Investigating the relationship between demographic and socio-economic characteristics on the attendance to comprehensive health services center for blood pressure measurement: a cross-sectional study

Document Type : original articles

Authors

1 Student Research Committee, Kashan University of Medical Sciences, Kashan, Iran

2 Department of Pediatrics, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran

3 Student Research Committee, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran

Abstract

Objectives: Many people around the world suffer from hypertension which increases the risk of heart failure and mortality. But most cases are not interested in referring to medical centers to have their blood pressure checked. The aim of this study was to investigate the relationship between demographic and socioeconomic characteristics of attending Barzok Comprehensive Health Services Center for blood pressure measurement.

Methods: The current cross-sectional study was performed in 76 hypertensive patients. Demographic and socioeconomic information was collected and compared based on referral to Barzok Comprehensive Health Services Center for blood pressure measurement.

Results: In this study, out of 76 cases, 10 patients (13.15%) referred to medical centers for blood pressure measurement, 66 cases (86.8%) did not go to medical centers. There was no statistically significant difference in gender and age between the two groups of patients (p>0.05). In addition, the two groups were similar in terms of education level, occupational status, smoking history, and family history of hypertension (P=0.824, P=0.492, P=0.233 and P=0.276, respectively). However, mean systolic blood pressure (118 ± 9.18 mmHg vs 140.55 ± 17.06 mmHg, P<0.001) and diastolic blood pressure (75 ± 8.49 mmHg vs 84.53 ± 8.62 mmHg, P=0.006) in the group of cases referred to Barzok medical center was significantly lower (better) than in cases who did not refer (p<0.05).

Conclusions: People at  high risk for hypertension or those with hypertension regardless of their demographic or socio- economic characteristics or even where they live, should be trained  to  refer to comprehensive health service centers by creating motivation and insight.

Keywords

References

1.Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nat Rev Nephrol. 2020;16(4):223-237.
2.Umemura S, Arima H, Arima SH, et al. The Japanese Society of Hypertension guidelines for the management of hypertension (JSH 2019). Hypertens Res. 2019;42(9):1235-1481.
3.Hashemi Moghanjoughi P, Neshat S, Rezaei A, et al. Is the Neutrophil-to-Lymphocyte Ratio an Exceptional Indicator for Metabolic Syndrome Disease and Outcomes? Endocr Pract. 2022;28(3):342-348.
4.Heidenreich PA, Trogdon JG, Khavjou OA, et al. Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association. Circulation. 2011;123(8):933-44.
5.Mohammadi SD, Norouzi K, Dalvandi A, et al.The Level of illness perception and its relationship with adherence to the medical regimen in the elderly with hypertension. I J R N. 2018;4:40-46.
6.Siadat ZD, Hasandokht T, Farajzadegan Z, et al. Effects of multicomponent lifestyle modification on blood pressure control in health centers: Design of the study. J Res Med Sci. 2013;18(4):308-13.
7.Mirkarimi A, Khoddam H, Vakili MA, et al. Effect of life style modification on adherence to diet and hypertension in hypertensive patients. Koomesh. 2018;20(2):192-202.
8.Stergiou GS, Palatini P, Parati G, et al. 2021 European Society of Hypertension practice guidelines for office and out-of-office blood pressure measurement. J Hypertens. 2021;39(7):1293-1302.
9.Giordano J, Battle SJ, Edwards EW, et al. Self‐measurement of blood pressure in the workplace: An expansion of out‐of‐office blood pressure measurements to unmask masked hypertension. J Clin Hypertens (Greenwich). 2021;23(2):215-217.
10.Luo H, Yang D, Barszczyk A, et al. Smartphone-based blood pressure measurement using transdermal optical imaging technology. Circ Cardiovasc Imaging. 2019;12(8):e008857.
11.Stamler R, Shipley M, Elliott P, et al. Higher blood pressure in adults with less education. Some explanations from INTERSALT. Hypertension. 1992;19(3):237-41.
12.Ng N, Carlberg B, Weinehall L, et al. Trends of blood pressure levels and management in Västerbotten County, Sweden, during 1990–2010. Glob Health Action. 2012;5(1):18195.
13.Zhang W, Zhang S, Deng Y, et al. Trial of intensive blood-pressure control in older patients with hypertension. N Engl J Med. 2021;385(14):1268-1279.
14.Clays E, Leynen F, De Bacquer D, et al. High job strain and ambulatory blood pressure in middle-aged men and women from the Belgian job stress study. J Occup Environ Med. 2007;49(4):360-7.
15.Flint AC, Conell C, Ren X, et al. Effect of systolic and diastolic blood pressure on cardiovascular outcomes. N Engl J Med. 2019;381(3):243-251.
16.Drawz PE, Beddhu S, Kramer HJ, et al. Blood Pressure Measurement: A KDOQI Perspective. Am J Kidney Dis. 2020;75(3):426-434.
17.Bosworth HB, Olsen MK, Neary A, et al. Take Control of Your Blood Pressure (TCYB) study: a multifactorial tailored behavioral and educational intervention for achieving blood pressure control. Patient Educ Couns. 2008;70(3):338-47.
18.Beaney T, Burrell LM, Castillo RR, et al. May Measurement Month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension. Eur Heart J. 2019;40(25):2006-2017.
19.Ostovar A, Sepanlou S, Shariati M, et al. The Iranian blood pressure measurement campaign, 2019: study protocol and preliminary results. J Diabetes Metab Disord. 2022;22(1):899-911.
20.Kazemi E, Khosravi A, Aghamohamadi S, et al. Trends in premature mortality in the Islamic Republic of Iran: probability of dying between ages 30 and 70 years. East Mediterr Health J. 2021;27(1):33-40.
Cardiovascular Biomedicine
Volume 3, Issue 1
August 2023
Pages 27-31

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History

  • Receive Date: 11 October 2022
  • Revise Date: 09 August 2023
  • Accept Date: 19 August 2023

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