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Original Articles
Prevalence, awareness, treatment, control, and risk factors of hypertension among adults: a cross-sectional study in Iran
Maryam Eghbali, Alireza Khosravi, Awat Feizi, Asieh Mansouri, Behzad Mahaki, Nizal Sarrafzadegan
Epidemiol Health. 2018;40:e2018020.   Published online May 18, 2018
DOI: https://doi.org/10.4178/epih.e2018020
  • 15,893 View
  • 484 Download
  • 39 Web of Science
  • 30 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
Hypertension (HTN) is an important risk factor for cardiovascular disease. Considering the importance of this disease for public health, this study was designed in order to determine the prevalence, awareness, treatment, control, and risk factors of HTN in the Iranian adult population.
METHODS
This cross-sectional study was conducted among 2,107 residents of Isfahan, Iran. Samples were selected through multi-stage random cluster sampling in 2015-2016. The outcome variable was HTN, determined by measuring blood pressure in the right arm via a digital arm blood pressure monitor. Awareness, treatment, and control of HTN were assessed by a validated and reliable researcher-developed questionnaire. Other demographic and clinical variables were assessed via a demographic questionnaire.
RESULTS
The overall prevalence of HTN was 17.3% (18.9 and 15.5% in men and women, respectively). The prevalence of HTN increased in both genders with age. The prevalence of awareness of HTN among people with HTN was 69.2%, of whom 92.4 and 59.9% were taking medication for HTN and had controlled HTN, respectively. Logistic regression identified age, body mass index, having diabetes and hyperlipidemia, and a positive family history of HTN as determinants of awareness of HTN.
CONCLUSIONS
The results showed that HTN was highly prevalent in the community, especially in men and in middle-aged and older adults. Approximately 30.8% of patients were unaware of their disease, and there was less awareness among younger adults. Despite the high frequency of taking medication to treat HTN, it was uncontrolled in more than 40.1% of patients. Health policy-makers should therefore consider appropriate preventive and therapeutic strategies for these high-risk groups.
Summary

Citations

Citations to this article as recorded by  
  • Self-rated health and its determinants in patients with hypertension in Isfahan in 2019
    Asieh Mansouri, Alireza Khosravi Farsani, Noushin Mohammadifard, Fatemeh Nouri, Mahnaz Jozan, Ghazaal Alavi Tabatabaei, Rezvan Salehidoost, Hamed Rafiee
    BMC Public Health.2024;[Epub]     CrossRef
  • Contribution of NOS3AS Variants to Susceptibility to Essential Hypertension: A Study in Kermanshah Province, Western Iran
    Bahareh Karami, Azam Azimi, Zohreh Rahimi, Sousan Mahmoudi, Nazanin Jalilian
    Biochemical Genetics.2023; 61(5): 2149.     CrossRef
  • Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis
    Demetrio Lamloum, Federico Fassio, Brianna Osetinsky, Fabrizio Tediosi
    International Journal of Public Health.2023;[Epub]     CrossRef
  • Prevalence and risk factors of pre-hypertension and hypertension among adults in Southeastern Iran: Findings from the baseline survey of the Zahedan adult cohort study
    Mojtaba Gholami Zare, Hassan Okati-Aliabad, Alireza Ansari-Moghaddam, Mahdi Mohammadi, Fariba Shahraki-Sanavi, Seyed Aria Nejadghaderi
    PLOS ONE.2023; 18(12): e0295270.     CrossRef
  • Prevalence and incidence of pre-hypertension and hypertension (awareness/control) in Iran: findings from Kerman coronary artery diseases risk factors study 2 (KERCADRS)
    Hamid Najafipour, Hamid Reza Nasri, Farzaneh Rostamzadeh, Raheleh Amirzadeh, Mitra Shadkam, Ali Mirzazadeh
    Journal of Human Hypertension.2022; 36(5): 461.     CrossRef
  • Hypertension and Pre-Hypertension in Middle East and North Africa (MENA): A Meta-Analysis of Prevalence, Awareness, Treatment, and Control
    Abbas Balouchi, Mojgan Haj Ahmadi Pour Rafsanjani, Kholoud Al-Mutawaa, Mahin Naderifar, Hosein Rafiemanesh, Abbas Ebadi, Tahereh Najafi Ghezeljeh, Azita Shahraki-Mohammadi, Adhra Al-Mawali
    Current Problems in Cardiology.2022; 47(7): 101069.     CrossRef
  • Association of adherence to the dietary approach to stop hypertension and Mediterranean diets with blood pressure in a non-hypertensive population: Results from Isfahan Salt Study (ISS)
    Mehran Rahimlou, Narges Grau, Nasrin Banaie -Jahromi, Marzieh Taheri, Alireza Khosravi, Yiannis Mavrommatis, Noushin Mohammadifard
    Nutrition, Metabolism and Cardiovascular Diseases.2022; 32(1): 109.     CrossRef
  • Prevalence of hypertension and pre-hypertension in the Middle East region: a systematic review & meta-analysis
    Hassan Okati-Aliabad, Alireza Ansari-Moghaddam, Shiva Kargar, Mahdi Mohammadi
    Journal of Human Hypertension.2022; 36(9): 794.     CrossRef
  • The Magnitude of Salt Intake Behaviors and Its Predictors among Saqez Urban Population of Kurdistan District in Iran: A Cross-Sectional Study
    Kolsom Khoram, Mohammad Asghari-Jafarabadi, Mehrangiz Ebrahimi-Mamagani, Behjat Shokrvash, Maral Hariri-Akbari, Thereza Maria Magalhães Moreira
    International Journal of Hypertension.2022; 2022: 1.     CrossRef
  • Empirical prediction model of psychophysiological responses of workers with respect to noise exposure based on random forest
    Mostafa Rahmiani Iranshahi, Mohsen Aliabadi, Rostam Golmohammadi, Alireza Soltanian, Mohammad Babamiri
    Noise & Vibration Worldwide.2022; 53(6): 290.     CrossRef
  • Factors Related to Medication Adherence in Hypertensive Patients in the Iranian Population
    N. Roustaei, H. Hosayni, S. Jokar, F. Zinat motlagh
    Journal of Clinical Care and Skills.2022; 3(1): 13.     CrossRef
  • Predictive Factors for the Care and Control of Hypertension Based on the Health Belief Model Among Hypertensive Patients During the COVID-19 Epidemic in Sirjan, Iran
    Reza Sadeghi, Mahmood Reza Masoudi, Athina Patelarou, Narges Khanjani
    Current Hypertension Reviews.2022; 18(1): 78.     CrossRef
  • Medication Adherence and Blood Pressure Control Among Hypertensive Outpatients Attending a Tertiary Cardiovascular Hospital in Tanzania: A Cross-Sectional Study
    Pedro Pallangyo, Makrina Komba, Zabella S Mkojera, Peter R Kisenge, Smita Bhalia, Henry Mayala, Engerasiya Kifai, Mwinyipembe K Richard, Khuzeima Khanbhai, Salma Wibonela, Jalack Millinga, Robert Yeyeye, Nelson F Njau, Thadei K Odemary, Mohamed Janabi
    Integrated Blood Pressure Control.2022; Volume 15: 97.     CrossRef
  • Awareness, treatment, and practices of lifestyle modifications amongst diagnosed hypertensive patients attending the tertiary care hospital of Karachi: A cross-sectional study
    Sadia Yaqoob, Mahjabeen Yaseen, Furqan Ahmad Jarullah, Amna Saleem, Anmol Mohan, Mohammad Yasir Essar, Shoaib Ahmad
    Annals of Medicine and Surgery.2022; 82: 104587.     CrossRef
  • The Iranian blood pressure measurement campaign, 2019: study protocol and preliminary results
    Afshin Ostovar, Sadaf Sepanlou, Mohammad Shariati, Alireza Mahdavi Hezaveh, Elham Yousefi, Alieh Hodjatzadeh, Mehdi Afkar, Abbas Pariani, Alireza Moghisi, Kazem Khalagi, Mehdi Najmi, Shahnaz Bashti, Saeideh Aghamohammadi, Mohammad Bagherzade yazdi, Azizol
    Journal of Diabetes & Metabolic Disorders.2022; 22(1): 899.     CrossRef
  • Self-Care Behaviors in Patients with Hypertension to Prevent Hypertensive Emergencies: a Qualitative Study Based on the Theory of Planned Behavior
    Farnaz Eslamimehr, Zahra Hosseini, Teamur Aghamolaei, Marzieh Nikparvar, Amin Ghanbarnezhad
    Journal of Cardiovascular Emergencies.2022; 8(4): 75.     CrossRef
  • Détection et contrôle de l’hypertension artérielle dans une communauté péri-urbaine d’Afrique de l’Ouest
    Marie-Laure Tiadé, Simone Malik, Jérôme Kouamé, Aka Angèle Desquith, Annita Hounsa-Alla, Kouamé Koffi, Régine Attia-Konan, Madikiny Coulibaly, Julie-Ghislaine Sackou-Kouakou, Agbaya Serge Oga, Kouakou Luc Kouadio
    Santé Publique.2022; Vol. 34(2): 289.     CrossRef
  • The prevalence and predictors of pre-hypertension and hypertension in Kherameh cohort study: a population based study on 10,663 persons in south of Iran
    Abbas Rezaianzadeh, Fatemeh Jafari, Seyed Ebrahim Sadeghi, Salar Rahimikazerooni
    Journal of Human Hypertension.2021; 35(3): 257.     CrossRef
  • The effects of capsinoids and fermented red pepper paste supplementation on blood pressure: A systematic review and meta-analysis of randomized controlled trials
    Mohammad Reza Amini, Fatemeh Sheikhhossein, Elham Bazshahi, Mahdi Hajiaqaei, Anahid Shafie, Hossein Shahinfar, Neda Azizi, Hadi Eghbaljoo Gharehgheshlaghi, Sina Naghshi, Raana Babadi Fathipour, Sakineh Shab-Bidar
    Clinical Nutrition.2021; 40(4): 1767.     CrossRef
  • The Effect of Cognitive-Behavioral Intervention on Self-Care Behaviors and Blood Pressure Control in Patients with Primary Hypertension
    Elham Ebrahimidorcheh, Mahin Nematollahi, Ahmadali Eslami
    Journal of Education and Community Health.2021; 8(1): 41.     CrossRef
  • Long-term Trends in Hypertension Prevalence, Awareness, Treatment, and Control Rate in the Middle East and North Africa: a Systematic Review and Meta-analysis of 178 Population-Based Studies
    Nami Mohammadian Khonsari, Ehsan Shahrestanaki, Hanieh-Sadat Ejtahed, Shirin Djalalinia, Ali Sheidaei, Benyamin Hakak-Zargar, Javad Heshmati, Armita Mahdavi-Gorabi, Mostafa Qorbani
    Current Hypertension Reports.2021;[Epub]     CrossRef
  • Prevalence and factors connected with chronic diseases in the elderly residents of Birjand: a community – based study in Birjand, South Khorasan Province, Iran
    Marjan Farzad, MitraMoodi, Farshad Sharifi, Hasan Amirabadizadeh, Alireza Amirabadizadeh, Toba Kazemi, Abbas Javadi, Maziar Nasiri
    Journal of Diabetes & Metabolic Disorders.2021; 20(2): 1655.     CrossRef
  • Comparison of multiple blood pressure frequency methods with optimum blood pressure measurement among Iranian individuals
    Alireza Mohammadi-Dolatabadi, Mehrbod Vakhshoori, Maryam Eghbali-Babadi, Maryam Heidarpour, Davood Shafie, Mohammad Garakyaraghi, Alireza Khosravi
    Journal of Research in Medical Sciences.2020; 25(1): 40.     CrossRef
  • Awareness, treatment, and control of hypertension and related factors in adult Iranian population
    Mohsen Mirzaei, Masoud Mirzaei, Behnam Bagheri, Ali Dehghani
    BMC Public Health.2020;[Epub]     CrossRef
  • Adherence of general practitioners to the national hypertension guideline, Isfahan, Iran
    AmirVatani Nezafat, Negah Tavakolifard, Atefeh Vaezi
    International Journal of Preventive Medicine.2020; 11(1): 130.     CrossRef
  • Comparing the Effect of Teach Back and Motivational Interview on the Blood Pressure in Hypertensive Patients
    S. Zabolypour, M. Alishapour, M. Behnammoghadam, R. Abbasi Larki, M. Zoladl
    Journal of Clinical Care and Skills.2020; 1(3): 133.     CrossRef
  • Prevalence of Hypertension and Its Associated Car-diovascular Disease-Induced Mortality
    Yadollah Ghafuri, Hasan Izanloo, Siamak Mohebi, Abedin Saghafipour, Moharram Karami Joushin, Saeed Karimi
    Journal of Vessels and Circulation.2020; 1(4): 29.     CrossRef
  • Effectiveness of smartphone-based medication reminder application on medication adherence of patients with essential hypertension: A clinical trial study
    Sajede Mohammadi Torkabad, Tayebeh Negahban Bonabi, Shahin Heidari
    Journal of Nursing and Midwifery Sciences.2020; 7(4): 219.     CrossRef
  • Hypertension and Pre-Hypertension Among Iranian Adults Population: a Meta-Analysis of Prevalence, Awareness, Treatment, and Control
    Roghaiyeh Afsargharehbagh, Khadije Rezaie-Keikhaie, Hosien Rafiemanesh, Abbas Balouchi, Salehoddin Bouya, Behroz Dehghan
    Current Hypertension Reports.2019;[Epub]     CrossRef
  • Prevalence, awareness, treatment, and control of hypertension and their determinants: Results from the first cohort of non-communicable diseases in a Kurdish settlement
    Fatemeh Rajati, Behrooz Hamzeh, Yahya Pasdar, Roya Safari, Mehdi Moradinazar, Ebrahim Shakiba, Shahrzad Bazargan-Hejazi, Hossein Karim, Farid Najafi
    Scientific Reports.2019;[Epub]     CrossRef
Income-related inequality in completed suicide across the provinces of Iran
Mohammad Hassan Kazemi-Galougahi, Asieh Mansouri, Samaneh Akbarpour, Mahmood Bakhtiyari, Majid Sartipi, Rahmatollah Moradzadeh
Epidemiol Health. 2018;40:e2018012.   Published online April 2, 2018
DOI: https://doi.org/10.4178/epih.e2018012
  • 11,986 View
  • 209 Download
  • 5 Web of Science
  • 6 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
The aim of this study was to measure income-related inequality in completed suicide across the provinces of Iran.
METHODS
This ecological study was performed using data from the Urban and Rural Household Income and Expenditure Survey-2010 conducted by the Iranian Center of Statistics, along with data on completed suicide from the Iranian Legal Medicine Organization in 2012. We calculated the Gini coefficient of per capita income and the completed suicide rate, as well as the concentration index for per capita income inequality in completed suicide, across the provinces of Iran.
RESULTS
The Gini coefficients of per capita income and the completed suicide rate in the provinces of Iran were 0.10 (95% confidence interval [CI], 0.06 to 0.13) and 0.34 (95% CI, 0.21 to 0.46), respectively. We found a trivial decreasing trend in the completed suicide incidence rate according to income quintile. The poorest-to-richest ratio in the completed suicide rate was 2.01 (95% CI, 1.26 to 3.22). The concentration index of completed suicide in the provinces of Iran was -0.12 (95% CI, -0.30 to 0.06).
CONCLUSIONS
This study found that lower income might be considered as a risk factor for completed suicide. Nonetheless, further individual studies incorporating multivariable analysis and repeated cross-sectional data would allow a more fine-grained analysis of this phenomenon.
Summary

Citations

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  • Inequalities in Violent Death across Income Levels among Young Males and Females in Countries of the Americas
    Oscar J. Mujica, Dihui Zhang, Yi Hu, Isabel C. Espinosa, Nelson Araneda, Anca Dragomir, George Luta, Antonio Sanhueza
    International Journal of Environmental Research and Public Health.2023; 20(7): 5256.     CrossRef
  • Effectiveness of a theory-based educational intervention on work-related musculoskeletal disorders preventive behaviors among assembly-line female workers: a study protocol for a randomized controlled trial
    Zakieh Sadat Hosseini, Sedigheh Sadat Tavafian, Omran Ahmadi, Reza Maghbouli
    Trials.2023;[Epub]     CrossRef
  • SPATIAL ANALYSIS OF SUICIDE IN NORTHEASTERN BRAZIL AND ASSOCIATED SOCIAL FACTORS
    Taynara Lais Silva, Thatiana Araújo Maranhão, George Jó Bezerra Sousa, Isaac Gonçalves da Silva, José Claudio Garcia Lira Neto, Geovana Almeida dos Santos Araujo
    Texto & Contexto - Enfermagem.2022;[Epub]     CrossRef
  • Early marriage, stressful life events and risk of suicide and suicide attempt: a case–control study in Iran
    Ali Fakhari, Hamid Allahverdipour, Elham Davtalab Esmaeili, Vijay Kumar Chattu, Hamid Salehiniya, Hosein Azizi
    BMC Psychiatry.2022;[Epub]     CrossRef
  • Trends in equity of inpatient health service utilization for the middle-aged and elderly in China: based on longitudinal data from 2011 to 2018
    Xiaojing Fan, Min Su, Yaxin Zhao, Yafei Si, Zhongliang Zhou
    BMC Public Health.2021;[Epub]     CrossRef
  • Social and economic variables related with Paraquat self-poisoning: an ecological study
    Jefferson Antonio Buendía, Gabriel Jaime Restrepo Chavarriaga, Andres F. Zuluaga
    BMC Public Health.2020;[Epub]     CrossRef
Irritable bowel syndrome is concentrated in people with higher educations in Iran: an inequality analysis
Asieh Mansouri, Mostafa Amini Rarani, Mosayeb Fallahi, Iman Alvandi
Epidemiol Health. 2017;39:e2017005.   Published online February 1, 2017
DOI: https://doi.org/10.4178/epih.e2017005
  • 16,427 View
  • 278 Download
  • 15 Web of Science
  • 10 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
Like any other health-related disorder, irritable bowel syndrome (IBS) has a differential distribution with respect to socioeconomic factors. This study aimed to estimate and decompose educational inequalities in the prevalence of IBS.
METHODS
Sampling was performed using a multi-stage random cluster sampling approach. The data of 1,850 residents of Kish Island aged 15 years or older were included, and the determinants of IBS were identified using a generalized estimating equation regression model. The concentration index of educational inequality in cases of IBS was estimated and decomposed as the specific inequality index.
RESULTS
The prevalence of IBS in this study was 21.57% (95% confidence interval [CI], 19.69 to 23.44%). The concentration index of IBS was 0.20 (95% CI, 0.14 to 0.26). A multivariable regression model revealed that age, sex, level of education, marital status, anxiety, and poor general health were significant determinants of IBS. In the decomposition analysis, level of education (89.91%), age (−11.99%), and marital status (9.11%) were the three main contributors to IBS inequality. Anxiety and poor general health were the next two contributors to IBS inequality, and were responsible for more than 12% of the total observed inequality.
CONCLUSIONS
The main contributors of IBS inequality were education level, age, and marital status. Given the high percentage of anxious individuals among highly educated, young, single, and divorced people, we can conclude that all contributors to IBS inequality may be partially influenced by psychological factors. Therefore, programs that promote the development of mental health to alleviate the abovementioned inequality in this population are highly warranted.
Summary

Citations

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    BMJ Open.2023; 13(3): e064618.     CrossRef
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    International Journal of Environmental Research and Public Health.2022; 19(17): 10569.     CrossRef
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    Mostafa Amini-Rarani, Asieh Mansouri, Mehdi Nosratabadi
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    HusseinS Amin, Farhana Irfan, SyedI Karim, SaifM Almeshari, KhaledA Aldosari, AbdullahM Alzahrani, AdnanT Almogbel, SaadM Alfouzan, AnasA Alsaif
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    Mohammad Zamani, Shaghayegh Alizadeh‐Tabari, Vahid Zamani
    Alimentary Pharmacology & Therapeutics.2019; 50(2): 132.     CrossRef
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