Key result
Low socioeconomic status was associated with a higher prevalence of hypertension (Concentration Index -0.047 in urban and -0.075 in rural areas), while awareness and treatment favored higher groups.
Why the study?
Hypertension is a major public health issue across socioeconomic groups, but few studies account for geographical variation when examining socioeconomic inequalities and hypertension in Indonesia.
Cross-Sectional (n=32,034)
Yes
Effect estimate: Concentration Index -0.047 (urban) and -0.075 (rural)
There is a high prevalence of hypertension in Indonesia with significant socioeconomic disparities, highlighting the need for targeted public health interventions to improve awareness, treatment, and control.
Regional and socioeconomic hypertension disparities in Indonesia warrant targeted efforts; leaves open causal mechanisms for prospective confirmation.
BACKGROUND: Hypertension remains a problem of public health across various socioeconomic groups, despite its high prevalence. However, few studies account for geographical variation in examining socioeconomic inequalities and hypertension in Indonesia. OBJECTIVE: To investigate the burden of hypertension in Indonesia based on prevalence, awareness, treatment, and control of hypertension among adults; and assess whether or not the burdens vary according to geographical variation and socioeconomic status. METHODS: In Wave 5 of the Indonesian Family Life Survey in 2015, 32,034 individuals aged 15 and over participated in the study. Concentration Curves (CC) and Concentration Indexes (CI) were used to analyse socioeconomic inequality. We used multilevel logistic regression to assess biological, geographical variation, and socioeconomic factors associated with the burden of hypertension, adjusting for potential covariates. RESULTS: The prevalence of hypertension in Indonesia was 26.1%, and only 26.9% of those with hypertension were aware of their condition. Approximately 22.5% of hypertensive patients received treatment, but only 28.2% had controlled blood pressure and reached the therapeutic goal. Low socioeconomic groups were more prone to hypertension (CI = -0.047 in urban and CI = -0.075 in rural). In contrast, awareness, treatment, and control of hypertension were more concentrated in higher socioeconomic groups. CONCLUSIONS: The high prevalence of hypertension, low awareness of the condition, poor compliance with treatment, and poor control of the condition, as well as the existing socioeconomic inequality, make this a significant determinant of public health issue in Indonesia. There is a need for effective programs for the prevention of hypertension and better management of hypertensive patients.
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Mashuri et al. (2022) conducted a cross-sectional in Hypertension (n=32,034). Low socioeconomic status vs. High socioeconomic status was evaluated on Prevalence of hypertension (Concentration Index -0.047 (urban) and -0.075 (rural)). Low socioeconomic status was associated with a higher prevalence of hypertension (Concentration Index -0.047 in urban and -0.075 in rural areas), while awareness and treatment favored higher groups.
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