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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...

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Autores principales: Mahadir Naidu, Balkish, Mohd Yusoff, Muhammad Fadhli, Abdullah, Sarimah, Musa, Kamarul Imran, Yaacob, Najib Majdi, Mohamad, Maria Safura, Sahril, Norhafizah, Aris, Tahir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
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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.
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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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