69, and over 70 years old. As well as their genders, males, and females, who visited the primary health care centers in the right and left sectors and the Al-Wafaa Centre for Diabetes and Endocrinology in the city of Mosul, Iraq. Results:The study shows 15 determinants of hypertension among diabetes mellitus patients who are age (the highest rate is among patients 50-59years with 37.1%), gender (the highest rate among females with 64.3%), marital status (the highest rate among married with 45.2%), employment (the highest rate is among unemployed with 77%), duration of diabetes (the highest rate is among patients with diabetes and hypertension less than 5 years with 46.8%),smoking (the highest rate is among never smoking), BMI (the highest rate is among obese patient with 54.3%), family history with hypertension (96.7% of patients have family history), sedentary activity (52.2% of patients set less than 4 hours ), sleep duration (66.6% of patients sleep more than 7 hours), stress (63.2% of patients have moderate to high stress), salt consumption after diabetes (33.4% of patients stopped salt consumption at all), physical activity (62.7% of patients do moderate physical activity ), level of education (52.7% of patients educated with primary school ),and residency (52.6% of patients live in the left side of Mosul city). Conclusion:This study concluded that the factors most affected by high blood pressure that affected patients were age, especially 50-59, BMI (obesity), occupation (for non-workers), family history, high stress, and little physical activity