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January 8, 2020Frontiers in Public HealthOpen Access

Prevalence, Awareness, and Control of Arterial Hypertension in a Russian Population. The Ural Eye and Medical Study

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Why the study?

The study was conducted to investigate the prevalence and awareness of arterial hypertension in Russia.

Population

5891 individuals aged 40+ years in Bashkortostan, Russia

Design

Population-based cross-sectional study

Authors

MBMukharram M. BikbovAristotle University of ThessalonikiGKGyulli M. KazakbaevaBashkir State Medical UniversityRZRinat M. ZainullinUfa Eye Research Institute

Discussion

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Implication

High prevalence with dismal awareness, treatment, and control rates signals urgent need for improved hypertension programs in older Russians; leaves open effective implementation strategies.

Key Points

  • To evaluate the prevalence, awareness, treatment rates, and clinical control of arterial hypertension in an urban and rural population aged 40 years and older.
  • Population-based Ural Eye and Medical Study included 5891 individuals aged 40+ years in the Russian republic of Bashkortostan.
  • Participants completed structured interviews, systemic clinical examinations, and blood pressure assessments using the ACC/AHA diagnostic criteria.
  • The overall prevalence of elevated blood pressure or hypertension was 87.3% (5141/5891; 95% CI: 86.4, 88.1), while awareness of hypertension was 45.4% (2289/5223; 95% CI: 44.0, 47.0).
  • Among the 20.2% (1055/5223; 95% CI: 19.1, 21.3) receiving antihypertensive medication, only 3.1% (33/1055) achieved normal blood pressure values.
  • Elevated blood pressure or hypertension was independently associated with older age (OR: 1.04; 95% CI: 1.03, 1.05; P<0.001), male sex (OR: 2.56; 95% CI: 2.10, 3.16; P<0.001), and higher waist-hip ratio (OR: 6.16; 95% CI: 1.89, 20.0; P=0.003).

Structured PICO

P
Population
5,891 individuals aged 40+ years from an urban and rural region in the Russian republic Bashkortostan (Ural Eye and Medical Study)
O
Outcome
Prevalence, awareness, and control of arterial hypertension defined by ACC/AHA criteria

In a Russian population aged 40 and older, the prevalence of elevated blood pressure or hypertension is extremely high (87.3%), while rates of awareness, treatment, and therapeutic control remain alarmingly low.

Cite This Study

Bikbov et al. (2020) studied this question.

synapsesocial.com/papers/6a100f259e54838161fda4d3https://doi.org/10.3389/fpubh.2019.00394

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Cross-sectional Survey of Hypertension Diagnosis and Treatment Practices Among Physicians in Yaroslavl Region, Russia2012 · 14 citations
  2. 2Awareness, treatment and control of hypertension in patients attending hospital clinics in China2003 · 24 citations
  3. 3Prevalence, awareness, treatment, control and risk factors of hypertension in Korea: the Ansan study2001 · 161 citations
  4. 4Prevalence of Arterial Hypertension in the Adult Population in Rural and Urban China: The Beijing Eye Study2008 · 26 citations
  5. 5Potential US Population Impact of the 2017 ACC/AHA High Blood Pressure Guideline2017 · 977 citations