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Factors associated with the severity of hypertension among Malaysian adults
High blood pressure is a worldwide problem and major global health burden. Whether alone or combined with other metabolic diseases, high blood pressure increases the risk of cardiovascular disease. This study is a secondary data analysis from the National Health and Morbidity Survey 2015, a populati...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317782/ https://www.ncbi.nlm.nih.gov/pubmed/30605462 http://dx.doi.org/10.1371/journal.pone.0207472 |
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author | Mahadir Naidu, Balkish Mohd Yusoff, Muhammad Fadhli Abdullah, Sarimah Musa, Kamarul Imran Yaacob, Najib Majdi Mohamad, Maria Safura Sahril, Norhafizah Aris, Tahir |
author_facet | Mahadir Naidu, Balkish Mohd Yusoff, Muhammad Fadhli Abdullah, Sarimah Musa, Kamarul Imran Yaacob, Najib Majdi Mohamad, Maria Safura Sahril, Norhafizah Aris, Tahir |
author_sort | Mahadir Naidu, Balkish |
collection | PubMed |
description | High blood pressure is a worldwide problem and major global health burden. Whether alone or combined with other metabolic diseases, high blood pressure increases the risk of cardiovascular disease. This study is a secondary data analysis from the National Health and Morbidity Survey 2015, a population-based study that was conducted nationwide in Malaysia using a multi-stage stratified cluster sampling design. A total of 15,738 adults ≥18-years-old were recruited into the study, which reports the prevalence of hypertension stages among adults in Malaysia using the JNC7 criteria and determinants of its severity. The overall prevalence of raised blood pressure was 66.8%, with 45.8% having prehypertension, 15.1% having Stage 1 hypertension, and 5.9% having Stage 2 hypertension. In the multivariate analysis, a higher likelihood of having prehypertension was observed among respondents with advancing age, males (OR = 2.74, 95% CI: 2.41–3.12), Malay ethnicity (OR = 1.21, 95% CI: 1.02–1.44), lower socioeconomic status, and excessive weight. The factors associated with clinical hypertension (Stages 1 and 2) were older age, rural residency (Stage 1 OR = 1.22, Stage 2 OR = 1.28), Malay ethnicity (Stage 2 OR = 1.64), diabetes (Stage 2 OR = 1.47), hypercholesterolemia (Stage 1 OR = 1.34, Stage 2 OR = 1.82), being overweight (Stage 1 OR = 2.86, Stage 2 OR = 3.44), obesity (Stage 1 OR = 9.01, Stage 2 OR = 13.72), and lower socioeconomic status. Almost 70% of Malaysian adults are at a risk of elevated blood pressure. The highest prevalence was in the prehypertension group, which clearly predicts a future incurable burden of the disease. Public health awareness, campaigns through mass and social media, and intervention in the work place should be a priority to control this epidemic. |
format | Online Article Text |
id | pubmed-6317782 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-63177822019-01-19 Factors associated with the severity of hypertension among Malaysian adults Mahadir Naidu, Balkish Mohd Yusoff, Muhammad Fadhli Abdullah, Sarimah Musa, Kamarul Imran Yaacob, Najib Majdi Mohamad, Maria Safura Sahril, Norhafizah Aris, Tahir PLoS One Research Article High blood pressure is a worldwide problem and major global health burden. Whether alone or combined with other metabolic diseases, high blood pressure increases the risk of cardiovascular disease. This study is a secondary data analysis from the National Health and Morbidity Survey 2015, a population-based study that was conducted nationwide in Malaysia using a multi-stage stratified cluster sampling design. A total of 15,738 adults ≥18-years-old were recruited into the study, which reports the prevalence of hypertension stages among adults in Malaysia using the JNC7 criteria and determinants of its severity. The overall prevalence of raised blood pressure was 66.8%, with 45.8% having prehypertension, 15.1% having Stage 1 hypertension, and 5.9% having Stage 2 hypertension. In the multivariate analysis, a higher likelihood of having prehypertension was observed among respondents with advancing age, males (OR = 2.74, 95% CI: 2.41–3.12), Malay ethnicity (OR = 1.21, 95% CI: 1.02–1.44), lower socioeconomic status, and excessive weight. The factors associated with clinical hypertension (Stages 1 and 2) were older age, rural residency (Stage 1 OR = 1.22, Stage 2 OR = 1.28), Malay ethnicity (Stage 2 OR = 1.64), diabetes (Stage 2 OR = 1.47), hypercholesterolemia (Stage 1 OR = 1.34, Stage 2 OR = 1.82), being overweight (Stage 1 OR = 2.86, Stage 2 OR = 3.44), obesity (Stage 1 OR = 9.01, Stage 2 OR = 13.72), and lower socioeconomic status. Almost 70% of Malaysian adults are at a risk of elevated blood pressure. The highest prevalence was in the prehypertension group, which clearly predicts a future incurable burden of the disease. Public health awareness, campaigns through mass and social media, and intervention in the work place should be a priority to control this epidemic. Public Library of Science 2019-01-03 /pmc/articles/PMC6317782/ /pubmed/30605462 http://dx.doi.org/10.1371/journal.pone.0207472 Text en © 2019 Mahadir Naidu et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Mahadir Naidu, Balkish Mohd Yusoff, Muhammad Fadhli Abdullah, Sarimah Musa, Kamarul Imran Yaacob, Najib Majdi Mohamad, Maria Safura Sahril, Norhafizah Aris, Tahir Factors associated with the severity of hypertension among Malaysian adults |
title | Factors associated with the severity of hypertension among Malaysian adults |
title_full | Factors associated with the severity of hypertension among Malaysian adults |
title_fullStr | Factors associated with the severity of hypertension among Malaysian adults |
title_full_unstemmed | Factors associated with the severity of hypertension among Malaysian adults |
title_short | Factors associated with the severity of hypertension among Malaysian adults |
title_sort | factors associated with the severity of hypertension among malaysian adults |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317782/ https://www.ncbi.nlm.nih.gov/pubmed/30605462 http://dx.doi.org/10.1371/journal.pone.0207472 |
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