Prevalence of Undetected, Untreated, and Uncontrolled Hypertension among Attendants of Primary Health Care Centers in Naseriya city/ Iraq

Background: Hypertension (HT) is a major public health concern with increasing prevalence in EMRO, where Iraq had the highest prevalence. Studies on HT are a basis for rational planning of health policy. The objective of this study is to estimate the prevalence undetected, untreated and uncontrolled HT among adult population in Nasisriya city/ Iraq.

Subjects and Methods: A cross sectional study done in four randomly selected Primary Health Care Centers (PHCC) in Nassiriya City/ Iraq. A systematic random sample of 1,532 adults, aged ≥25 years attending these PHCCs were included. A questionnaire used to gather basic variables, HT risk factors, history of HT, use of anti HT medications beside measurement of BMI and two BP readings. Hypertension defined as a mean systolic blood pressure ≥140 mm Hg, diastolic blood pressure ≥90 mm Hg, and/or use of antihypertensive medications.

Results: 46.1 % of study population had HT. Older age, widowed, urban residence, cigarette smoking, body mass index ≥25, and family history of HT were significant risk factors (p< 0.001). Newly discovered hypertensive represented 39.3% of all hypertensives (95% CI: 28.3-50.3%); 21.2% of known hypertensives were not on antihypertensive medication (95% CI: 17.3-25.1%) and 17.7% only achieved controlled blood pressure (<140/90 mm Hg) (95% CI: 15.6-19.8%).

Conclusion: Although the prevalence of undetected HT, and the untreated HT are high but the prevalence of uncontrolled HT is extremely high. Strict implementation of recently adopted HT detection program including activities to discover undetected HT, provide effective treatment and ensure controlled BP were recommended 

Year: 
2009
Author (s): 

Faris Al-Lami MB ChB Ph D Ahmed Mousa MB ChB MPH

Presenter (s): 
al-lami
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